Menopause Case Study: Complex Hyperplasia Hyst

Case 4: (Patient name kept confidential)

Mrs. ABC 48-year-old housewife married with 3 children, complained of heavy irregular bleeding for a year. She did not have any medical issues such as raised blood pressure or diabetes.

She underwent a detailed check-up, pap smear, and blood tests, all of which were normal. The sonography revealed a bulky uterus and thickened lining.

Dr. Sangeeta admitted her to the hospital and she underwent a diagnostic hysteroscopy which confirmed thickened endometrial lining.

The cavity of the uterus was normal. A curettage was done, and the endometrium was sent for histology. The LNG-IUS was inserted after the curettage and the patient was explained that in case the report of the lining was not good then the LNG-IUS will be removed and further treatment will be done.

The histology report showed complex hyperplasia with atypia in some cells. In view of the increased risk of cancerous changes happening in the future, the patient was advised to undergo surgery to remove the uterus tubes and ovaries.

The patient underwent the surgery in 2 months’ time. Laparoscopic removal of uterus tubes and ovaries was done. The LNG-IUS was removed at the time of the surgery.

The patient had a safe procedure and a good recovery. She was discharged from the hospital on 3^rd day. She is now doing well at 18 months from the surgery.

Also Read:

1- Menopause Case Study: LNG-IUS

2- Menopause Case Study: Simple Hyperplasia

3- Menopause Case Study: Polyp And LNG IUS.

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