Evaluation of Endometrial Precancerous Lesions in Postmenopausal Obese Women - A High Risk Group?
Authors:
- Gokhan AcmazGAGokhan Acmaz
- Huseyin AksoyHAHuseyin Aksoy
- Evrim AlbayrakEAEvrim Albayrak
- Muruvet BaserMBMuruvet Baser
- Sezin OzyurtSOSezin Ozyurt
- Ulku AksoyUAUlku Aksoy
- Dilek UnalDUDilek Unal
Open Access
- 15 January 2014
- journal article
- Published by Asian Pacific Organization for Cancer Prevention in Asian Pacific Journal of Cancer Prevention
- Vol. 15 (1) , 195-198
Abstract
Evaluation of Endometrial Precancerous Lesions in Postmenopausal Obese Women - A High Risk Group? Endometrial hyperplasia;endometrial polyp;menopause;obesity;high risk group; Aim: To evaluate precancerous lesions such as hyperplasia and endometrial polyps in obese postmenopausal women. Materials and Methods: Women who were referred with abnormal uterine bleeding in postmenopausal period or the presence of endometrial cells on cervical cytology in our department were investigated. Anthropometric measurements such as height, weight, body mass index, waist/hip ratio and endometrial thickness were compared between a precancerous lesion (hyperplasia and endometrial polyp) group and a pathologically normal group. Results: We detected statistically significant thickening of endometrium in patients with precancerous lesions. Moreover patients with precancerous lesions had higher body mass index than the pathologically normal group. Conclusions: We found elevated precancerous lesion rates in overweight and obese women in the postmenopausal period, of interest given that the prevalence of obesity is increasing in most parts of the world. Although screening for endometrial cancer is not recommended for the general population, in high-risk populations like obese postmenopausal women, it may be very important.Keywords
This publication has 17 references indexed in Scilit:
- Physical Activity and its Relation to Cancer Risk: Updating the EvidenceAsian Pacific Journal of Cancer Prevention, 2013
- ACR Appropriateness Criteria® on Abnormal Vaginal BleedingJournal of the American College of Radiology, 2011
- Avaliação histeroscópica em pacientes com infertilidadeRevista Brasileira de Ginecologia e Obstetrícia, 2010
- Absolute Risk of Endometrial Carcinoma During 20-Year Follow-Up Among Women With Endometrial HyperplasiaJournal of Clinical Oncology, 2010
- Prevalence, 1-Year Regression Rate, and Clinical Significance of Asymptomatic Endometrial Polyps: Cross-sectional StudyJournal of Minimally Invasive Gynecology, 2009
- Risk of Complex and Atypical Endometrial Hyperplasia in Relation to Anthropometric Measures and Reproductive HistoryAmerican Journal of Epidemiology, 2008
- Cancer incidence and mortality in relation to body mass index in the Million Women Study: cohort studyBMJ, 2007
- The Epidemiology of ObesityGastroenterology, 2007
- Adipose Tissue Distribution in Postmenopausal Women with Adenomatous Hyperplasia of the EndometriumGynecologic Oncology, 1999
- Transvaginal hysterosonography: comparison with biopsy in the evaluation of postmenopausal bleeding.Journal of Ultrasound in Medicine, 1995