TITLE:
Endometrial Cancer: Epidemiological, Histological and Therapeutic Aspects in the Gynecology-Obstetrics Department of the Donka National Hospital, CHU of Conakry
AUTHORS:
Abdourahamane Diallo, Ousmane Balde, Aboubacar M’mah Sylla, Ibrahima Conte, Aboubacar Fodé Momo Soumah, Namory Keita
KEYWORDS:
Cancer, Endometrium, Donka
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.9,
September
11,
2023
ABSTRACT: Objective: To study the epidemiological, histological and therapeutic
characteristics of endometrial cancer in the
Gynecology-Obstetrics department of the Donka National Hospital, CHU of
Conakry. Methods: We conducted a retrospective descriptive study of 86
patients with endometrial cancer treated in the Gynecology-Obstetrics
department of the Donka National Hospital from January 1, 2011, to December 31,
2021, based on their medical records. We analysed the epidemiological,
histological and therapeutic aspects of the disease. Results: Endometrial cancer accounted for 3.1% of the 2793 gynecological pathology cases
registered in the department during the study period, ranking third. The mean
age of the patients was 63 ± 5 years.
Most of them were uneducated (59.3%), postmenopausal
(91.9%), nulliparous (30.2%), obese (65.1%) and hypertensive (77.1%).
More than half of the patients (53.4%) were diagnosed at stage I. Endometrioid
adenocarcinoma was the predominant histological type (68.6%). Surgery was
performed in 96.6% of the patients, and chemotherapy in 14.0%. After a mean
follow-up of 15 months, 84.5% of the patients were alive. Conclusion: Endometrial cancer is a common gynecological malignancy in our department.
Endometrioid adenocarcinoma is the most frequent histological subtype. Surgery
is the main treatment modality.