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subsequent to menopause

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出血,(特に)大量出血 / 多量に出血する

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1. 閉経後女性における子宮出血 postmenopausal uterine bleeding
2. 妊娠していない生殖可能年齢の女性における不正子宮出血に対するアプローチ approach to abnormal uterine bleeding in nonpregnant reproductive age women
3. Preanesthesia consultation for renal transplant recipients
4. 女性における生殖器出血の鑑別診断 differential diagnosis of genital tract bleeding in women
5. 子宮内膜アブレーションの概要 an overview of endometrial ablation

English Journal

[Complications of presumed benign ovarian tumors].

Deffieux X, Thubert T, Huchon C, Demoulin G, Rivain AL, Faivre E, Trichot C.Author information Service de gynécologie-obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France; Faculté de médecine, université Paris-Sud, 91405 Orsay, France. Electronic address: xavier.deffieux@abc.aphp.fr.AbstractThe main risk factor of adnexal torsion is a previous adnexal torsion (LE3). There is no clinical, biological or radiological sign that may exclude the diagnosis of adnexal torsion (LE3). The presence of flow at color Doppler imaging does not allow exclusion of the diagnosis (LE2). An emergent laparoscopy is recommended for adnexal untwisting (Grade B), except in postmenopausal women where oophorectomy is recommended (grade C). A persistent black color of the adnexa after untwisting is not an indication for systematic oophorectomy (grade C), since a functional recovery is possible (LE3). Ovariopexy is not routinely recommended following adnexal untwisting (grade C). The clinical signs of intra-cystic hemorrhage and those of rupture of the corpus luteum are not specific (LE4). MRI is not recommended to confirm the diagnosis of intra-cystic hemorrhage (grade C). Malignant transformation of an ovarian cyst is very rare. The presence of a benign ovarian cyst is not associated with an increased risk of ovarian cancer at long-term follow-up (LE2). For these women, an ultrasound follow-up is not recommended (grade C). Dermoid ovarian cyst containing nerve tissue can trigger the production of pathogenic auto-antibody-anti-NMDA, leading to encephalitis. A high proportion of thyroid tissue in a mature teratoma (struma ovarii) may cause hyperthyroidism.
Journal de gynécologie, obstétrique et biologie de la reproduction.J Gynecol Obstet Biol Reprod (Paris).2013 Dec;42(8):816-32. doi: 10.1016/j.jgyn.2013.09.036. Epub 2013 Nov 7.
The main risk factor of adnexal torsion is a previous adnexal torsion (LE3). There is no clinical, biological or radiological sign that may exclude the diagnosis of adnexal torsion (LE3). The presence of flow at color Doppler imaging does not allow exclusion of the diagnosis (LE2). An emergent lapar
PMID 24210240

Endometrial echo complex thickness in postmenopausal endometrial cancer.

Chandavarkar U, Kuperman JM, Muderspach LI, Opper N, Felix JC, Roman L.Author information Division of Gynecologic Oncology, Los Angeles County-University of Southern California Medical Center, Los Angeles, CA, USA; Division of Gynecologic Oncology, MultiCare Regional Cancer Center, Tacoma, WA, USA. Electronic address: uma.chandavarkar@gmail.com.AbstractOBJECTIVE: To determine the preoperative pelvic ultrasonographic characteristics of postmenopausal women diagnosed with endometrial cancer (EC) at our institution.
Gynecologic oncology.Gynecol Oncol.2013 Oct;131(1):109-12. doi: 10.1016/j.ygyno.2013.07.109. Epub 2013 Aug 1.
OBJECTIVE: To determine the preoperative pelvic ultrasonographic characteristics of postmenopausal women diagnosed with endometrial cancer (EC) at our institution.METHODS: Postmenopausal women with EC who underwent preoperative transvaginal pelvic ultrasound from 1999-2009 were identified from our i
PMID 23917081

An Ultrasound Algorithm for the Identification of Endometrial Cancer.

Dueholm M, Møller C, Rydbjerg S, Hansen ES, Ortoft G.Author information Department of Gynecology and Obstetrics, Department of Pathology, From Aarhus University Hospital, Brendstupgaardsvej 100, 8200, Aarhus N, Denmark.AbstractAIM: Different image patterns at transvaginal ultrasound (TVS) with Doppler and gel infusion sonography (GIS) and observer variability of these image pattern were examined to propose a score system to predict endometrial cancer.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.Ultrasound Obstet Gynecol.2013 Sep 5. doi: 10.1002/uog.13205. [Epub ahead of print]
AIM: Different image patterns at transvaginal ultrasound (TVS) with Doppler and gel infusion sonography (GIS) and observer variability of these image pattern were examined to propose a score system to predict endometrial cancer.METHOD: TVS with Doppler assessment and GIS were prospectively performed
PMID 24009152