Benign inflammatory cervical smear in a background of normal diagnostic dilatation and curettage finding - A rare presentation of endometrial carcinoma

Shalihin, Mohd Shaiful Ehsan and Harun, Zulkifli and Osman, Iskandar Firzada (2017) Benign inflammatory cervical smear in a background of normal diagnostic dilatation and curettage finding - A rare presentation of endometrial carcinoma. In: Pahang Research Day 2017, 12th October 2017, Kuantan, Pahang. (Unpublished)

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Abstract

Endometrial carcinoma is a primary tumor of the uterus that usually presented with abnormal uterine bleeding commonly in post menopausal woman. However, it can also manifests as abnormal cervical cytology even in a pre-menopausal age group which should be confirmed by endometrial biopsy. Dilatation and curettage (D&C) is an invasive and diagnostic procedure to identify specific causes for abnormal uterine bleeding with high sensitivity of up to 99% in detecting endometrial lesions. We report a case of early detection of endometrial carcinoma in a 56 year old diabetic woman who presented with history of intermitted prolonged menses which previously reassured with a normal diagnostic dilatation and curettage finding. However, subsequent cervical smear as part of routine screening in our clinic revealed persistent benign inflammatory changes. Despite in dilemma of previous normal D&C, we referred again this case for bedside endometrial biopsy which revealed a new finding of endometrial carcinoma. She benefits early staging and treatment. We would like to report a case of a rare presentation of early endometrial carcinoma manifested as incidental findings of benign inflammatory cervical changes in a low suspicious patient in view of clear findings of a recent diagnostic D&C. This case had proved important role of continuous regular screening in primary care regardless of previous diagnostic background.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	6934/64327
Uncontrolled Keywords:	Cervical smear, endometrial carcinoma
Subjects:	R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011) Kulliyyah of Medicine
Depositing User:	Dr Mohd Shaiful Ehsan Shalihin
Date Deposited:	19 Jul 2018 09:09
Last Modified:	19 Jul 2018 09:09
URI:	http://irep.iium.edu.my/id/eprint/64327

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