A clinico-pathological study was made on a series of endometrial carcinomas experienced at the Department of Obstetrics and Gynecology, Yonsei University, Wonju College of Medicine, during the period from January, 1, 1981 to June 30, 1993.
@ES The results obtained were as follows;
@EN 1. The mean age of endometrial carcinoma was 56.
2. Annual incidence of endometrial carcinoma increased above 2.5 times during the period of 6 years from 1987 to 1993 compared to that of the 6 years from 1981 to 1986.
3. The proportion of nulliparity was 31.6%
4. The most common histopathologic subtype of the endometrial carcinoma was adenocarcinoma(59.6%).
5. As to the presenting symptoms, postmenopausal adnormal vaginal bleeding was encountered in 76.7%, and lower abdominal pain was in 36.1%.
6. According to the clinical stage adoptod from FIGO classification, stage I was found in 58.3%, stage II in 13.9%, stage III in 16.7%, stage IV in 11.1%. The higher the differentiation, the lower the clinical stage of endometrial carcinoma in
stage
III and IV.
7. Uterine size and lymph node metastases showed no statistical difference regardless of clinical stage of endometrial carcinoma.
8. As a diagnostic method of endometrial carcinoma, Pap. Smear showed low positive rate (27.8%), but fractional curettage of endometrium revealed 100% of diagnostic accuracy.
9. Risk factor of endometrial carcinoma were infertility, hypertension and obesity.
|