ENDOMETRIAL CARCINOMA IN A ADOLESCENT WITH DIABETES MELLITUS.
Nur Aiza IDRIS1, Rosnani ZAKARIA2, Azlina ISHAK2, Siti Zarqah OMAR3.
1Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia.
2Department of Family Medicine, School of Medical Science, Universiti Sains Malaysia Health Campus, Kubang Kerian, Malaysia.
3Department of Pathology, Hospital Sultanah Nur Zahirah, Terengganu, Malaysia.
Abnormal uterine bleeding is one of the commonest presentation of adolescent gynaecology in health care setting, predominantly due to anovulatory cycles. However, chronic anovulation with other risk factors such as unopposed oestrogen and obesity could lead to endometrial hyperplasia and carcinoma even in young women. We report a case of an adolescent with history of obesity and diabetes mellitus type II, who had heavy bleeding for 4 years eventually diagnosed with endometrial carcinoma. We discuss the presentation, histological finding and also primary care doctor’s role in identifying possible life-threatening cause of abnormal uterine bleeding in adolescents.
Keywords: Adolescent, Diabetes Mellitus, Endometrial carcinoma, Obesity, Menorrhagia.
Corresponding author: Dr Rosnani binti Zakaria, MAFP (Malaysia), FRACGP (Australia), Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia.
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Brunei Int Med J.2022;18:171-174