Pattern of Endometrial Cancer Among Women Attending Wad Medani Obstetrics & Gynecology Teaching Hospital and National Institute of Cancer

Abstract

Background: Endometrial cancer is the most common gynecologic malignancy and the most frequent type of uterine cancer. It arises from the endometrium and commonly presents with abnormal vaginal bleeding, pelvic pain, or abdominal swelling. Treatment may include surgery, radiotherapy, and chemotherapy. Objective: This study aimed to determine the Pattern of Endometrial Cancer among women attending Wad Medani Teaching hospital of Obstetrics & Gynecology and National Institute of Cancer (NCI). Methods: A prospective observational descriptive cross-sectional study was conducted among women with endometrial cancer attending Wad Medani Teaching Hospital of Obstetrics and Gynecology and the National Institute of Cancer, University of Gezira, Al Gezira State, from March 2022 to February 2023. Data were collected, entered, and analyzed using SPSS version 28.0. Results: The study included 47 women with endometrial cancer. More than half, 57.4%, were older than 60 years, and 95.7% were married. Parity of 2–4 was reported by 68.1%, while 23.4% had parity above five. Overweight and obesity were common, affecting 40.4% and 36.2%, respectively. Diabetes mellitus was present in 19.1%, and hypertension in 31.9%. Postmenopausal bleeding was the main presentation, reported by 87.2%. Diagnosis was mainly by dilatation and curettage in 74.5%. Conclusion: Women above 60 years were more affected by endometrial cancer. Parity, increased body mass index, diabetes, and hypertension appeared as important associated factors. Awareness, early recognition of postmenopausal bleeding, and timely diagnosis are essential.