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EP512 Treatment and prognosis factors of endometrial cancer
  1. Z Edderdabi,
  2. A Touimi Benjelloun,
  3. Y Benchrifi,
  4. M Benhessou,
  5. M Ennachit and
  6. M Elkarroumi
  1. Centre Mohamed IV de Chirurgie Oncogynecologique, Hassan II University/Faculté de Medecine et de Pharmacie, Casablanca, Morocco


Introduction/Background The endometrial cancer is in the 4th rank among gynecological cancers.

Methodology Our retrospective study realized between January 2015 and December 2017, included a series of eighteen patients who underwent endometrial cancer surgery.

Results It is the privilege of menopausal women mainly with an average age of 59 years old and an average parity of 3.88; among the eighteen cases, sixteen patients were menopausal.

The average consultation period was 11 months with extremes ranging …

Two patients were diagnosed at a young age (<45 years old) with a history of recto sigmoïdian cancer treated surgically in one of the patients.

The diagnosis discovered early the cancer in eleven patients with a predominant symptom of postmenopausal metrorrhagia noticed in 61.11%. The metrorrhagia was associated with pelvic pain in three patients and leucorrhoea in two others.

The presumptive diagnosis reported by the supra-pubic and endovaginal echography revealed a thickening of the endometrium in the half of the patients.

The biopsy curettage of the endometrium was the main diagnostic element, realized in all the patients, it permitted the definitive diagnosis in 100% of the cases, this curettage was realized under hysteroscopy in eight patients.

The endometrioid adenocarcinomas were the most frequent histological type (78%), the other histological types were the carcinosarcoma (2 cases) and the serous papillary carcinomas (2 cases).

At the end of this review, according to the International Federation of Gynecology and Obstetrics, 72.22% were in stage I, 22.22% in a stage II and 5.55% in a stage III.

Conclusion All the patients underwent surgery, six patients with a total hysterectomy without adnexal preservation, three with pelvic and lumbo-aortic lymph node dissection and twelve patients with enlarged adeno-colpo-hysterectomy. Of the ten patients reviewed, external radiotherapy was performed in four patients with a combination of the vaginal brachytherapy in two patients.

Disclosure Nothing to disclose.

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