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Year : 2017  |  Volume : 4  |  Issue : 2  |  Page : 43-46

A diary of endometrial malignancies in Zaria, Northern Nigeria

1 Reproductive Health and General Gynecology Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
2 Gynecologic Oncology Unit, Usman Danfodio University Teaching Hospital, Sokoto, Nigeria
3 Department of Histo-Pathology, Usman Danfodio University Teaching Hospital, Sokoto, Nigeria
4 Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
5 Department of Radiotherapy, Usman Danfodio University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
Oguntayo O Adekunle
Department of O&G ABU Teaching Hospital Shika Zaria, Kaduna State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssajm.ssajm_19_16

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Context: Endometrial malignancies are uncommon tumors in sub-Saharan Africa. However, it has been observed that the incidence of endometrial cancer may be increasing. Objectives: To document the prevalence, clinical profile, and histological types of endometrial malignancies in Ahmadu Bello University Teaching Hospital Zaria, Northern Nigeria. Study Design: Descriptive study. Setting: Departments of Obstetrics & Gynecology and Histo-Pathology Ahmadu Bello University Teaching Hospital Zaria. Materials and Methods: Data of histologically proven cases of endometrial malignant tumors from January 1992–December 2011 were extracted from case notes, cancer registry and histology forms/reports and analyzed using the Statistical Package for the Social Sciences version 17.0 software (SPSS Inc., Chicago, IL, USA). Results: Seventy-seven cases were recorded during the period under review, and this constituted 5% of all genital tract malignancies. The number of cases seen in the first 10 years under review (1992–2001) were 24 (2.4 cases/year), while that of the second decade (2002–2011) were 55 (5.5 cases/year), reflecting more than two-fold increase. The mean age and parity of the patients were 52 ± 14.9 years and 7.4 ± 2.5, respectively. Over 67% of the cases were postmenopausal. Vaginal bleeding was the principal presenting symptom occurring in 100% of cases, and the uterus was enlarged in 82% of patients. Endometrial biopsy was the main method of diagnosis (60% of cases), and 89% of cases were diagnosed in clinical stages 1 and 11. Adenocarcinoma was seen in 78% of cases, while stromal sarcoma constituted 13% and mixed Mullerian tumor accounted for 9%. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was the main treatment offered. Conclusion: The incidence of endometrial carcinoma may be on the increase in our setting. High index of suspicion and endometrial biopsy will diagnose majority of cases.

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