Endometrial carcinoma clinical management: results of a regional survey

In Southern regions of Italy, many women affected by oncologic pathology go to larger towns to referral hospitals to be treated. However there is the impression that this does not apply to endometrial cancer, which affects older women less prone to seek care far from home. To verify this premise and to ascertain the quality of treatment these patients received, and the degree of compliance of their treatment with the International Federation of Gynecology and Obstetrics (FIGO) recommendations, a database was created collecting information concerning the clinical management of endometrial cancer in 13 different gynecological units in the Campania region. We confirmed that endometrial carcinoma, the most frequent oncologic pathology in all participating units, was treated independently from the dimensions of all of these units. The adopted diagnostic and therapeutic procedures seemed to be largely compliant with FIGO guidelines. Limited dishomogeneity only regarded the smallest units. Overall, a good quality of treatment seemed to be given to women affected by this pathology who wanted to be treated in, or close to, their town of residence.