Recent advances in endometrial cancer /
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Imprint: | Singapore : Springer, 2020. |
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Description: | 1 online resource (306 p.) |
Language: | English |
Subject: | |
Format: | E-Resource Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/12606699 |
Table of Contents:
- Intro
- Preface
- Contents
- About the Editors
- Contributors
- Part I: Trends and Etiology of Endometrial Cancer
- 1: Changing Trends in the Epidemiology of Endometrial Cancer
- 1.1 Introduction
- 1.2 Type I and II Carcinomas
- 1.2.1 Pathophysiologic and Molecular Distinctions
- 1.2.2 Type II-Specific Epidemiologic Factors
- 1.3 Age
- 1.4 Race/Ethnicity
- 1.4.1 Blacks
- 1.4.2 Hispanics
- 1.4.3 Asians/Pacific Islanders
- 1.4.4 American Indians/Alaska Natives
- 1.4.5 Global Trends
- 1.5 Endogenous Estrogen Exposure
- 1.5.1 Pathophysiologic Mechanisms of Disease
- 1.5.2 Chronic Anovulation
- 1.5.3 Obesity
- 1.5.4 Early Menarche and Late Menopause
- 1.5.5 Estrogen-Secreting Tumors
- 1.6 Exogenous Estrogen Exposure
- 1.6.1 Unopposed Estrogen Therapy
- 1.6.2 Postmenopausal Hormone Replacement Therapy
- 1.6.3 Tamoxifen, Other SERMs, and Aromatase Inhibitors
- 1.7 Genetic Syndromes
- 1.7.1 Family History
- 1.7.2 Hereditary Nonpolyposis Colorectal Cancer (Lynch Syndrome)
- 1.7.3 Cowden Syndrome
- 1.7.4 BRCA1 and BRCA2 Mutations
- 1.8 Fertility-Associated Factors
- 1.8.1 Nulliparity and Infertility
- 1.8.2 Breastfeeding
- 1.8.3 Contraceptives
- 1.8.4 Tubal Ligation
- 1.9 Other Associated Factors
- 1.9.1 Diet and Phytoestrogens
- 1.9.2 Ultraviolet Radiation, Calcium, and Vitamin D
- 1.9.3 Exercise
- 1.9.4 Diabetes and Hypertension
- 1.9.5 Cigarette Smoking
- 1.9.6 Alcohol
- 1.9.7 Coffee and Tea
- 1.9.8 Aspirin
- 1.10 Summary
- References
- 2: Cytogenetic Mechanisms in Endometrial Cancer
- 2.1 Introduction
- 2.2 Classification of EC
- 2.2.1 Clinicopathological Classification
- 2.2.2 Genetic Classification
- 2.3 Role of Estrogen
- 2.3.1 Imbalance Between Estrogen-Induced Endometrial Proliferation and Mismatch Repair System
- 2.3.2 Dysregulation of Different Genetic Factors by Estrogen
- 2.4 Mechanisms Involved in Genesis of EC at Cytogenetic Level
- 2.4.1 Epigenetics
- 2.4.2 Abnormal Mismatch Repair (MMR) System
- 2.4.3 Gene Mutation
- 2.4.3.1 Tumor Suppressor Genes
- 2.4.3.2 Oncogenes
- 2.4.4 MicroRNA
- 2.5 Cytogenetic Basis of Different Characteristics of EC
- 2.5.1 Myometrial Invasion
- 2.5.2 Apoptosis Resistance
- 2.5.3 Resistance to Ionizing Radiation Treatment
- 2.6 Conclusion
- References
- 3: Endometrial Precancers: Diagnosis and Management
- 3.1 Introduction
- 3.2 Etiology
- 3.3 Classification
- 3.3.1 Endometrial Intraepithelial Neoplasia
- 3.4 Comparison Between WHO and EIN Classification
- 3.5 Clinical Features
- 3.6 Diagnosis
- 3.6.1 Ultrasound
- 3.6.2 Office Endometrial Biopsy
- 3.6.3 Hysteroscopy and Targeted Biopsy
- 3.6.4 CT/MRI/Biomarkers
- 3.7 Management
- 3.7.1 Observation
- 3.7.2 Medical Management
- 3.7.2.1 Progestin
- 3.7.2.2 Clomiphene or Aromatase Inhibitors
- 3.7.2.3 Metformin
- 3.7.2.4 GnRH Agonist
- 3.7.2.5 Danazol