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It is a cancer developed from the mucous membrane (endomètre) that papers the inside of the uterus. it occurs more often after the menopause. It is the most often a carcinoma (cancer of the endothélium).It touches 10 to 40 women for 100 000.
 ..Cancer of the body of the uterus Reasons and factors of risk
   * Obesity, arterial hypertension, sugary diabetes;    * belated Menopause;     * Nulliparité (the fact not to have had a child);    * The absence of sexual intercourse.
 ..Cancer of the body of the uterus The signs of the illness
The uterine hemorrhage (métrorragie), isolated and spontaneous, at a woman who doesn't have his rules anymore since she is ménopausée is the major symptom. The diagnosis is more difficult when the hemorrhage reaches a woman who is again more or less very controlled to the surroundings of the menopause, it can be about ménorragies (more abundant rules) or of métrorragies.
Before these métrorragies, the direct exam to the spéculum, then the vaginal smears, Schiller's test, the colposcopie, shows a normal uterine collar in general. The pelvic touches (TV and TR) are often normal.
 ..Cancer of the body of the uterus Exams and complementary analyses
The x-ray (hysterography) or the hystéroscopie can show the typical pictures, to specify the extension and the seat of the lesions.
The curettage or the biopsy under general anesthesia permit the diagnosis.
The other complementary exams are useful for the balance of extension:Â cystoscopie, intravenous urographie etc.
 ..Cancer of the body of the uterus Differential diagnosis
The cancer of the body of the uterus is the first reason to search for at a woman ménopausée that presents uterine hemorrhages. It is only after having eliminated such a diagnosis that the other hypotheses are raised: vaginitis, métrite, métrorragies due to the hold of estrogens etc...
 ..Cancer of the body of the uterus Prognosis
When the diagnosis is sufficiently precocious, the recovery is usual.
 ..Cancer of the body of the uterus Treatment
The treatment rests on the surgical ablation of the uterus and appendices, ovaries and horns (total hysterectomy with bilateral annexectomie), the lymphadénectomie (exerese of ganglia) completed possibly by the curiethérapie (setting up of active products to the contact of the tumor) or an external radiotherapy.
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