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Cancer Endometrium

1- Discuss Carcinoma of endometrium?
2- Discuss the pathology, diagnosis &treatment of carcinoma of the endometrium =cancer body?
3- treatment of carcinoma of endometrium?
Ans: Prevention + Active treatment + prognosis + treatment of complications + staging (Don't forget surgical)
4- Histological types in Endometrial carcinoma?
5- Diagnosis of endometrial Carcinoma?
Ans: Don't forget staging
6- Fractional Curettage in Endometrail Carcinoma?
Ans: Aim=> to locate the site of malignancy, Steps=> GA &7specimens, Results=> isthmus = treatment of cancer cervix, complications of instruments.
7- Endometrial hyperplasia? Vvvvv.Imp
Ans:
a- Definition: mawgood fe el ketab
b- Incidence: common
c- Etiology: risk factors of cancer endometrium
d- Pathology: Gross picture: thickened polypoidal endometrium
Microscopic picture: Simple, complex &atypical
Complications: endometrial carcinoma
e- Diagnosis: Symptoms: irregular uterine bleeding
Signs: General:Pallor, Abdominal: Nothing, local: bleeding on gloves
f: Investigations: Ultrasonography: thick endometrium
Hysterscopy: thick endometrium
Fractional curettage: simple, complex &atypical
g- DD: postmenopausal bleeding (other causes)
h- treatment: premneopausal (anti-estrogen) &postmenopausal
i- prognosis: Atypical complex 29% => cancer endometrium
8- early detection of cancer endometrium?
Ans: for who & tools used