Catamenial fevers associated with a uterine smooth muscle tumor of undetermined malignant potential - PubMed (original) (raw)
Case Reports
Catamenial fevers associated with a uterine smooth muscle tumor of undetermined malignant potential
A W Wong et al. Obstet Gynecol. 1998 Oct.
Abstract
Background: Pyrexia associated with solid and hematogenous neoplasms are a well-recognized clinical condition. Menstrually related (catamenial) fevers have not been reported previously.
Case: A 52-year-old woman with a history of stage I breast cancer on adjuvant tamoxifen citrate presented with recurrent fevers associated with menses. An extensive evaluation of possible causes, including recurrent breast cancer and infectious, collagen-vascular, and drug-related sources, initially was unrevealing. A gynecologic evaluation identified a uterine tumor, which appeared to be a cellular leiomyoma on hysteroscopic biopsy. The catamenial fevers resolved immediately after hysterectomy. A uterine smooth muscle tumor of undetermined malignant potential was identified on pathology.
Conclusion: Smooth muscle tumors of the myometria are a rare cause of menstrual fevers.
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