Особенности субъективных проявлений, стадийность неоплазии половых органов в постменопаузальный период

Abstract

The objective: to determine the structure, the stage of detecting ,the severity of subjective manifestations in the presence of tumor processes of the reproductive organs. Materials and methods. A retrospective analysis of case histories of 301 patients with tumors of the reproductive organs in the postmenopausal period was carried out. The average age of patients was 61.6±0.4 years. The duration of the postmenopausal period ranged from 11.0±0.6 years. Results. It was established that 28.9% of postmenopausal women have uterine fibroids, 29.4% have endometrial hyperplasia, 21.6% have endometrial cancer, 10.6% – ovarian cancer, 5.6% – benign ovarian tumors, 5.6% – cervical cancer, 1.7% of patients have uterine sarcoma. In 68.8% of patients, ovarian cancer is diagnosed in the late stages with a predominance of disease detection at stage III of the tumor process (62.5%). Endometrial cancer is diagnosed in 86.2% of patients in the early stages of the tumor process. The frequency of diagnosis of endometrial cancer in the later stages is 4.6%. From the clinical manifestations of genital tumors in postmenopausal, vaginal bloody discharge and/or bleeding, abdominal pain, rapid heartbeat and excessive body hair growth predominate. Conclusion. The results obtained allowed to establish that the postmenopausal period is a period of high risk for the development of neoplastic processes of the reproductive organs. Key words: genital tumors, postmenopausal period, endometrial cancer, ovarian cancer, uterine myoma, uterine sarcoma, endometrial hyperplasia.