Malignant Diseases Of The Uterus:                                                                                                             When  malignant changes arise from the endometrium so called endometrial carcinoma,while if it s arise from the myometrium so called uterine sarcoma, and if malignant changes within the uterine fibroid so called leiomyosarcoma.                    

Incidence:                                                                                                                      

In European Union 2.5 per100,000per year .                                                      

Risk Factors for developing Endometrial Carcinoma:                                               

Unapposed estrogen for long periods play a role.                                        

 

Polcystic ovary Syndrome.                                                                               

 

Granulosa cell tumor.                                                                                         

 

Endometrial hyperplasia.                                                                                   

 

Obesity.                                                                                                                

 

Tamoxifen treatment intreated women with breast cancer.                      

 

Herditory non-polyposis colon cancer                                                             

 

Pathology :                                                                                                                       

 

Management                                                                                                                   

 

Diagnosis:                                                                                                   

 

Clinical presentation :                                                                  

 

Commonest presentation is post menopausal bleeding. 

 

Purulent vaginal discharge. 

 

Symptoms of metastasis.

 

Signs;                                                                                          

 

Investigations:                                                                         

 

Treatment:                                                                                              

 

Early stage disease:                                                                  

 

Late stage disease:                                                                    

 

Recurrent disease: