Abstract : Abstract
Background: Endometrial malignancy is the commonest genital tract malignancy encountered in postmenopausal women and the third commonest genital tract malignancy in Nigeria
Methods: This was a retrospective analysis of all cases of endometrial malignancy managed at the University of Port Harcourt Teaching Hospital (UPTH) from 1st January 2011 to 31st December 2016. Relevant information were obtained from the case notes and analyzed using SPSS version 22 software package.
Results: The prevalence of endometrial cancer was 1.51% of gynaecological admissions and 8.9% of gynaecological cancers. Postmenopausal women accounted for 82.7% and the most common presenting complaint was post-menopausal bleeding. Obesity was the most identified risk factor in 82.7% of cases. All patients had fractional curettage and none had hysteroscopically directed biopsy as the diagnostic method. Sixty-nine percent of cases had stage 1 disease at surgery. All patients that had surgery had only total abdominal hysterectomy and bilateral salpingoophorectomy. No pelvic or para-aortic lymphadenectomy was performed despite Myometrial involvement in 44.8% of cases. None of the surgeries was performed by a certified oncologist. The case fatality rate was 6.9%.
Conclusion: Obesity, a modifiable risk factor was the most important risk factor in this study. There is need to urgently train specialist in the art of lymphadenectomy in order to improve outcome