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Uterine Cancer Pedro T. Ramirez, M.D. Associate Professor Director of Minimally Invasive Research & Education Department of Gynecologic Oncology
Uterine Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type I Endometrial Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type II Endometrial Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Familial Syndromes ,[object Object],[object Object],[object Object],[object Object]
Endometrial Cancer Screening ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis: Gold Standard ,[object Object],[object Object],[object Object],[object Object],[object Object]
Endometrial Hyperplasia ,[object Object],[object Object]
Hyperplasia: Progression to Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Significant percentage (43%) of complex hyperplasia with atypia will have coexisting adenocarcinoma
Management: Hyperplasia   NO ATYPIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management: Hyperplasia ATYPIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endometrial Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Histology Points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Endometrial Cancer Grade ,[object Object],[object Object],[object Object],[object Object]
Synchronous Endometrial and Ovarian Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pretreatment Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endometrial Cancer Treatment ,[object Object],[object Object]
Primary Radiation Therapy ,[object Object],[object Object],[object Object],[object Object]
Hormone Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Risk of Lymph Node Metastasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine Lymphadenectomy ,[object Object],[object Object],[object Object]
Laparoscopic Staging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laparotomy vs. Laparoscopy?
Laparotomy vs. Laparoscopy?
Survival by Surgical Stage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prognostic Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adjuvant Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Risk Endometrial Cancer ,[object Object],[object Object],[object Object]
Adjuvant Radiation Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Follow Up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recurrence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Uterine Sarcoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinosarcoma ,[object Object],[object Object],[object Object],[object Object]
Carcinosarcoma Survival ,[object Object],[object Object],[object Object],[object Object],[object Object]
Leiomyosarcoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sarcoma Treatment: Surgery ,[object Object],[object Object],[object Object],[object Object]
Sarcoma Treatment: Radiation ,[object Object],[object Object]
Sarcoma Treatment: Recurrence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MD Anderson Cancer Center

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Uterine Cancer