scholarly journals Impact of body mass index and operative approach on surgical morbidity and costs in women with endometrial carcinoma and hyperplasia

2017 ◽  
Vol 145 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Rudy S. Suidan ◽  
Weiguo He ◽  
Charlotte C. Sun ◽  
Hui Zhao ◽  
Nicole D. Fleming ◽  
...  
2013 ◽  
Vol 21 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Aljosa Mandic ◽  
Bojana Gutic ◽  
Tatjana Kapicl-Ivkovic ◽  
Ljiljana Segedi-Mladenovic ◽  
Mihaela Mocko-Kacanski

Background: Incidence of endometrial carcinoma in Vojvodina is 15-20/100 000. In 75% cases, endometrial carcinoma is diagnosed in postmenopausal period. In 90 % of patients, the first clinical sign is postmenopausal bleeding. The aim of the study was to investigate clinical and histopathological characteristics in patients with postmenopausal bleeding. Methods: The study included 122 patients with postmenopausal bleeding. All of these patients underwent gynecological examination and vaginal ultrasound. We obtained materials for histopathological analysis by fractionate explorative curettage. Once we had definitive histopathological findings, we divided patients in two groups A (endometrial carcinoma) and B (benign changes). Results: We confirmed significant statistical differences between examined group A and B, including age (64.49 compared with 58.81 years), postmenopausal period (13.67 instead 9.11 years), and length of uterine corpus (6.41 instead 5.25 cm). Conclusion: Elderly women with longer postmenopausal interval and postmenopausal bleeding had increased risk for endometrial carcinoma. Measurement of endometrial thickness by transvaginal ultrasound appeared to be insufficient parameter for differentiating the benign from the malignant changes of endometrium. Patients with endometrial carcinoma had significantly longer corpus of uterus comparing to patients with benign changes. Body mass index was not found to be significant risk factor in development of endometrial carcinoma in the examined groups. Obesity was diagnosed in both groups, suggesting that increased body mass index is a risk factor for development of pathological changes in endometrium, which could lead to postmenopausal bleeding.


2012 ◽  
Vol 15 (3) ◽  
pp. 243-247 ◽  
Author(s):  
Leonardo Saúl Lino-Silva ◽  
David Cantú de León ◽  
Rosa Angélica Salcedo-Hernández ◽  
Claudia Cavazos-Saman ◽  
María Delia Pérez-Montiel

Author(s):  
Neha A. Nimbark

Background: Endometrial carcinoma is the most common gynecologial malignancy in world. The main aim is to study epidemiological factors of Ca body uterus in our hospital. The present study was designed to evaluate the age of incidence of carcinoma body uterus and study role of parity, body mass index and socioeconomic class in carcinoma body.Methods: This is a prospective study of 50 cases of endometrial carcinoma who were treated in a single unit of the hospital from April 2010 to March 2012 (2 years) conducted at the department of gynaecological oncology G. C. R. I., Ahmedabad. Observational study was done. All these data were combined and tabulated in frequency table simple percentage analysis is used for frequency and percentage analysis is applied to create a contingency table from the frequency distribution and represent the collected data for better understanding. Descriptive statistics were obtained for all variable.Results: Maximum number of patients were in age group of 50-59 years. Mean age was 58 years. Maximum patients were multiparous (54%). 4 patients were nulligravida (9%). 70% were overweight and obese. Majority of patients (72%) belong to middle and higher socio-economic class.Conclusions: It was noted that the incidence for ca endometrium is related to age, parity, BMI and socioeconomic class at our centre.


2012 ◽  
Vol 286 (5) ◽  
pp. 1269-1276 ◽  
Author(s):  
Ozgur Akbayır ◽  
Aytul Corbacıoglu Esmer ◽  
Ceyhun Numanoglu ◽  
B. Pinar Cılesız Goksedef ◽  
Aysu Akca ◽  
...  

2021 ◽  
Vol 15 (9) ◽  
pp. 2236-2238
Author(s):  
Sadia Sharif ◽  
Ayesha Sajjad ◽  
Amna Kazi ◽  
Ayesha Masood ◽  
Nazish Javaid

Aim: To determine the frequency of common histopathological findings among patients having endometrial thickness >5mm and having atypical bleeding of uterus. Study design: Descriptive and cross sectional study Study settings: Department of Obstetrics & Gynaecology, Kishwer Fazal Teaching Hospital, Sheikhupura from 1st October 2020 to 31st March 2021. Methodology: One hundred and twenty patients were enrolled. Patients were aged between 45 to 60 years. Patient’s detailed demographics including age, parity, socioeconomic grade and body mass index were recorded post written informed consentreceival. Patients having endometrial thickness >5mm with abnormal uterine bleeding were included in this study.All the patients were undergone for transvaginal ultrasonography (TVS). Outcomes were histopathological findings observed. Results: The patients mean age was found to be 51.16±4.88 years with mean body mass index 27.24±4.63 kg/m2. Thirty five (29.2%) patients had parity I and 85 (70.8%) patients had parity II. Forty two (35%) patients had high socioeconomic status and 78(65%) were from low socio economic status. Majority of the patients 80(66.7%) were from rural areas. Secretory and proliferative were the most common histopathological findings found in (45.83% and 26.7%) patients. Frequency of endometrial carcinoma was found among 97(80.8%) cases. Conclusion: The most common histopathological findings were secretory and proliferative and frequency of endometrial carcinoma was too high. Endometrial anomalies can be excluded by transvaginal ultrasonography and is strongly useful in the evaluation of abnormal bleeding from the uterine. Keywords: Endometrial, Transvaginal ultrasonography, Uterine bleeding


2015 ◽  
Vol 9 (4) ◽  
pp. 339-345 ◽  
Author(s):  
Mary J. Cunningham ◽  
Esther Dorzin ◽  
Loan Nguyen ◽  
Elizabeth Anderson ◽  
W. Douglas Bunn

Sign in / Sign up

Export Citation Format

Share Document