Original Article

Our 20 Years Experiencesin Uterine Corpus Cancers

  • Tülay Ulus
  • İlker İnan Arıkan
  • Remzi Abalı
  • Deniz Cemgil Arıkan
  • Serpil Bozkurt
  • Bülent Keçik

İstanbul Med J 2005;6(4):1-6

Aim:

We were always careful to diagnose the genital cancers of women in the early stages and we tried to do our best in the diagnosis,treatment and follow-up period by the opportunitıes that we have.With this study we are reporting our 20 years experience in endometrial carcinomas.

Material and Method:

113 cases with the diagnosis of endometrial carcinoma who have applied andfollowed-up at the SSK İstanbul Education Hospital,Second Obstetrics and Gynecology Clinic,between January 1985-January 2005,are evaluated retrospectively.

Findigns:

The average age of the patients werefound as 57.50 patients were between 50-59 and 37 patients were between 60-69 years old.Radical hysterectomy was performed in 64 patients,total abdominal hysterectomy in 48 patients,vaginal hysterectomy in 1 patient.The hystologic diagnosıs was;endometrioid adenocarcinoma in 82 patients,serous papiller carcinoma in 20 patients,clear cell carcinoma in 3 patients,squamous cell carcinoma in 2 patients,musinous carcinoma in 2 patients, indiffereni carcinoma in 1 patient.mixt type in 1 patient and extragenital metastasis from anather part of body in 1 patient.9 patients were diagnosed as Stage-la G1,2 as Stage-la G2,1 as Stage-la G3,19 as Stagelb G1,9 as Stage-lb G2,4 as Stage-lb G3,5 as Stage-le G1,2 as Stage-le G2 and 2 as Stage-lc G3.Adjuvant radiotherapy was given to 55 patı­ ents,chemotherapy to 4, radiotherapy+chemotherapy to 3 patients.Preop radiotherapy was given to 5 patients.5 year survival was;%66 ın Stage -I, %58 in Stage-ll, %32 in Stage-Ill and %9 in Stage-IV.

Result:

The increase in the frequency of cancer of the uterine corpus in the [ası years, which is the most seen neoplasm of woman pelvis and also fourth most frequent cancer in women today,is making this malign neoplasm an important factor in the follow-up of the woman patient.By this stııdy we also tried to take attention to cancer of uterine corpus once more.