Endometrial cancer Flashcards
Most common type of endometrial cancer
adenocarcinoma
Adenocarcinoma of the endometrium is an … dependent cancer
oestrogen
any woman presenting with postmenopausal bleeding has … until proven otherwise
endometrial cancer
key risk factors for endometrial cancer (2)
obesity
diabetes
what percentage of endometrial hyperplasia goes on to be cancerous
less than 5%
How can endometrial hyperplasia be treated
IUS
continuous oral progestogens
… menstruation increases the risk of endometrial cancer
early onset
… menopause increases the risk of endometrial cancer
late
… HRT increases the risk of endometrial cancer
oestrogen only
… pregnancies increases the risk of endometrial cancer
no / fewer
what gynae condition increases the risk of endometrial cancer
PCOS
what breast cancer medication increases the risk of endometrial cancer
tamoxifen
for endometrial protection women with PCOS should have one of (3)
COCP
IUS
cyclical progestogens
NICE recommends referral for a transvaginal ultrasound to rule out endometrial cancer in women over 55 years with: (2)
unexplained vaginal discharge
visible haematuria with either raised platelets, anaemia or raised glucose
investigations to remember for diagnosing and excluding endometrial cancer: (3)
transvaginal USS
pipelle biopsy
hysteroscopy and endometrial biopsy
