Endometrial cancer Flashcards
1
Q
histological types of endometrial cancer ?
A
endometroid adenocarcinoma (most common)
serous carcinoma
clear cell
2
Q
risk factors for endometrial cancer ?
A
post menopausal oestrogen therapy i.e. tamoxifen HRT (when used > 5yrs) obesity nuliparity PCOS diabetes late menopause, early menarche atypical endometrial hyperplasia HNPCC
3
Q
diagnosis of endometrial cancer ?
A
transvaginal USS and biopsy
- look at endometrial contour and thickness
4
Q
management of endometrial cancer ?
A
1A and wish to preserve fertility - Progestin therapy
limited to the uterus: total abdominal hysterectomy and bilateral salpingectomy with peritoneal washings
3-4: staging surgery + chemotherapy
5
Q
protective factors for endometrial cancer ?
A
multiparty
smoking
OCP
