ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA NGƯỜI BỆNH UNG THƯ NỘI MẠC TỬ CUNG GIAI ĐOẠN I VÀ GIAI ĐOẠN II THEO PHÂN LOẠI FIGO – 2009 TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

In order to examine the clinical and paraclinical features of patients with stage I and II endometrial cancer according to the FIGO – 2009 classification. A cross-sectional study was conducted on 267 endometrial cancer patients at the Central Obstetrics and Gynecology Hospital. The study found that patients with FIGO stages I and II were primarily aged 50-59, with an average age of 56.4 ± 9.1 years. The prevalence of uterine aspiration history (12.7%) and hypertension (22.8%) were common risk factors. Vaginal bleeding led to the majority of patients' admission, followed by menorrhagia. FIGO – II had a higher prevalence of uterine enlargement (41.9%) than FIGO – I (18.2%), p = 0.002. The majority of FIGO – I and FIGO – II showed a mobile uterus and no malignant cells in the uterine mucosa. Patients with FIGO – I were predominantly normal (66.3%) during vaginal-cervical cell biopsy, while those with FIGO – II were mainly suspicious (54.4%), p = 0.036. The endometrium of patients with FIGO-II was significantly thicker than that of patients with FIGO – I (p = 0.01). Conclusion: Clinical and paraclinical features might be useful to identify early stage I or II based on FIGO classification, which facilitates the selection of prompt and efficient treatment approaches.