Endometrial cancer
by Saxena Richa

Tips & Tricks in Operative Obstetrics & Gynecology

by Richa Saxena
About Video

This video shows a case study of woman presenting endometrial cancer. It is a type of cancer that begins in the layer of cells that form the lining of the uterus. Chronic anovulation is likely to cause unopposed endometrial stimulation with estrogen, resulting in development of endometrial hyperplasia or cancer in the long run. History of presenting complains, past history, family history, medical history of that woman are provided along with different clinical examinations. Investigation mainly involves the assessment of endometrial thickness using transvaginal sonography (TVS) and study of endometrial cytology using endometrial biopsy, aspiration, D&C or hysteroscopic guided D&C. Histopathological examination shows grade II endometrial cancer, whereas Doppler ultrasound shows hyperechogenic endometrium and a low resistance flow in this case. Extrafascial total abdominal hysterectomy and bilateral salpingo-oophorectomy with or without lymph node sampling is the treatment of choice in this case.

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