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TEMPLATE DESIGN © Prevalence of endometrial cancer in symptamatic women with thickened endometrium Dr Maheswari SRINIVASAN MRCOG SpR, Mrs Shagaf BAKOUR FRCOG Consultant Obs & Gynae. City Hospitals, Sandwell and West Birmingham NHS trust, Birmingham Objectives Back ground- Endometrial cancers are the most common gynaecologic cancers. Incidence of endometrial cancer is on the rise due to increase in obesity in the world. Endometrial cancer predominantly occurs in the perimenopusal and post menopausal women with thickened endometrium. Risk factors include postmenopausal oestrogen therapy, obesity, a high-fat diet, reproductive factors like nulliparity, early menarche and late menopause, polycystic ovarian syndrome, and tamoxifen use 10% of symptomatic women with thickened endometrium will have endometrial carcinoma. The main objective of the diagnostic evaluation of women with postmenopausal vaginal bleeding is exclusion of malignancy. Transvaginal ultrasound is a cost-minimizing screening tool for postmenopausal women with vaginal bleeding. Endometrial polyps are often diagnosed with transvaginal ultrasonography while in some occasions it might be bit difficult. Saline sonography helps in the better detection of endometrial polyps. Aim To ascertain the pick up rate of endometrial cancer in women attended the Post Menopausal Bleeding clinic with Postmenopausal bleeding and thickened endometrium. To ascertain the prevalence of other pathology (polyps) in the same cohort of women Methods Materials and Methods:- Post menopausal clinics are in operation in our trust. Retrospective review of the case notes of women who attended with symptoms of post menopausal bleeding over 3 year period from Jan 2008 until Dec There were 56 clinics 262 patients were identified and analysed. All women with symptoms of post menopausal bleeding underwent transvaginal scanning. Women with thickened endometrium of more than 4mm underwent endometrial pipelle biopsy. The number of women diagnosed with endometrial cancer underwent surgical management in the form of total abdominal hysterectomy and bilateral salphingo oophorectomy. … Results 56 clinics 262 women attended. 101 women had thickened endometrium ET > 4 mm. Endometrial pipelle samples and further investigations were carried out in these women. 13 patients were HRT users.16 patients were on Tamoxifen. Age range yrs Ten women were diagnosed with endometrial cancer (10% incidence). Three had cervical cancer. Seven women were diagnosed with complex hyperplasia in the initial pipelle sample, of which endometrial cancer was present in 4 women. 21 patient had sonographic findings suggestive of endometrial polyp of which 12 confirmed by the gold standard (hysteroscopy) (57%) Conclusions References 10% of women with thickened endometrium turned out to have endometrial cancer this correlates to the international observational studies. 56% of women with suspected endometrial polyps were confirmed by hysteroscopy. None of the women with endometrial thickness less than 4 mm found to have carcinoma. OPTIONAL LOGO HERE Ultrasonographic evaluation of the endometrium in postmenopausal vaginal bleeding-Davidson KG, Dubinsky TJ.Department of Anesthesiology, University of Iowa Hospitals and Clinics, 6 JCP, Iowa City IA 52242, USA. Radiol Clin North Am Jul;41(4): Transvaginal sonography combined with saline contrast sonohysterography to evaluate the uterine cavity in patients with abnormal uterine bleeding and postmenopausal endometrium more than 5 mm. Kazandi M, Akşehirli S, Cirpan T, Akercan F. Eur J Gynaecol Oncol. 2003; 24(2): Endometrial polyps in postmenopausal women. Domingues AP, Lopes H, Dias I, De Oliveira CF. Acta Obstet Gynecol Scand. 2009; 88(5): …
Post Menopausal Bleeding. PMB Definition: –An episode of bleeding 12 months or more after the LMP. Common problem. -Occurs in up to 10% women over 55yrs.
M.D. Browning, M.D. ‘77. Most Common Cancer of Female Reproductive System 60,000/year with 10,000 deaths Normal Cells in the Endometrium.
TEMPLATE DESIGN © Background ResultsDiscussion and Conclusion References 1. Glass burn, J., L. Brady,P. Grigsby, Endometrium,
TAMOXIFEN ASSOCIATED CHANGES. endometrial hyperplasia: can occur in ~1-20% of women treated endometrial hyperplasia endometrial polyps: can occur in ~8-36%
Dr Shaimaa Kadhim Post menopausal bleeding. Bleeding occurs after menopause (one or more year without cycle ) Age (50_55) with average age 51.5 years.
POST MENOPAUSAL WOMAN RAGINI REDDY CONSULTANT GYNAECOLOGIST.
Diagnostic Techniques for Endometrial Cancer By:Sara Lotfiyan.
Dr. Ahmed jasim Ass.Prof.MBChB-DOG-FICMS COSULTANT OF GYN. & OBST. COSULTANT OF GYN. & OBST.
Endometrial Cancer Screening for Cancer in Women.
Asymptomatic Endometrial Thickening in Postmenopausal Patient Dr.Yousefi Professor OF Mashhad University of Medical Sciences Gynecologist Oncologist Society.
SCREENING IN GYNECOLOGICAL CANCER Taravat Fakheri OB/GYN KUMS.
Post-menopausal bleeding PV Dr Nasira Sabiha Dawood.
The term post menopause is applied to women who have not experienced a menstrual bleed for a minimum of 12 months, assuming that they do still have.
Abnormal Vaginal Bleeding in a 56 year old Max Brinsmead PhD FRANZCOG May 2015.
Office hysteroscopy in postmenopausal women on HRT with uterine bleeding Branka Ž egura Gynecologic Clinic, University Clinical Centre Maribor, Slovenia.
Adult Medical-Surgical Nursing Reproductive Health Module: Endometrial Cancer.
Post-menopausal bleeding Definition –Any vaginal bleeding after a period of amenorrhoea of 6 months or more in the perimenopausal age group –Menstruation.
Ultrasound pelvis CT pelvis and abdomen Saline hysterography Spinal and Chest X-ray Full blood count Pap smear ectocervix Pap smear endocervix.
초음파통계 OBGYhyster o Dop 정밀정밀 양수양수 3DBPP 합계 ~ ~
Postmenopausal bleeding. Postmenopausal Bleeding Etiologies: – Atrophic Endometritis: 30% – Endometrial Polyps: 10% – Submucosal Fibroids: 10% – Endometrial.
Laparoscopic supracervical hysterectomy and total laparoscopic hysterectomy: A comparison of peri- operative outcomes Dr Kate Maclaran, Mr Nilesh Agarwal,
CARCINOMA OF THE ENDOMETRIUM presented by: Dr. Rozhan Yassin khalil FICOG,CABOG,HDOG,FICS,MBChB 2014.
TEMPLATE DESIGN © Objectives Methods This was a retrospective cohort data analysis of all women who presented with menorrhagia.
Early Diagnosis of Gynaecological Cancer Rob Gornall Consultant Gynaecology GHNHST.
Malignant & Pre-malignant Diseases of the Endometrium Jose B Moran MD Assistant Professor III Section of Gynecologic Oncology Department of Obstetrics.
Carcinoma Corpus Uteri Max Brinsmead MB BS PhD May 2015.
Ovarian and Endometrial Cancer Using risk factors to help triage Adam Rosenthal PhD MRCOG Consultant Gynaecologist and Gynaecological Oncologist.
INTRODUCTION OBJECTIVE MATERIALS AND METHOD RESULTS CONCLUSION RECOMMENDATION REFERENCES.
Dr. Mohammed Abdalla Egypt, Domiat general hospital.
A significant increase in the incidence of endometrial cancer. This increased incidence of endometrial cancer has been widely interpreted to be a result.
Carcinoma of the Endometrium1 CARCINOMA OF THE ENDOMETRIUM Wen Di, M.D. ， Ph.D.
TEMPLATE DESIGN © Uterine sarcomas in RIPAS Hospital, Brunei; a 10 year retrospective study. Dr Alice Kurien, Dr Saw Ohnmar,
Endometrial Carcinoma Fuat Demirkıran, MD Istanbul University, Cerrahpaşa School Of Medicine, OB&GYN Department, Gyn Oncology.
Dr. A.Tabatabai Sonohysterography in abnormal uterine bleeding.
Endometrial Cancer By Jessica Hall. Symptoms Unusual vaginal bleeding or discharge Difficult or painful urination Pain during intercourse Pain in the.
TEMPLATE DESIGN © Primary Peritoneal Carcinoma found at caeserean section, value of routine abdominal examination at caeserean.
Uterine Cancers A. Alobaid, MBBS, FRCS(C), FACOG Consultant, Gynecologic Oncology Assistant professor, KSU Medical Director, Women’s Specialized Hospital.
Reproductive health. Cancer Definition Cancer Definition The abnormal growth of cells without normal control of body. Types of Cancer Malignant Cancer.
Rapid Access clinics in Gynaecology Oliver Chappatte Consultant Gynaecologist Tunbridge Wells Hospital at Pembury Spire Tunbridge wells Hospital.
Abnormal Uterine Bleeding Martin DeBono & Lisa Pickles (consultant, O&G) (GP)
‘Let’s get it right - Referral for suspected Cancer’ Dr Banchhita Sahu Consultant O&G Mr Nick Reed MDT lead, Consultant O&G.
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India.
Gynaecological Cancers Malcolm Padwick MD FRCOG. Cervical Cancer.
Endometrial Carcinoma Women ’ s Hospital, School of Medicine, Zhejiang university Women ’ s Hospital, School of Medicine, Zhejiang university.
SYB #3 Jordan Torok Class of 2010 December 16 th, 2008.
M E N O P A U S E King Khalid University Hospital Department of Obstetrics & Gynecology Course 482.
Epidemiology of Gynaecological Cancers. General Overview On global basis cervical cancer is the most common pelvic malignancy in developing countries.
Mr James Campbell FRCOG. Background - Menstrual disorders 1 in 20 women aged present to their GP per year £ 7 million (!) is spent per year on primary.
M E N O P A U S E King Khalid University Hospital Department of Obstetrics & Gynecology Course 481.
POSTER TEMPLATE BY: Spontaneous rupture of a pyometra in a woman with a mixed mullerian tumour of the uterine corpus - A review.
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