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Endometrial CAFrom: Dr. Ainsworth (ainsron@sbcglobal.net)Thu Oct 10 15:43:39 2002
88 yo woman with recent onset of bleeding, on no HRT. Small uterus on TVUS with abnormally thickened endometrium. Biopsy showed well differentiated adenoca of the endometrium. She has well-controlled hypertension, dyslipidemia and angina. Also has Hx of bilateral mastectomy 8 yrs ago for breast CA and no evidence of recurrence. Would you: 1. TAH/BSO with nodes, etc. "the whole enchilada" 1-2 hours of surgery, adequate staging. 2. TVH with BSO if possible. 30-45 minutes of surgery under spinal. 3. Megace. "Why bother with surgery, she is too old and fragile." 4. Radiation. Prevent further growth and bleeding, temporize until she dies.
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