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Endometrial Ca

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From Gynecology by Ten Teachers
Raihana Nazri
Mind Map by Raihana Nazri, updated more than 1 year ago
Raihana Nazri
Created by Raihana Nazri over 11 years ago
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Resource summary

Endometrial Ca
  1. Overview
    1. Most common gyne ca.
      1. 30% of all gyne ca
      2. 4th cancer in female
        1. Present in early stages
          1. 5-year survival rate 80%
            1. Most common type: Adenocarcinoma
            2. Incidence
              1. Life-time risk 1/90
                1. Mean age: 54
                  1. 25% before menopause
                2. Etiology
                  1. Exact: unknown, but ass w high estrogen level
                    1. Risk factors
                      1. Reduce incidence in
                      2. Symptoms
                        1. 90% Abnormal V Bleeding
                          1. PMB
                            1. 10% malignancy
                            2. Irregular V Bleeding
                            3. Pre-menopause
                              1. IMB
                                1. Blood-stained V Discharge
                                  1. Heavy Mens Bleeding
                                    1. Lower Abd Pain
                                      1. Dyspareunia
                                      2. Abnormal cytology on pap smear
                                        1. Rare!
                                        2. Advanced cases
                                        3. PE
                                          1. Speculum
                                            1. Blood from cervical
                                            2. Bimanual
                                              1. Enlarged uterus
                                            3. Diagnosis
                                              1. TV US
                                                1. 4mm
                                                2. Hysteroscopy
                                                  1. Biopsy
                                                    1. Pipelle/curettage
                                                      1. Report
                                                        1. Type
                                                          1. Grade
                                                        2. MRI
                                                          1. Staging
                                                            1. FIGO
                                                            2. Treatment
                                                          2. Management
                                                            1. Surgery
                                                              1. Factors
                                                                1. Grade
                                                                  1. Stage
                                                                    1. Ptn Comorbidities
                                                                    2. Standard
                                                                      1. Total hysterectomy + Bilat Salpingectomy
                                                                        1. Abdominally
                                                                          1. Lap
                                                                      2. Adjuvant tx
                                                                        1. Post-op Radiotx
                                                                          1. Recurrence
                                                                          2. Chemotx
                                                                            1. Mets
                                                                        2. Prognosis
                                                                          1. Adverse factors
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