Endometrial carcinoma in a young patient - first suspected at the time of evaluation for infertility.

Abstract

Among gynaecological cancers, endometrial cancer is encountered more frequently in recent times. It  accounts for 20-25 percentage of all cancers in the developed countries. But ,in developing countries like India, the incidence has remained as low as 5-7 percentage of all genital cancers. Cervical cancer continues to predominant and is seen in 1.8 per 100,000 populations. The peak  incidence of endometrial cancer in the age group 55 to 70 years, is 20-25 percentage. Only 5 percentage develop in women below the age of 45 years, usually they are well differentiated with good prognosis rate. This case report discusses about a 26 years old young lady who was           accidently diagnosed with Endometrial Carcinoma (Stage Ia), during evaluation for primary infertility. Staging laprotomy with Total Abdominal Hysterectomy, bilateral salpingo                   oopherectomy and bilateral pelvic lymphadenectomy was done successfully. Post operatively she was given adjuvant vault brachytherapy. Now patient is on regular follow up.