Endometrial adenocarcinoma
Post-menopausal
bleeding
Endometrial
adenocarcinoma most common type
Gross:
poypoid endometrial mass, invasion of myometrium.
RICKFACTORS:
1. Early menarche
2. Late menopause
3. HTN
4. DM
5. Obesity
6. Chronic anovulation
7. ESTROGEN => estrogen producing ovarian tumors
(granulosa cell tumors)
8. ESTROGEN => replacement therapy
9. ESTROGEN => TAMOXIFEN is an estrogen receptor
antagonist in breast use to tx breast cancer, BUT has an agonist effect on
endometrium, causing endometrial hyperplasia and then cancer.
10.
Lynch
Sd: Hereditary Non-Polyposis
colorectal cancer; in women higher risk of not only colon but also endometrial
and ovarian cancer
REMEMBER—
CORPUS
CARCINOMA SYNDROME=
HOD
OF ENDOMETRIUM
1.
HTN
2.
OBESITY
3.
DM
4.
CA
ENDO
SIMPSON PAIN=COLICKY PAIN IN CA ENDO
WORST PROGNOSIS
1. PAPILLARY
SEROUS
2. CLEAR
CELL VARIETY
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