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.

ABSTRACT

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.

Email:rosnani@usm.my, rosnaniz74@gmail.com; Telephone number:  +60-97676927

Brunei Int Med J.2022;18:171-174