Too Much Too Soon- A Case Series on Carcinoma Endometrium in Young Women
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Endometrial carcinoma is predominantly a disease of postmenopausal women .Only 1-6% occur in women under 40 years. Majority of cases are associated with hype- estrogenic states. Younger patients present with clinical challenges as there is loss of fertility and surgical menopause with standard surgical treatment. Young women have an early stage distribution at diagnosis and a good prognosis. This is a retrospective study to emphasize the need for endometrial evaluation in young women presenting with abnormal uterine bleeding .A retrospective case study was carried out at our tertiary health care centre, Sri Ramachandra Medical Centre And Research Institute(2015-2017). A total of 4 cases of carcinoma endometrium less than 30 years were identified and studied. Risk factors, estrogen dependence, common presenting complaints, stage distribution at diagnosis, optimal treatment modality, fertility preservation options and prognosis were studied .Obesity and excess estrogen were Identified as predisposing risk factors . Abnormal vaginal bleeding was the common presenting complaint. Early grade of disease was noted. Hysterectomy with bilateral salphingo-oopherectomy was performed in all three cases. To conclude, in any case of abnormal uterine bleeding, neoplastic endometrial pathology should be excluded irrespective of the age.
Authors and Affiliations
B. Swathi, G. Usha Rani, O. Syamala
Keywords
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- EP ID EP578108
- DOI 10.9790/0853-1701105659.
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