Benign inflammatory cervical smear in a background of normal diagnostic dilatation and curettage finding - A rare presentation of endometrial carcinoma
Endometrial carcinoma is a primary tumor of the uterus that usually presented with abnormal uterine bleeding commonly in post menopausal woman. However, it can also manifests as abnormal cervical cytology even in a pre-menopausal age group which should be confirmed by endometrial biopsy. Dilatation...
| Main Authors: | , , |
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| Format: | Conference or Workshop Item |
| Language: | English English English |
| Published: |
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/64327/ http://irep.iium.edu.my/64327/40/64327-Benign.pdf http://irep.iium.edu.my/64327/41/64327-invitation%20letter%20and%20certificate%20best%20poster.pdf http://irep.iium.edu.my/64327/1/Pahang%20poster%20Research%20Day%202017%20Shaiful%20Ehsan%20endometrial%20carcinoma.pdf |
| Summary: | Endometrial carcinoma is a primary tumor of the uterus that usually presented with abnormal uterine bleeding commonly in post menopausal woman. However, it can also manifests as abnormal cervical cytology even in a pre-menopausal age group which should be confirmed by endometrial biopsy. Dilatation and curettage (D&C) is an invasive and diagnostic procedure to identify specific causes for abnormal uterine bleeding with high sensitivity of up to 99% in detecting endometrial lesions. We report a case of early detection of endometrial carcinoma in a 56 year old diabetic woman who presented with history of intermitted prolonged menses which previously reassured with a normal diagnostic dilatation and curettage finding. However, subsequent cervical smear as part of routine screening in our clinic revealed persistent benign inflammatory changes. Despite in dilemma of previous normal D&C, we referred again this case for bedside endometrial biopsy which revealed a new finding of endometrial carcinoma. She benefits early staging and treatment. We would like to report a case of a rare presentation of early endometrial carcinoma manifested as incidental findings of benign inflammatory cervical changes in a low suspicious patient in view of clear findings of a recent diagnostic D&C. This case had proved important role of continuous regular screening in primary care regardless of previous diagnostic background. |
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