Malignant Disease Of The Uterus

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Malignant Disease Of The Uterus

• Dr Khalid Sait FRCSC
• A.Professor of Gynecological Oncology
• KAAUH, Jeddah( KSA)
• khalidsait_at_yahoo.com

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• Endometrial cancer
• Sarcoma

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

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Classification Of Endometrial HyperplasiaWHO (
Kurman Norris)

• Simple ( Cystic ) Hyperplasia with and with out
  atypia
• Complex Hyperplasia with or with out atypia

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Staging
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Staging

• Inspection of abdominal viscera
• Biopsy of suspicious areas
• Nodal assessment
• Washings

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Figo Staging Endometrial Cancer
Stage Description
IA G123 LIMITE TO ENDOMETRIUM
IB G123 LESS THAN 50MYOM.
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
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Stage IV

• Palliative
  Radiation
  Chemotherapy
  Hormonal

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Prognosis Of Endometrial Cancer
Stage 5 years Survival
I 90
II 80
III 40
IV 20
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Malignant Disease Of The Uterus
Q A

• Dr Khalid Sait FRCSC
• A.Professor of Gynecological Oncology
• KAAUH, Jeddah( KSA)
• 0505693160
• khalidsait_at_yahoo.com