Clinical attributes, histopathological characteristics and surgical outcomes of endometrial cancers at the University of Benin Teaching Hospital in Nigeria

Abstract

Introduction: Endometrial cancer is probably the third commonest gynaecological cancer in sub-Saharan Africa. It occurs more  commonly in the post-menopausal women. This research aims to document the clinical profile, histopathological types and survival rate  of endometrial cancer patients with a view to improving care in our setting.

Materials and methods: This was a retrospective descriptive study of women with endometrial cancer who had surgery from January 1,  2013 to December 31, 2017. Case notes of patients satisfying the inclusion criteria were retrieved and relevant information extracted. The  statistical analysis were done using Statistical Package for Social Sciences(SPSS) version 22.

Results: Thirty-three cases of endometrial cancer patients were reviewed. The mean age at presentation was 54.3+8years About half of  the patients (45.5%) were hypertensive while 21.2% were diabetic. Twenty nine (87.9%) patients presented with abnormal uterine  bleeding. All patients had total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH+BSO). Endometrial adenocarcinoma accounted for the majority of the histopathological type. One year survival following surgery was 97%.

Conclusion: When performed for early stage Endometrial cancer, TAH+BSO is associated with a favourable 1 year survival.