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Original Research

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Pyometra in elderly post-menopausal women: a sign of malignity

  • O.S. Kerimoglu1,*,
  • A. Pekin1
  • S.A. Yılmaz1
  • B.B. Gençoğlu Bakbak1
  • C. Celik1

1Department of Obstetrics and Gynecology, Selçuk Univercity Selçuklu Medicine Faculty, Selçuklu, Konya , Turkey

DOI: 10.12892/ejgo2592.2015 Vol.36,Issue 1,February 2015 pp.59-61

Published: 10 February 2015

*Corresponding Author(s): O.S. Kerimoglu E-mail: ozlemsecilmis@hotmail.com

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Abstract

Purpose: To describe the clinical and histopathological characteristics of 12 patients with pyometra and highlight the increased incidence of gynecological malignancy in these patients. Materials and Methods: The authors examined the medical records of 12 patients with pyometra, who were treated between 2009 and 2013. Results: All patients were post-menopausal, and their mean age was 70.83 ± 6.978 years (min=61, max=82). To remove purulent fluid via dilation and because of the probability of malignancy, three patients (25%) underwent cervical biopsy and endometrial curettage; the other nine patients (75%) underwent curettage alone, with suitable antibiotic therapy. Of the 12 patients, nine (75%) had gynecologic malignancy [(endometrial cancer, n=5, 41.6%), (cervical cancer, n=3, 25%), (uterine leiomyosarcoma, n=1, 8.3%)]. In three (25%) patients, the cause of pyometra was benign pathologies, among which the most common were leiomyomas (n=2, 66.6%). Conclusion: Pyometra diagnosed during the post-menopausal period should be considered a complication caused by gynecological malignancy until proven otherwise.

Keywords

Pyometra; Endometrial cancer; Cervical cancer; Gynecological malignancy.

Cite and Share

O.S. Kerimoglu,A. Pekin,S.A. Yılmaz,B.B. Gençoğlu Bakbak,C. Celik. Pyometra in elderly post-menopausal women: a sign of malignity. European Journal of Gynaecological Oncology. 2015. 36(1);59-61.

URL:

https://www.ejgo.net/articles/10.12892/ejgo2592.2015

References

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[2] Stone M.L., Winston H.G.: “Pyometra”. Clin. Obstet. Gynecol., 1959, 2, 523.

[3] Shierholz J.D., Buchsbaum H.J., Lifshitz S., Latourette B.: “Pyometra complicating radiation therapy of uterine malignancy”. J. Reprod. Med., 1977, 19, 100.

[4] Lien W.C., Ong A.W., Sun J.T., Tsai M.T., Lai T.I., Liu Y.P., et al.: “Pyometra: a potentially lethal differential diagnosis in older women”. Am. J. Emerg. Med., 2010, 28, 103.

[5] Chan L.Y., Lau T.K., Wong S.F., Yuen P.M.: “Pyometra. What is its clinical significance?” J. Reprod. Med., 2001, 46, 952.

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