endometrial cancer Flashcards
1
Q
risk factors for endometrial cancer
A
excess oestrogen: nulliparity, early menarche, late menopause, unopposed oestrogen
metabolic syndrome
tamoxifen
hereditary non-polyposis colorectal carcinoma
2
Q
protective factors for endometrial cancer
A
multiparity
cocp
smoking
3
Q
features of endometrial cancer
A
postmenopausal bleeding
premenopausal women may develop menorrhagia or intermenstrual bleeding
4
Q
investigations for endometrial cancer
A
women > 55 who present with postmenopausal bleeding referred for suspected cancer pathway
transvaginal ultrasound
hysteroscopy with endometrial biopsy
5
Q
management of endometrial cancer
A
surgery
- localised disease= total abdo hysterectomy with bilateral salpingo-oophorectomy
high risk patient= postoperative radiotherapy
