Demographic profile of cancer endometrium a study conducted in sher-i-kashmir institute of medical sciences srinagar kashmir india. A retrospective study

Introduction: Endometrial cancer is the most common gynecologic cancer and the fourth most frequently diagnosed cancer in women in the United States. According to 2018 cancer statistics, the estimated number of newly diagnosed cases is 63,230, with a probability of 1 in every 35 women (2.8%) developing it during her lifetime. To date, there is limited knowledge of endometrial cancer in Kashmir India. Objectives: The aim of the present study was to analyze the demographic spectrum of endometrial cancers in Kashmir valley. Material and Method: This was a retrospective study, So all patients were included who had Histopathologically confirmed endometrial neoplasm registered at Regional Cancer centre of Sher-i-Kashmir Institute of Medical Sciences, Srinagar Kashmir between 2008 and 2015. All the patient characteristics including age, presentation, type of cancer, stage of cancer, parity, treatment received in each case was studied in detail. Results: The present study included 80 patients of endometrial cancer. Mean age of presentation in our study was 55±0.63 years. Majority of endometrial cancers where of adenocarcinoma histology (81%) followed by sarcoma (10%) and papillary serous type (9%). The major clinical presentation was vaginal bleeding (85 %) followed by pelvic pain (28 %) and ascites (8 %). So far as evaluation is concerned, most of the cases (90%) where diagnosed by D&C and Pelvic USG. Majority of patients presented at stage I (60%) followed by stage III (18%). Conclusion: In conclusion, early detection will reduce the number of death of endometrial cancer patients. A significant number of endometrial cancer patients in Kashmir present with early stage of disease and probably due to clinical presentation in our centre that major clinical presentation was vaginal bleeding followed by pelvic pain. Endometrial cancers are observed at an middle age group that is more than 40 years of age . People should be educated for an early consultation for symptoms and high risk individuals should be encouraged for screening. The health programmes about endometrial cancer should be carried out in open places to give more information about endometrial cancer to the public.