Endometriosis resembling endometrial cancer in a postmenopausal patient

Suchońska, Barbara; Gajewska, Małgorzata; Zygula, Aleksandra; Wielgoś, Mirosław

doi:10.1080/13697137.2017.1398229

Cited by 8 publications

(9 citation statements)

References 23 publications

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“…Despite over 100,000 hysterectomies being performed annually as of this writing for a primary diagnosis of endometriosis and approximately 12% of individuals with the disease eventually undergoing hysterectomy as 'treatment,' there is an approximate 15% probability of persistent pain after hysterectomy, which may be due to incomplete disease removal, and a 3-5% risk of worsening pain or new symptom development (Rizk et al 2014). Nor is menopause protective, with an estimated 2-4% of the endometriosis population being postmenopausal (Suchońska et al 2018). In fact, postmenopausal endometriosis has demonstrated a predisposition to malignant change, greater tendency for extrapelvic spread, and development into constrictive and/or obstructive lesions (Tan and Almaria 2018).…”

Section: In Briefmentioning

confidence: 99%

The Womb Wanders Not: Enhancing Endometriosis Education in a Culture of Menstrual Misinformation

Guidone¹

2020

The Palgrave Handbook of Critical Menstruation Studies

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Embedded in the centuries-old assertion that the womb was a nomadic entity wandering about the body causing hysteria and distress, persistent menstrual misinformation and misconceptions remain prevalent wherein pain disorders like endometriosis are concerned. Affecting an estimated 176 million individuals worldwide, endometriosis is a major cause of non-menstrual pain, dyspareunia, painful menses and reduced quality of life among individuals of all races and socioeconomic backgrounds. Wide-ranging symptoms may be dismissed as routine by both patients and practitioners alike due to lack of disease literacy, and lengthy diagnostic delays can exacerbate the negative impact of endometriosis on the physical, psychological, emotional and social well-being of those affected. This chapter identifies some of these challenges and explores how obstacles to best practice can be reduced in part through adoption of early educational campaigns which incorporate endometriosis as a major component of menstrual health education.

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Section: In Briefmentioning

confidence: 99%

The Womb Wanders Not: Enhancing Endometriosis Education in a Culture of Menstrual Misinformation

Guidone¹

2020

The Palgrave Handbook of Critical Menstruation Studies

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“…Thus, neonates who are at risk of hyperbilirubinemia can be identified before the mother and baby leave the hospital, few days after delivery. On the other hand, identifying high risk neonates will help to reduce the duration of hospital stay for other children who have a low risk of developing hyperbilirubinemia [9].…”

Section: Discussionmentioning

confidence: 99%

Prospective study on cord bilirubin level as a predictor of Hyperbilirubinemia in term healthy neonates

Shinoj

Kutty

2017

Int J Pediatr Res

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Introduction:Neonatal jaundice or hyperbilirubinemia is a cause of concern for parents and pediatricians, with more than 60% being affected by this condition in the first few weeks. Prediction of high risk neonates for hyperbilirubinemia will help in developing appropriate follow-up programs for managing the condition. It will also help in reducing duration of hospital stay for low-risk neonates. Objective: To estimate the predictive value of umbilical cord blood bilirubin level for the development of significant hyperbilirubinemia in healthy, full term neonates. Methodology:A prospective study on 450 healthy full tem newborns was undertaken in the postnatal care ward of a tertiary level teaching hospital. The study focused on predictive ability of cord blood bilirubin levels and subsequent development of hyperbilirubinemia. Results:Clinically significant hyperbilirubinemia was detected in 254 out of 450 newborns (56%) neonates. Majority of participants had cord blood bilirubin levels ranging from 1.5-2.4mg/dl. Only 1.3% (3 neonates) had levels ≥3 mg/dl. Majority of newborns in our study (60%) had an intermediate risk of developing hyperbilirubinemia, and only 1.3% (31) belonged to the high risk category on stratifying risks. Cord bilirubin cut off value of 1.9 mg/dl predicted subsequent hyperbilirubinemia with sensitivity of 91.8% and specificity of 52.4%. Conclusion: Study highlights that risk stratification is an excellent method of tracking newborns with hyperbilirubinemia as newborns with hour-specific bilirubin value in low risk zone have reduced risk of developing subsequent significant hyperbilirubinemia. The probability of developing this condition in neonates was not significantly different in males and females.

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“…In menopausal women with a history of endometriosis, the drop in estrogen levels after menopause relieves the endometriosis-related symptoms but generates specific menopausal ones, such as mood swings, hot flushes, vaginal atrophy, and night sweats [5,17]. The clinical grim reality is that the severity of the disease is not necessarily reflected in the degree of discomfort.…”

Section: Symptomatologymentioning

confidence: 99%

“…For many years, there has been a long-standing myth that endometriosis is a disease that affects only adult women of reproductive age. However, in recent years, focus has turned to the diagnosis of endometriosis in postmenopausal patients, given that the onset of pain can start after the onset of menopause, with reports of endometriosis occurring even in 80-year-old patients [1,5].…”

Section: Diagnosismentioning

confidence: 99%

“…The recurrence of endometriosis lesions in patients with a prior diagnosis of endometriosis during the premenopausal period or the de novo appearance of endometriosis in postmenopausal patients with no prior history of endometriosis-related complaints has been however well documented in numerous case series, case reports, and retrospective studies [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Endometriosis in Menopause—Renewed Attention on a Controversial Disease

et al. 2020

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Endometriosis, an estrogen-dependent inflammatory disease characterized by the ectopic presence of endometrial tissue, has been the topic of renewed research and debate in recent years. The paradigm shift from the belief that endometriosis only affects women of reproductive age has drawn attention to endometriosis in both premenarchal and postmenopausal patients. There is still scarce information in literature regarding postmenopausal endometriosis, the mostly studied and reported being the prevalence in postmenopausal women. Yet, other important issues also need to be addressed concerning diagnosis, pathophysiology, and management. We aimed at summarizing the currently available data in literature in order to provide a concise and precise update regarding information available on postmenopausal endometriosis.

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Endometriosis resembling endometrial cancer in a postmenopausal patient

Cited by 8 publications

References 23 publications

The Womb Wanders Not: Enhancing Endometriosis Education in a Culture of Menstrual Misinformation

The Womb Wanders Not: Enhancing Endometriosis Education in a Culture of Menstrual Misinformation

Prospective study on cord bilirubin level as a predictor of Hyperbilirubinemia in term healthy neonates

Endometriosis in Menopause—Renewed Attention on a Controversial Disease

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