Özet:

Endometrium cancer is the most common malignant of the female genital system and ranked fourth among the cancers seen in women. Our goal is to share the surgical treatment and results of endometrium cancer occurrences in our ginecological oncology clinic.   In this study, 164 patients diagnosed with endometrium cancer and operated by the same surgical team between 2009 and 2019 were retrospectively examined and the results related to the clinical, surgical and hypothetical characteristics of patients were shared. As a result of the pathology, 4 patients from sarcoma, 7 patients under complementary surgery, 1 patient with a second primary tumor was not included in the study. The findings: The average age of the patients included in our study was 61.3 and the average body mass index was 25.8.  According to the results of postoperative pathology of patients; the average tumor size was 3.4 cm, the average number of lymph nodes collected was 28.8. 19 patients were metastases of the lymphatic nodes and all metastases were in the pelvic lymphatic nodes. In 81% of patients, endometrioid type adenocarcinoma was observed. In 81 patients (49.4 percent) myometrial invasion was > 50 percent. In 20 patients (12.2%), cervical attitude, in 11 patients (6.7%), adnectic attitude, in 28 patients (17.1%), lymphovascular area invasion was present. 76 patients (46.3%) grade 1, 61 patients (37.2%) grade 2, 19 patients (11.6%) grade 3. When patients were married according to the 2009 FIGO system, 70 patients (42.7 percent) were stage 1A, 58 patients (35.4 percent) stage 1B, 12 patients (7.3 percent) stage 2, 3 patients (1.8 percent) stage 3A, 17 patients (10.4 percent) stage 3C1, 4 patients (2.4 percent) stage 4.   Endometrium cancer is the most common gynecological cancer and is usually detected in early stages as a result of early detection. The risk of the disease is used in the assessment of the tumor size, myometrial invasion depth, histopathological grade, but studies in which the number of patients in the high stage is higher will be more useful in the determination of the risk.