Gynaecology - Endometrial Cancer (Mind Maps)

Question 1

Endometrial Cancer?

What is it?

Answer 1

Uncontrolled differentiation and proliferation of the endometrium:

Causes:

• Unopposed action of oestrogen on the endometrium

Risk factors: (ENDOMETRIUM)

E - Early menarche

N - Nulliparity

D - Diabetes Mellitus

O - PCOS

M - Menopause (late)

E -

T - Tamoxifen

R - HRT

I - Increased risk with other cancers

U - Unopposed Oestrogen

M - Menstrual irregularity

Question 2

Endometrial Cancer?

Symptoms?

Answer 2

• A Woman with postmenopausal bleeding is considered to have endometrial cancer until proven otherwise
• Premenopausal women - intermenstrual/post-coital bleeding
• General Symptoms of malignancy

Question 3

Endometrial Cancer?

Investigations?

Answer 3

Bloods:

• FBC/U&E/LFTs/TFTs

Radiology:

• Transvaginal USS
• Hysteroscopy
• Biopsy
• MRI

Stage:

• FIGO

Question 4

Endometrial Cancer?

Treatment?

Answer 4

Conservative:

• Patient education

Medical:

• Chemo/Radiotherapy

Surgical:

• Abdominal hysterectomy
• Bilateral salpingo-oopherectomy