Postclimacteric metrorrhagia as symptom of carcinoma of the uterus

632

AMERICAS

Tietze, K., and f. Geburtsh.

JOURNAL

Mayer, C.: Bleeding u, Gynsk. 88: 185,

OF OBSTETRI(‘S

in Women 1931.

BND

Over

GYXEt!OLOGT

50 Years

of Age.

Monatschr.

From 1922 to I!130 the writers found at the Kiel clinic 376 cases of uterine bleeding in women past fifty years. These cases were divided into two groups. ‘In the first were those who mere either still menstruating or had had their menopause within one year. In the second group WI-C’ those who had had an amenorrhea for at least one year. Tn the first group there were 165 casts and the most important causes of blecding mere carcinoma 24.3 per cent, glandular hyperplasia 26.7 per cent, polyps 17.6 per cent, endomrt,ritis 10.3 per cent, myomas 7.9 per cent, and erosions 3 per cent. Ia the second group there were 211 cases and the most frequent Causes of hemorrhage mere carcinoma 66.4 per cent, polyps 12.3 per cent, glandular hyperplasia 3.3 per cent, erosions 6.7 per cent, endometritis 1.9 per cent, ovarian carcinoma and glandular hyperplasia 1.9 per cent. In 3.3 per cent of the latter series the diagnosis was not clear. The above findings agree with those of other authors who made similar studies. Since cancer is so frequently the cause of bleeding in women past the menopause ;\ careful examination should it should bc the first thing to think of in these cases. be made not only by bimanual palpation but also by inspection, Furthermore if no dcfinite information is obtained by this means, a. biopsy of the cervix or a diagnostic curettement should be done. J. P. GWENHILL. Zweifel, E.: Deutsche

Postclimacteric med. Wchnschr.

Metrorrhagia 56: 1388,

as Symptom 1930.

of Carcinoma

of the Uterus.

Patients entering the Cniversity Clinic in Munich with the complaint of genital bleeding, with an onset later than six months after menopause, were found to have carcinoma in 87 per cent of the examined cases. while patients suffering from metrorrhagia beginning in the first four months after menopause had cancer at the rate of 3ti per cent. Thus the extreme importance is demonstrated for early and thorough examination in all cases of uterine bleeding, especially if of postclimacteric 0. E. GRTWYFELI). occurrence. Bends, the

IT.: Carcinoma of the Cervix After Previous Amputation Uterus. Monatschr. f. Geburtsh. u. Gyn%k. 91: 79, 1932.

of the

Body

of

Among 101 cases of portio and cervix carcinoma, Bends observed three cases of cancer in the cervical stump. 1-n looking over his records of the preceding five years he found four additional cases. These seven cases occurred in a series of 515 cases of cervical cancer. Of the seven previous operations, six were abdominal supracervical hysterectomies and one was a vaginal amputa,tion of the body of the uterus. The operations had been performed from eight months to eighteen years before detection of the cancer. The patients complained of hemorrliage and leucorrheal discharge. Two of the cases were operable, three were borderline, and two were inoperable. tiis wrre squamous cell cancers and one was an adenocareinoma. All of the cases were treated with radium, and after four and Gx weeks vaginal cxtirpation was performed on two cases. Of the seven women, two died of cancer, one is alire but incurable, and the remaining four are thus far free from recurrences. J. P. GREENIIILL. Liepmann, -Trauma

W.: The of Labor.

Etiology Med.

of Carcinoma Klin. 27: S46,

of the 1931.

Cervix

and

Its

Relation

to the

A series of 9,000 cases of cancer of the cervix was studied by Liepmann. He is of the firm belief that this disease particularly affects women who have borne childpen. Hc found among his own cases as well as among those reported in the literature that