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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)
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.
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
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.
Molecular Analysis

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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.