Browsing by Author "Kapona, Y.M."

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    Obstetrics and gynaecology cases and commentaries
    (University of Dar es Salaam, 1996) Kapona, Y.M.
    Mrs. S.I.; A 55 years old, para 2 + 0 postmenopausal lady was admitted in gynaecology ward with history of abnormal uterine bleeding accompanied by foul smelling vaginal discharge for five months. Clinical evaluation and investigations showed endometrial carcinoma; stage IBG3. She underwent total abdominal hysterectomy and bilateral salpingngophorectomy. This was followed with adjuvant radiation therapy with 4000 centigrays. She was discharged in fair condition to be followed in outpatient clinic. Management of endometrial carcinoma is discussed. History of presenting illness Mrs. S.I. 55 years old lady was about 10 years postmenopausal. She was admitted in gynaecology ward with history of abnormal uterine bleeding for about five months. The bleeding was irregular, and unprovoked by douching or sexual contact. It was not heavy and was not associated with clots. It was however, accompanied with foul smelling watery vaginal discharge, which was not itching. There was no history of haematuria, or passage of