Postmenopausal Women with Endometrial Cancer Have Greater Metabolic Dysfunction and Higher BMI than Women with Benign Endometrium

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 302-LB
Author(s):  
KATHERINE M. COOKE ◽  
ERICA DUN ◽  
ANIKA K. ANAM ◽  
CLARE FLANNERY
1980 ◽  
Vol 136 (7) ◽  
pp. 859-866 ◽  
Author(s):  
Howard L. Judd ◽  
Bert J. Davidson ◽  
Anthony M. Frumar ◽  
Issa M. Shamonki ◽  
Leo D. Lagasse ◽  
...  

2016 ◽  
Vol 25 (7) ◽  
pp. 1081-1089 ◽  
Author(s):  
Louise A. Brinton ◽  
Britton Trabert ◽  
Garnet L. Anderson ◽  
Roni T. Falk ◽  
Ashley S. Felix ◽  
...  

2018 ◽  
Author(s):  
Yannick Audet-Delage ◽  
Lyne Villeneuve ◽  
Jean Grégoire ◽  
Marie Plante ◽  
Chantal Guillemette

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 543 ◽  
Author(s):  
Adomaitienė ◽  
Nadišauskienė ◽  
Nickkho-Amiry ◽  
Čižauskas ◽  
Palubinskienė ◽  
...  

Background and objectives: Endometrial polyps in asymptomatic postmenopausal women are often incidentally found, yet only 1.51% of them are malignant. Their potential for malignant transformation has not been adequately addressed. The aim of this study was to investigate the proliferation within endometrial polyps as one of the indicators of their malignization potential in asymptomatic postmenopausal women. Materials and Methods: Immunohistochemical studies of Ki-67 were performed. Cases included 52 benign postmenopausal polyps, 19 endometrioid carcinoma with coexisting benign polyps, 12 polyps with foci of carcinoma and 4 cases of polyps, which later developed carcinoma. The control group included 31 atrophic endometria and 32 benign premenopausal polyps. Ki-67 was scored in either 10 or 20 “hot spot” fields, as percentage of positively stained cells. Results: The median epithelial Ki-67 score in postmenopausal benign polyps (4.7%) was significantly higher than in atrophic endometria (2.41%, p < 0.0001) and significantly lower than in premenopausal benign polyps (11.4%, p = 0.003) and endometrial cancer (8.3%, p < 0.0001). Where endometrial polyps were found in association with endometrial carcinoma, Ki-67 was significantly higher in cancer (p < 0.0001). No significant difference was found between Ki-67 scores of cancer focus and of the polyps tissue itself, respectively 2.8% and 4.55%, p = 0.37. Ki-67 expression, where polyps were resected and women later developed cancer, was not significantly different (p = 0.199). Conclusion: Polyps from asymptomatic postmenopausal women showed significantly more proliferation in both epithelial and stromal components than inactive atrophic endometria but less than premenopausal benign polyps and/or endometrial cancer. Benign postmenopausal endometrial polyps exhibit low proliferative activity, suggesting low malignant potential and may not require resection in asymptomatic women.


2013 ◽  
Vol 115 (5) ◽  
pp. 569-578 ◽  
Author(s):  
Peter M. Tiidus ◽  
Dawn A. Lowe ◽  
Marybeth Brown

There is a growing body of information supporting the beneficial effects of estrogen and estrogen-based hormone therapy (HT) on maintenance and enhancement of muscle mass, strength, and connective tissue. These effects are also evident in enhanced recovery from muscle atrophy or damage and have significant implications particularly for the muscular health of postmenopausal women. Evidence suggests that HT will also help maintain or increase muscle mass, improve postatrophy muscle recovery, and enhance muscle strength in aged females. This is important because this population, in particular, is at risk for a rapid onset of frailty. The potential benefits of estrogen and HT relative to skeletal muscle function and composition combined with other health-related enhancements associated with reduced risk of cardiovascular events, overall mortality, and metabolic dysfunction, as well as enhanced cognition and bone health cumulate in a strong argument for more widespread and prolonged consideration of HT if started proximal to menopausal onset in most women. Earlier reports of increased health risks with HT use in postmenopausal women has led to a decline in HT use. However, recent reevaluation regarding the health effects of HT indicates a general lack of risks and a number of significant health benefits of HT use when initiated at the onset of menopause. Although further research is still needed to fully delineate its mechanisms of action, the general use of HT by postmenopausal women, to enhance muscle mass and strength, as well as overall health, with initiation soon after the onset of menopause should be considered.


2009 ◽  
Vol 114 (6) ◽  
pp. 1197-1204 ◽  
Author(s):  
Susanna Jaakkola ◽  
Heli Lyytinen ◽  
Eero Pukkala ◽  
Olavi Ylikorkala

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