The role of metabolic syndrome and current approaches to the treatment and rehabilitation of patients with recurrent atypical endometrial hyperplasia and endometrial cancer

DOI: https://doi.org/10.29296/25877305-2022-08-01
Issue: 
8
Year: 
2022

Sandzhieva L., Solopova A., Blinov D.,Achkasov E., Korabelnikov D., Petrenko D.

Fertile age patients tend to have an increased prevalence of malignant neoplasms of the reproductive system. Metabolic syndrome (MS) is the main factor of endometrial hyperplasia with atypia, followed by possible tumor transformation. Obesity as part of MS supports chronic inflammation, metabolic disorders, oxidative stress, hyperestrogenemia, and persistent stimulation of endometrial cells. An integrated treatment approach should involve radical or organ-sparing surgery in reproductive-aged women, followed by hormonal therapy, as well as the comprehensive medical rehabilitation stage based on a multidisciplinary approach to prevent irreversible functional and mental disorders due to aggressive treatment methods and the disease itself.
Keywords: 
gynecology
oncology
atypical endometrial hyperplasia
endometrial cancer
rehabilitation

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