Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2022; 10(7): 2159-2165
Published online Mar 6, 2022. doi: 10.12998/wjcc.v10.i7.2159
Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium
Hui Xue, Wen-Jing Shen, Yi Zhang
Hui Xue, Wen-Jing Shen, Yi Zhang, Department of Gynecology, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: Zhang Y designed the study; Xue H and Shen WJ performed in the data acquisition and analysis, drafted and revised the manuscript; all authors have read and approved the final manuscript to be submitted.
Supported by Key Research and Development Project in Department of Science and Technology, Liaoning Province, No. 2017225025.
Institutional review board statement: This study was reviewed and approved by the Science and Research Office of First Affiliated Hospital of China Medical University (Shenyang, China).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items and the manuscript was prepared and revised accordingly.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi Zhang, MD, PhD, Chief Doctor, Department of Gynecology, The First Affiliated Hospital of China Medical University, No. 155 North Nanjing Street, Shenyang 110001, Liaoning Province, China. syzi@163.com
Received: August 6, 2021
Peer-review started: August 6, 2021
First decision: September 1, 2021
Revised: September 11, 2021
Accepted: January 17, 2022
Article in press: January 17, 2022
Published online: March 6, 2022
ARTICLE HIGHLIGHTS
Research background

Postmenopausal bleeding and incidental thickened endometrium are common in postmenopausal women, but there are few studies about the patterns of endometrial pathology in postmenopausal women with endometrial abnormalities.

Research motivation

To analyze the patterns of endometrial pathology in postmenopausal women with endometrial abnormalities.

Research objectives

The patterns of postmenopausal endometrial lesions were statistically analyzed by using a large sample size.

Research methods

A total of 187 postmenopausal women with bleeding or asymptomatic thickened endometrium underwent diagnostic hysteroscopy and endometrium biopsy. Their endometrial pothologic types were analyzed retrospectively.

Research results

Endometrial polyp was the most common endometrial abnormality in postmenopausal women with bleeding or asymptomatic thickened endometrium. Fewer malignant lesions were detected in the asymptomatic group.

Research conclusions

Endometrial polyp was the most common pathology in postmenopausal women with bleeding or asymptomatic thickened endometrium.

Research perspectives

Diagnostic hysteroscopy is recommended for postmenopausal women with bleeding or asymptomatic thickened endometrium.