Carcinoma of the body of the uterus in Jamaica

ABSTRACT

The clinical and pathological findings in 35 cases of endometrial carcinoma observed over a 13-year period (1953-1966) at the University Hospital of the West Indies are described. The study has confirmed the impression that carcinoma of the uterine body is a relatively uncommon form of malignancy in Jamaica, accounting for only 2 per cent of female malignancies and 6 per cent of uterine cancers. The clinical and pathological data are compared with those of other reported series, and found to be essentially similar. Malignant change in polyps was observed in 14 per cent of cases. Extended total hysterectomy and bilateral salpingo-oophorectomy produced the best results. Local recurrences were significantly reduced when surgery was combined with post-operative radiation. All six cases with adenoacanthoma showed myometrial invasion, and the squamous component (metaplastic and neoplastic) was associated with glands of varying degrees of differentiation (AU)