الفهرس 
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Abstract
Endometrial cancer is the commonest gynecological cancer mostly
affecting women in the postmenopausal age group. Rates vary around the world
but are highest in white women in Western populations. While in Africa, south
Asia and developing countries, it ranks the second after cervix cancer.
The median age for diagnosis of endometrial carcinoma is about 60 years.
Abnormal bleeding is the most common presenting symptom, but a few patients
are asymptomatic.
The International Federation of Gynecology and Obstetrics (FIGO) and
the American Joint Committee on Cancer (AJCC) have designated staging to
define endometrial cancer; the FIGO system is most commonly used. It depends
on tumor grade, invasion of myometrium and status of lymph node
dissemination.
Treatment plan is designated according to tumor stage. Operable stages of
endometrial carcinoma could either be treated with surgery alone or with
postoperative chemo- irradiation according to the stage. Preoperative staging of
endometrial cancer is reached by different imaging modalities. These include
vaginal US, C.T. abdomen and pelvis with contrast.
Our study was focused on evaluating the accuracy & reliability of
preoperative staging; with postoperative surgical staging.
All patients underwent preoperative staging with aid of C.T. abdomen &
pelvis with contrast and vaginal US. Data regarding endometrial thickening,
myometrial invasion and lymph node involvement were collected.
All patients underwent total abdominal hysterectomy with bilateral
salpingo- oophorectomy and pelvic and para- aortic lymph node dissection.
Histopathological data was collected and surgical staging was done.