방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →Postmenopausal bleeding is defined as any vaginal bleeding after 12 months of amenorrhea and is the cardinal symptom of endometrial cancer, present in over 90% of cases. The initial assessment must triage these patients for immediate diagnostic evaluation.
The standard first-line diagnostic test is a transvaginal ultrasound to measure endometrial thickness. An endometrial stripe thickness of ≤4 mm has a high negative predictive value and generally rules out cancer, while a thickness >4 mm requires an endometrial biopsy for histologic diagnosis.
Symptoms like pelvic pain, weight loss, or urinary frequency often suggest advanced or metastatic disease. Do not rely on these for early detection; any report of postmenopausal bleeding warrants prompt investigation regardless of other symptoms.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.