Catamenial fevers associated with a uterine smooth muscle tumor of undetermined malignant potential

Ann W. Wong, Gary S. Leiserowitz, Vance M. McCausland, Arthur M. McCausland

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)671-672
Number of pages2
JournalObstetrics and Gynecology
Issue number4 II SUPPL.
StatePublished - Oct 1998


ASJC Scopus subject areas

  • Obstetrics and Gynecology

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