Is There a Relation Between Family History of Different Types of Cancers with the Development of Endometrial Cancer and Menopausal State?

Section: Research Paper
Published
Dec 29, 2025
Pages
194-199

Abstract

Objectives: To determine whether the family's history of colonic, uterine, breast, or other malignancies raises the risk of developing cancer of the endometrium in women in Nineveh Province, northern Iraq.


Subjects and Methods: A case-control study included 300 female participants: 100 with endometrial cancer and 200 age-matched controls. The researcher identified and selected cases from the medical records of the Oncology and Nuclear Medicine Hospital and its departments, then contacted them directly via phone. For the controls, the data were obtained during direct interviews with participants who were attending the local hospitals in Nineveh Province for non-neoplastic and non-gynecological conditions.


Results: The associations between familial history of colonic, uterine, or breast cancer in the first degree and the occurrence of cancer of the endometrium in the study sample groups revealed a risky association with a statistically significant difference (OR = 29.74, 95% CI = 3.83; 230.87, P > 0.001); (OR = 6.38, 95% CI = 2.71; 15.01, P > 0.001); (OR = 3.92, 95% CI = 1.83; 8.39, P = 0.002), respectively. However, no statistically significant difference exists between the occurrence of endometrial cancer and other forms of cancer. Furthermore, there is no statistically significant association between the family's history of cancer and menopausal status.


Conclusion: According to the study, a first-degree relative's family history of colonic, uterine, or breast cancer is significantly associated with an elevated risk of endometrial cancer. However, other malignancies and menopausal status have non-significant associations.

References

  1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49. https://doi.org/10.3322/caac.21660
  2. Adxamovna AM. Endometrial cancer (cancer of the uterus)-symptoms and treatment. Int J Med Sci. 2024;4(09):12–7.
  3. https://www.academicpublishers.org/journals/index.php/ijms/article/download/1187/1725/3394
  4. American cancer society. "Endometrial Cancer Risk Factors"; 2024.
  5. https://www.cancer.org/cancer/types/endometrial-cancer.html
  6. Johnatty SE, Tan YY, Buchanan DD, Bowman M, Walters RJ, Obermair A, et al. Family history of cancer predicts endometrial cancer risk independently of Lynch Syndrome: Implications for genetic counselling. Gynecol Oncol. 2017;147(2):381–7.
  7. https://doi.org/10.1016/j.ygyno.2017.08.011
  8. Arora N. Hereditary endometrial cancers. Recent Adv Endometrial Cancer. 2020;77–95.
  9. https://link.springer.com/chapter/10.1007/978-981-15-5317-2_4
  10. Stadler ZK, Robson ME. Inherited predisposition to endometrial cancer: moving beyond Lynch syndrome. Vol. 121, Cancer. Wiley Online Library; 2015. p. 644–7.
  11. https://doi.org/10.1002/cncr.29107
  12. Win AK, Reece JC, Ryan S. Family history and risk of endometrial cancer: a systematic review and meta-analysis. Obstet & Gynecol. 2015;125(1):89–98. https://journals.lww.com/greenjournal/toc/2015/01000 DOI: 10.1097/AOG.0000000000000563
  13. Bharati R, Jenkins MA, Lindor NM, Le Marchand L, Gallinger S, Haile RW, et al. Does risk of endometrial cancer for women without a germline mutation in a DNA mismatch repair gene depend on family history of endometrial cancer or colorectal cancer? Gynecol Oncol. 2014;133(2):287–92. https://doi.org/10.1016/j.ygyno.2014.03.011
  14. Hemminki K, Zhang H, Sundquist J, Lorenzo Bermejo J. Modification of risk for subsequent cancer after female breast cancer by a family history of breast cancer. Breast Cancer Res Treat. 2008;111:165–9.
  15. https://link.springer.com/article/10.1007/s10549-007-9759-5
  16. Clarke MA, Long BJ, Sherman ME, Lemens MA, Podratz KC, Hopkins MR, et al. A prospective clinical cohort study of women at increased risk for endometrial cancer. Gynecol Oncol. 2020;156(1):169–77.
  17. https://doi.org/10.1016/j.ygyno.2019.09.014
  18. Olson JE, Sellers TA, Anderson KE, Folsom AR. Does a family history of cancer increase the risk for postmenopausal endometrial carcinoma? A prospective cohort study and a nested case--control family study of older women. Cancer Interdiscip Int J Am Cancer Soc. 1999;85(11):2444–9. https:// doi.org/10.1002/(SICI)1097-0142(19990601) 85:11%3C2444::AID-CNCR20%3E3.0.CO;2-M
  19. Yousif A, Mulla ZD, Pudar J, Elshaikh M, Khalil-Moawad R, Elshaikh MA. First-degree family history of cancers in patients with stage I endometrial carcinoma. Prevalence and prognostic impact. Arch Gynecol Obstet. 2024;1–8. https://link.springer.com/article/10.1007/s00404-024-07728-3
  20. Green RW, Fischerová D, Testa AC, Franchi D, Frühauf F, Lindqvist PG, et al. Sonographic, Demographic, and Clinical Characteristics of Pre-and Postmenopausal Women with Endometrial Cancer; Results from a Post Hoc Analysis of the IETA4 (International Endometrial Tumor Analysis) Multicenter Cohort. Diagnostics. 2023;14(1):1. https://doi.org/10.3390/diagnostics14010001

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1.
Abdulwahhab ZD, Zubeer HGI. Is There a Relation Between Family History of Different Types of Cancers with the Development of Endometrial Cancer and Menopausal State?. Ann. coll. Med. Mosul [Internet]. 2025 Dec. 29 [cited 2026 Jan. 2];47(2):194-9. Available from: https://mmed.uomosul.edu.iq/index.php/mmed/article/view/60195