title: Endometrial adenocarcinoma in a young woman.
abstract: BACKGROUND
  Endometrial carcinoma usually occurs in post-menopausal women, but in three to five percent of cases, it affects patients under 40 years of age, who wish to preserve their fertility. Patients with polycystic ovarian syndrome (PCOS) and the features of this syndrome (including obesity, hyperinsulinemia, and hyperandrogenism) are at great risk of developing endometrial carcinoma.
  
  
  METHODS
  The authors report a case of endometrial adenocarcinoma at Stage I in a 37-year-old obese woman with PCOS who underwent surgical staging.
  
  
  CONCLUSIONS
  In young women with obesity and PCOS, a periodic evaluation of the endometrium and implementation of risk-reducing measures for the development of endometrial cancer are needed.
authors.affiliation: Department of Woman's Health and Territory's Medicine, University of Rome Sapienza, S. Andrea Hospital, Rome, Italy. donatella.caserta@uniroma1.it
authors.forename: D
authors.initials: D
authors.lastname: Caserta
authors.forename: G
authors.initials: G
authors.lastname: Bordi
authors.forename: S
authors.initials: S
authors.lastname: Scarani
authors.forename: M
authors.initials: M
authors.lastname: Moscarini
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000328:Adult; D016889:Endometrial Neoplasms / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D011085:Polycystic Ovary Syndrome / Q000150:complications*