UTERINE CANCER IN OLDER WOMEN: WHAT ARE ITS DISTINGUISHING CHARACTERISTICS?

Endometrial cancer (EC) is one of the most common pathologies among gynecologic cancer patients: It ranks the 3rd in the structure of oncological diseases in women in Russia. Early manifestation of various bleedings and good tumor visualization with ultrasound therapy allow to detect uterine cancer at stages I–II in almost 80 % of patients. Moreover, mortality due to progression has remained stable in the last 10 years. In this regard, detailed study of prognostic factors affecting the course and prognosis of the disease is timely and important for improvement of long-term results. One of the factors of unfavorable prognosis is old age. In this article, characteristics of the clinical course of uterine cancer in women after 70 with concomitant extragenital pathology are considered, and possible improvements for treatment quality of these patients are proposed based on literature results.

The objective is to advance methods of treatment of uterine cancer in older patients and to obtain proven facts of improved prognosis for inclusion into clinical guidelines.