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Endometrial carcinoma in Nigerians. A pathologic study.

V P Mordi, S N Nnatu

    Cancer
    |May 1, 1986
    PubMed
    Summary

    Endometrial carcinoma is rare in Nigerian women, with a significantly lower incidence compared to cervical cancer. Younger patients diagnosed with this rare cancer showed a more favorable grade and less myometrial invasion.

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    Area of Science:

    • Gynecologic Oncology
    • Pathology
    • Epidemiology

    Background:

    • Endometrial carcinoma is notably uncommon in Nigerian females, contrasting sharply with its prevalence in temperate regions.
    • The ratio of endometrial to cervical carcinoma in Nigeria is approximately 1:40, unlike the 1:2 ratio observed globally.

    Purpose of the Study:

    • To report on the incidence and characteristics of endometrial carcinoma in Nigerian females over a 10-year period.
    • To analyze the histological types, grades, and patient demographics of diagnosed endometrial carcinoma cases.

    Main Methods:

    • Retrospective review of 10 cases of endometrial carcinoma diagnosed between 1973 and 1982.
    • Histopathological examination of tumor types, including adenocarcinoma and adenosquamous carcinoma, with grading and assessment of myometrial invasion.

    Main Results:

    • Only 10 cases of endometrial carcinoma were identified over the 10-year study period.
    • The majority of tumors were papillary adenocarcinomas (9 cases), with one adenosquamous carcinoma. Most lesions were Grade I or II.
    • The mean age of patients was 58.9 years (range, 42-78 years), with younger patients exhibiting more favorable tumor characteristics.

    Conclusions:

    • Endometrial carcinoma is a rare gynecologic malignancy in Nigeria.
    • Histological findings and patient age appear to correlate with disease characteristics, suggesting potential prognostic indicators.

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