Endometrial Tumors: Aspect Ultrasound, Histological Type, Management and Prognosis in the Gynaecology and Obstetrics Department of the Ignace Deen National Hospital

<i>Background:</i> Endometrial tumors are very common conditions and can be benign or malignant. These tumors generally occur during menopause. <i>The objective</i> was to calculate the frequency of endometrial tumors, describe their radiological characteristics, identify their histological types, describe the therapeutic approach, and evaluate their prognosis. <i>Method:</i> This was a retrospective, descriptive, and analytical study covering a five-year period from 1 January 2019 to 31 December 2023, focusing on the records of patients hospitalised during this period at the Ignace Deen Maternity Hospital. <i>Results:</i> Endometrial tumors accounted for 13.1% of gynaecological tumors in the department. Ultrasound was the most commonly requested examination (81.6%), followed by blood tests and endometrial biopsy, at 89.8% and 77.5% respectively. Pelvic CT scans and MRI scans were rarely requested. Ultrasound showed 53.1% endometrial thickening and 20.4% endometrial hypertrophy. After pathological examination of the biopsies, there were 31 cases (72.1%) of endometrial adenocarcinoma and 12 cases (27.9%) of endometrial hyperplasia. The histological types found were endometrioid adenocarcinoma in 28 cases (80%) and clear cell carcinoma in 8 cases (20%). Treatment was surgical, with 30.6% undergoing total hysterectomy and 57.2% undergoing extended colpohysterectomy with lymphadenectomy. During the period, we recorded 18.4% mortality. <i>Conclusion:</i> Most tumors were endometrioid adenocarcinomas and treatment was mainly surgical.