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KMID : 0384320090300090723
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Korean Journal of Family Medicine
2009 Volume.30 No. 9 p.723 ~ p.727
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One Case of Malignant Mixed Mullerian Tumor Developed in a Postmenopausal Woman under Hormone Therapy
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Hwang In-Cheol
Kuk Myoung-Jin
Kim Kyoung-Kon
Lee Ki-Bum
Na Seo-Young
Lee Kyoung-Shik
Suh Heuy-Sun
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Abstract
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Hormone therapy for peri- and postmenopausal women is widely used for relieving vasomotor symptoms or preventing osteoporosis. Even though exogenous hormone is the most common cause of vaginal bleeding in postmenopausal women under hormone therapy, in clinical practice, physicians must never exclude the possibility of endometrial disorders, such as endometrial hyperplasia or cancer. Taking thorough medical history and performing physical and pelvic examinations are essential for the evaluation of abnormal uterine bleeding in menopausal hormone therapy. Transvaginal ultrasonography, endometrial aspiration biopsy, dilatation and curettage, and hysteroscopy are the options which physicians may use. This case is about a woman with continuous combined hormone therapy for 5 years who had experienced rather sudden onset of vaginal spotting lasting for several months and was fi nally diagnosed as having malignant mixed Mullerian tumor. Our purpose is to inquire into the proper approaching steps for vaginal bleeding in menopausal hormone therapy.
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KEYWORD
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Hormone Therapy, Abnormal Uterine Bleeding, Malignant Mixed Mullerian Tumor
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