Cholecystectomy – the Risk Factors for Endometrial Carcinoma?
Chovanec J.1, Bienertová-Vašků J. A.2, Dostálová Z.1, Janků M.1
1Gynekologicko - porodnická klinika, Lékařská fakulta MU, Brno, přednosta prof. MUDr. P. Ventruba, DrSc. 2Institut patologické fyziologie, Lékařská fakulta MU, Brno, přednosta prof. MUDr. A. Vašků, CSc. |
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Summary:
Aim: The aim of this study was to find out if the incidence of cholecystectomy is more frequent in patiens
with endometrial carcinoma and if the incidence of the anamnestic information concerning
cholecystectomy in patiens with endometrial carcinoma influences the course and the result of the
treatment of the said tumorous disease.
Type of study: Retrospective study.
Methods: 470 females with endometrial carcinoma were entered into the study, the group was divided into
the patients who have had cholecystectomy and those who have not had it. There was a control group of 370
females. All the said patients were diagnosed and subsequently treated at the Department of Gynecology and
Obstetrics Masaryk University affiliated Hospital, Brno between January 2004 and December 2006.
Results: We have not proved any statistically significant difference concerning the origin of the
endometrial carcinoma after a performed cholecystectomy. There was no difference in grading as well as
the stage according to the FIGO standards. Nonetheless, we can say that the patients with endometrial
carcinoma and cholecystectomy have significantly higher BMI.
Conclusion: The relation between cholecystectomy and the endometrial carcinoma can be influenced by
various factors. However, we can assume that the pathological processes of cholelithiasis are
pathophysiologically connected with the development of changes, which fall within the category of
hormonal risk factors for the development of endometrial carcinoma.
Key words:
endometrial carcinoma, cholelithiasis, cholecystectomy, obesity, hormonal factors
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