Obesity and gynecological cancers: A toxic relationship

Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1(Suppl 1):123-134. doi: 10.1002/ijgo.13870.

Abstract

Despite the evidence supporting the relevance of obesity and obesity-associated disorders in the development, management, and prognosis of various cancers, obesity rates continue to increase worldwide. Growing evidence supports the involvement of obesity in the development of gynecologic malignancies. This article explores the molecular basis governing the alteration of hallmarks of cancer in the development of obesity-related gynecologic malignancies encompassing cervical, endometrial, and ovarian cancers. We highlight specific examples of how development, management, and prognosis are affected for each cancer, incorporate current knowledge on complementary approaches including lifestyle interventions to improve patient outcomes, and highlight how new technologies are helping us better understand the biology underlying this neglected pandemic.

Keywords: FIGO Cancer Report; carcinogenesis; endometrial neoplasms; obesity; ovarian neoplasms; prognoses; treatment outcome; uterine cervix neoplasms.

MeSH terms

  • Endometrial Neoplasms*
  • Female
  • Genital Neoplasms, Female* / epidemiology
  • Humans
  • Obesity / complications
  • Obesity / epidemiology
  • Ovarian Neoplasms* / epidemiology
  • Ovarian Neoplasms* / etiology
  • Uterine Cervical Neoplasms*