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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
TORRES-LOBATON, Alfonso et al. Obesity and endometrial cancer: The impact of a public health problem. Ginecol. obstet. Méx. [online]. 2020, vol.88, n.9, pp.569-574. Epub Oct 04, 2021. ISSN 0300-9041. https://doi.org/10.24245/gom.v88i9.4149.
OBJECTIVE:
To describe the increase shown in the frequency of endometrial cancer in a tertiary hospital in the last decades and its association with overweight and obesity.
MATERIALS AND METHODS:
Retrospective, comparative and observational study based on information from the files of patients with a diagnosis of endometrial cancer attended at the Oncology Service of the General Hospital of Mexico (2000-2017). Data were compared with a previous study from 1966-1993.
RESULTS:
From 2000 to 2017, 785 patients were registered and in the global period of 44 years, 1045 patients were included in the study. In the 27-year period, 260 patients were registered, and in the 17-year period, 785 patients were registered; that is, a 200% increase in the frequency of this disease.
CONCLUSIONS:
In this series the percentages of overweight and obesity rose from 46 to 72.5%. Endometrial cancer in women under 48 years of age increased from 19 to 28%. 30.5% of patients in early stages of endometrial cancer had risk factors for tumor recurrence and 42% of the overall series had advanced neoplasms, which is shown to affect their prognosis.
Keywords : Endometrial cancer; Risk factors; Overweight; Obesity; Mexico; Tertiary care centers.