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PATHOPHYSIOLOGY

Etiology

INITIATORS PROMOTERS
• Chronic exposure to ionizing • Nulliparous
radiation • Age- post
• Familial history menopausal (most
• Race (whites) common)
• Diet- high intake of
• Hormonal imbalance (↑levels of animal fat
extrogen)
• Obesity
• Drugs (tamoxifen)
• Other diseases- HPN,
• Estrogen replacement therapy
DM, colon cancer,

Prolonged exposure of endometrial


cells to initiators

Structural damage of
DNA

I Mutation of genes that control normal


growth and replication
N
I Failure of DNA repair
T
I Defective growth inhibitory regulatory Activation of growth promoting
A genes regulatory genes
T
I
O
N Unregulated cellular proliferation
and differentiation
Further aggravation caused by
promoters
Transformation of normal cells to
initiated cells

L
Further dysfunction of the cellular
A proliferation and differentiation
T
E
Formation of malignant neoplasm
N
C
Y

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