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Title: ADDRESSING MENOPAUSAL PROBLEMS AMONG ENDOMETRIAL CANCER SURVIVORS: UNMET NEED OF CANCER CARE

e-poster Number: EP 457

Category: Gynaecologic Oncology
Author Name: Dr. Anju Singh
Institute: AIIMS, New Delhi
Co-Author Name:
Abstract :
Introduction: The four components of survivorship care as defined by ASCO are prevention and detection of new cancers and recurrent cancer, surveillance for recurrence or new other primary cancers, intervention for long-term and late effects from cancer treatment, and coordination between specialists and primary care providers to optimize survivor care However, clinicians primary focus remains disease relapse detection and treatment. The long-term effects of cancer treatment like menopausal symptoms, bone health issues are usually overlooked. Aims & Objectives: To evaluate menopausal symptoms and bone health among endometrial cancer survivors. Materials and Methods: It was a cross-sectional study including 31 endometrial cancer patients post-treatment and disease-free for atleast 1 year. A detailed history and physical examination was done for each participant. Menopausal symptoms were assessed using Menopausal Rating Scale and BMD was assessed by DXA scan. Descriptive data analysis was done. Results: Participants' mean age and BMI were 51.52 ? 6.29 years and 28.38 ? 6.03 kg/m?. At diagnosis, stage I,II,III, and IV was present in 77.4%, 9.6%. 12.9% and 0% of cases respectively. Natural menopause was attained in 11(35.4%), surgical in 20(64.5%) and none had chemotherapy-induced menopause. Mean MRS score was 11.71 ? 4.91. Overall somatic, psychological, and urogenital symptoms were reported by 30(90.6%), 28(90.3%), and 29(93.5%). Joint and muscular discomfort(96.7%) were the most common menopausal symptoms followed by sleep problems, irritability(74.1%). At lumbar spine, 58.1%, 25.8% and 16.1%patients had normal bone density, osteopenia & osteoporosis respectively. At left hip, 54.8%, 35.5% and 9.7% had normal bone density, osteopenia & osteoporosis respectively. Conclusion: Understanding the intricate relationship between menopausal symptoms and bone health in gynecological cancer survivors is paramount for healthcare providers. Tailored interventions can enhance survivorship care, ensuring not only the successful management of cancer but also addressing the broader spectrum of challenges these individuals face post-treatment.