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supp slides grand round.pptx
1.
2. Causes and Risk Factors
• Exact causes unknown
• Most cases of endometrial carcinoma are shown to
carry
sporadic somatic mutations,
copy number variations,
epigenetic modifications involved in several
molecular processes or pathways (eg, DNA mismatch
repair, chromatin remodeling, PIK3CA, Wnt/β-
catenin, KRAS, FGFR2)
3. Risk Factors And Associations :
• PHYSIOLOGIC: Obesity, nulliparity, early menarche and late
menopause
• PATHOLOGIC: DM,PCOS
• EXPOSURE: unopposed estrogen therapy, Tamoxifen
• FAMILY HISTORY: Lynch 2, subset of HNPCC.
4. Take Home Message
• Endometrial Carcinoma mainly is a disease of
post menopausal women
• Prognosis is Fairly Good(An estimated 66% of people with a
uterine adenocarcinoma are diagnosed at an early stage. This is largely
due to the presence of abnormal vaginal bleeding as an early symptom)
• Radiotherapy remain integral aspects of
adjuvant therapy.
• Healthy lifestyle and physical activity have
preventive role
5. Diagnosis
• History,
• Physical Examination(pelvic examination).
• Endometrial biopsy
• Dilation and curettage (D&C).
• Transvaginal ultrasound.
• Computed tomography (CT or CAT) scan.
• Magnetic resonance imaging (MRI).
• Biomarker and Genetic testing of the tumor.