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CORRELATION BETWEEN TUMOR SIZE AND LYMPHATIC SPREAD IN CASES OF TYPE I ENDOMETRIAL CARCINOMA

Dr Nimra Naheed Malik, •Dr. Humna Uzair, Maryam latif

Background and objectives: In the whole world, one of the most spreading malignancy is the cancer of endometrial. This is the cancer of the genital tract in the females. The most commonly used path for spreading malignancy is the lymphatic spread. Nodes of pelvic lymph is primarily involved in it. Recently, the suggestion was that one of the risk factors for metastases of LN is the size of tumor. The purpose of the following study was to discuss the relation of size of tumor and pelvic LN metastasis in different patients. The patients experiencing careful arranging for type-1 endometrial adenocarcinoma, so as to get ready for legitimate careful methodology. Patients and Method: The experiment was done on 29 people who are the patient of endometrial adenocarcinoma with type -1 in a tertiary care setup in lahore . By gathering the information from the Ultrasound, TS was calculated. This is called the largest three categories of tumor. Pathologically, tumor size was re-surveyed. To survey the connection of LN metastasis and Tumor size was the important result. The mutual relationship between tumor size and different factors for example stage, involvement of lympho-vascular space and grade, were additionally considered as optional results. Results: With the help of ultrasound and other examinations of pathological, the relationship of different sizes of tumors and LN metastasis were discussed. In between the measurement of tumor sizes by ultrasound and different investigations pathologically, different agreements were there. Tumor size which is measured by ultrasounds is factually important discriminator related to metastasis of LN. The value of this is 4.5cm. The tumor size calculated by pathological information is also factually discriminator related to metastasis of LN. The value of this is 5cm. Conclusion: In reports of endometrial adenocarcinoma with type-1, the comparison of tumor sizes obtained from ultrasound and investigations by pathological information was reviewed. These two methods are good for anticipating metastasis of LN with values of 4.5 and 5cm separately. The survey done with the help of ultrasound is much reliable and utilize while planning level of surgery. Keywords: Endometrial cancer, Tumor size, Pelvic lymph nodes, Endometrioid adenocarcinoma, Lymphadenectomy

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