Patient's question:
The patient has been postmenopausal for 20 years. At 9:30 AM yesterday morning, while the patient was singing in the park, she suddenly felt something coming out from her lower body. Upon returning home, she discovered that the discharge was initially liquid and then turned into fresh blood. The amount of bleeding was considerable, similar to menstruation. The patient reported no other symptoms. During internal examination and color Doppler ultrasound, blood was found on the instruments.Doctor's answer:
Hello, postmenopausal vaginal bleeding, and B shows endometrial hyperplasia, suspected of endometrial cancer. Early-stage endometrial cancer has no obvious symptoms. Once symptoms appear, the main manifestations are vaginal bleeding, usually in small amounts, and vaginal discharge. In advanced stages, lower abdominal and lumbosacral pain may occur. It is recommended to undergo a diagnostic curettage and pathological examination to confirm the diagnosis and actively treat it. If it is confirmed to be endometrial cancer, surgical treatment should be the first choice.