Kamsi
Forum Guru
Topics: 103
Posts: 347
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43. A 52-year-old woman, gravida 3, para 3, comes
to the physician
because of irregular vaginal bleeding over the past 2
months. She has
hypertension treated with enalapril and type 2
diabetes mellitus well
controlled with diet. Menopause occurred 2 years ago.
Her maternal aunt
had breast cancer at the age of 70 years. The patient
weighs 88 kg
(195 lb) and is 160 cm (63 in) tall. Examination
shows no other
abnormalities. An endometrial biopsy specimen shows
adenocarcinoma. Which of
the following is the most significant predisposing
factor for this
patient's endometrial cancer?
A
) Heredity
B
) Hypertension
C
) Parity
D
) Type 2 diabetes mellitus
E
) Weight
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| kpmle2
Forum Guru
Topics: 95
Posts: 512
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E ) Weight
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| titly
Forum Elite
Topics: 22
Posts: 326
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parity???
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| drdg
Forum Senior
Topics: 31
Posts: 176
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E. Her weight
The risk factors for endometrial carcinoma are obesity, hypertention, DM, nulliparity,PCOS etc. Among these factors, obesity is the most important factor since obesity is associated with increased estrogen.
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| shivaniab
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obesity is the most important risk factor for endometrial ca so the ans should be weight..
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| doc179
Forum Guru
Topics: 67
Posts: 1,217
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E
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| mjl1717
Forum Hero
Topics: 960
Posts: 5,468
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I eliminated the others and only obesity remained
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| me007
Forum Guru
Topics: 72
Posts: 799
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i have a question about hypertension as a risk factor.
I can understand unopposed estrogen IS a risk factor. But how HTN and DM came to this?
Is it because obesity (unopposed estrogen) usually goes with HTN and diabetes and studies were done this way or there is some another mechanism?
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