ANALYSIS OF PRESENTING COMPLAINT, RISK FACTORS AND MANAGEMENT PROTOCOL IN PATIENTS WITH UTERINE CANCERS

Abstract

Endometrial cancers represent over 96% of the uterine cancer and are the most common gynecological carcinoma in developed countries.

Purpose: To ascertain the presenting features, identify the risk factors and analysis of treatment method opted in endometrial carcinomas.

Materials and Methods: Observational study of 84 patients with proven endometrial cancers, who reported during 2010 to 2011 in Mayo and services hospital Lahore. Performa included demographic variables along with presenting complaints, risk factors and management data. Data was analyzed by SPSS version 16 and results compiled.

Results: The mean age was 58.5 years, mean parity 2.5 with mean age at marriage at 25. Major presenting complaint was irregular vaginal bleeding (33.3%). Most common associated risk factor observed was irregular exogenous hormone intake 26.19%. Total 91.66% cases underwent surgery while 8.33% were in late inoperable stage.

Conclusion: Patients with irregular vaginal bleeding specifically in postmenopausal period should be thoroughly evaluated for endometrial carcinoma even in the absence of any associated risk factor.