Malignant Disease Of The Uterus Dr Khalid Sait FRCSC A.Professor of Gynecological Oncology KAAUH, Jeddah( KSA)

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Malignant Disease Of The Uterus Dr Khalid Sait FRCSC A.Professor of Gynecological Oncology KAAUH, Jeddah( KSA)

Endometrial cancer Sarcoma

EC is the most common gynecological malignancy World wide. Mostly occur in postmenopausal years. Most cases are sporadic, 10 % are hereditarily.

Classification Of Endometrial Hyperplasia WHO ( Kurman &Norris) Simple ( Cystic ) Hyperplasia with and with out atypia Complex Hyperplasia with or with out atypia

Staging

Inspection of abdominal viscera Biopsy of suspicious areas Nodal assessment Washings

Figo Staging Endometrial Cancer StageDescription IA G123 LIMITE TO ENDOMETRIUM IB G123 LESS THAN 50%MYOM. IC G123 MORE THAN 50 % MYOM IIA G123 ENDOCERVICAL GLANDS IIB G123 CERVICAL STROMA IIIA G123 SEROSA, ADENEXIA AND POSITIVE WASHING CYTOLOGY IIIB G123 VAGINAL METS IIIC G123 R/P NODES IVA G123 BLADDER OR BOWEL MUCOSA IVB INGUINAL NODE OR INTRAABDO/DISTAL

Stage IV Palliative Radiation Chemotherapy Hormonal

Prognosis Of Endometrial Cancer Stage5 years Survival I90 % II80 % III40 % IV20%

Malignant Disease Of The Uterus Dr Khalid Sait FRCSC A.Professor of Gynecological Oncology KAAUH, Jeddah( KSA) Q & A