Frequency of genital tract malignancies in women with postmenopausal bleeding

Aim: to determine the frequency of genital tract malignancies in women with postmenopausal bleeding study design: descriptive cross sectional study. place and duration of study: this study was conducted at the department of obstetrics and gynecology unit iii of liaquat university hospital hyderabad from august 2012 to july 2013. methods: a total of 50 cases were included in the study through non-probability convenience sampling technique. a detailed history related examinations and baseline investigation along with ultrasonography and pap smear were done. diagnostic curettage and cervical biopsy done whenever needed & all the data was confirmed by histopathology reports. data was recorded on predesigned proforma,entered in computer and analyzed by using spss-12. result: in this study the frequency of genital tract malignancies observed in patients with postmenopausal bleeding was 39(78%) cases. out of which 54% had carcinoma of cervix,10% carcinoma of endometrium,2% granulosa cell tumor of ovary,6% vulval cancer,2% vaginal cancer and 4% leiomyosarcoma. conclusion: postmenopausal bleeding is a major symptom that may predict malignancy and should never be ignored and need thorough evaluation as in our country the most common malignancy is carcinoma of cervix in women with postmenopausal bleeding which reflect the importance of cervical screening programme. © 2016,lahore medical and dental college. all rights reserved.