Detecting endometrial cancer TOG 2021

Question 1

What are the 2 strongest RF for endometroid EC

Answer 1

Age & obesity

Question 2

Every 5kg/m2 increased risk EC

Answer 2

50%

Question 3

Lynch syndrome risk EC?

Answer 3

25-60%

Question 4

What proportion of EC present with PMB?

Answer 4

> 90%

Question 5

What proportion of women with PMB have different cause other than EC

Answer 5

90%

Question 6

Risk cancer with PMB if
<50 years
80 years

Answer 6

<50 years <1%
>80 years 24%

Question 7

Table from passMRCOG risk of EC >80, <50, obese, DM, obese and DM

Answer 7

Question 8

When to refer if bleeding on HRT

Answer 8

> 6months agter starting
6weeks after stopping

Question 9

Diagnostic pathway for PBM

Answer 9

Question 10

Sensitivity & specificity of ET >4mm & 5mm

Answer 10

4mm
95% sensitivity
46% spec

5mm
96 sensitivity
51 specificity

Question 11

Asymptomatic women, risk EC if ET >11 or < 11mm

Answer 11

> 11 6.7%
<11 0.002%

Question 12

Failure rate, inadequate sample of endometrial biopsy. Sensitivity

Answer 12

Failure 11%
Inadequate sample 31%
Sensitivity 90%

Question 13

OP Hysteroscopy sensitivity and specificity
Failure rate

Answer 13

86%
92%
Failure 4%