Question:

A 65-year-old postmenopausal woman presents with bleeding per vagina. She undergoes a total hysterectomy. What is the most likely diagnosis?

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Postmenopausal bleeding = suspect endometrial carcinoma until proven otherwise.
Updated On: May 14, 2026
  • Fibroid
  • Endometriosis
  • Adenomyosis
  • Endometrial cancer
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The Correct Option is D

Solution and Explanation

Concept: Endometrial cancer commonly presents with postmenopausal bleeding. It is an important diagnosis to rule out in any elderly woman with bleeding per vagina.

Step 1:
Identify the age group.
The patient is 65 years old and postmenopausal.

Step 2:
Identify the symptom.
Postmenopausal bleeding is a classic presentation of: \[ \text{Endometrial carcinoma} \]

Step 3:
Choose the most likely diagnosis.
Fibroid, adenomyosis, and endometriosis are more commonly associated with reproductive age symptoms. In this case, malignancy is the most likely. Therefore, the correct answer is Endometrial cancer.
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