Abstract
Trans-Cervical Resection of the Endometrium in Early Endometrial Cancer: Analternative Surgical Management Technique in the Setting of Morbid Obesity
Highlights
Obesity is the modern epidemic of westernised society and is a public health crisis, the World Health Organisation has coined the phrase ‘Globesity’ to describe the scale of the problem [1]
Most patients have a low grade, early stage endometrioid endometrial adenocarcinoma which carries an excellent prognosis after hysterectomy
Materials and methods: This study examines the experience of Trans-cervical resection of the endometrium (TCRE) in early stage low grade endometrial cancer associated with severe obesity.Retrospective cohort study from a specialist, tertiary referral gynaecological oncology centre of 12 patients with morbid obesity and early endometrial cancer
Summary
Obesity is the modern epidemic of westernised society and is a public health crisis, the World Health Organisation has coined the phrase ‘Globesity’ to describe the scale of the problem [1]. Obesity is an acknowledged risk for endometrial cancer.A small proportion of morbidly obese patients have such extensive obesity related co-morbidities that definitive hysterectomy and associated anaesthetic pose a major mortality risk. These patients will likely suffer more morbidity and eventually die from a disease process unrelated to the uterine cancer [2]. This paper demonstrates a safe and feasible technique for managing early stage endometrial cancer in a certain selected subset of patients whose treatment options are limited by morbid obesity and extensive co- morbidities. Endometrial cancer (EC) is the most common gynaecological tumour in developed countries [3]. It is the fourth most common malignancy in women with an estimated 46,470 new cases in 2011.Women have a 2.6% lifetime risk of developing this malignancy [2]
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