Clinical-epidemiological characteristics and management of endometrial cancer (2010-2013)

Abstract

Introduction: The incidence of endometrial cancer has increased and it is associated with risk factors present in many perimenopausewomen. The most common symptom is bleeding and the most widely used treatment modality is surgery.
Objective: Characterize endometrial cancer at "America Arias" Hospital from January 2010 to June 2013.
Methods: A descriptive study was conductedat "America Arias" Hospital, from 1 January 2010 to 30 June 2013. The total included over 40 year patients with abnormal uterine bleeding in perimenopausal and postmenopausal. Patients with histopathologic diagnosis of endometrial cancer constituted the sample (n= 49).
Results: The mean age of patients was 60.8 ± 9.9 years. 30.6 % were overweight and 44.9 % were obese. Postoperative histopathologic examination shows that the lesion was limited to the endometrium in 14.3 % of patients, but there was invasion of the two outer thirds of the myometrium in 61.2 %. The extension cervix and adnexa was 38.8 % and 22.4 %, respectively.
Conclusions: There is a tendency to the appearance of endometrial adenocarcinoma at increasingly advanced ages. It is associated with risk factors such as obesity, infertility, and the use of hormone replacement therapy. In addition to surgery, some patients required specific cancer treatment.