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Showing posts with label Endometrial Cancer. Show all posts
Showing posts with label Endometrial Cancer. Show all posts

Monday, October 6, 2014

Treatment of Endometrial Cancer

If the diagnosis has been clearly proven there is cancer, the doctor needs to understand the state of the disease in order to determine the most appropriate course of treatment. Factors that determine whether the tumor invaded the stage including organs around; whether the cancer has begun to spread; if it has spread, it extends to any part.
Division stage endometrial cancer include:

Stage 0: only a tumor gland enlargement, also referred to as the starting point of cancer.

Stage I: The cancer is only limited to the uterus.

Stage II: The cancer has invaded into the cervix.

Stage III: The cancer has spread to the outside of the uterus (including the vagina), but have not exceeded the pelvic bone.

Stage IV: The cancer exceeds clearly the pelvic bone or invade into the lining of the bladder or rectum.

1. Surgery : is the most commonly used to treat endometrial cancer, how should the operation adjusted to the patient's illness, surgical removal can be done the entire uterus and both attachments, can also be done more extensive operation that removal of the entire uterus and lymph node clearance the pelvic bone.

2. Radiotherapy: for those who are not fit to run operations, often used in the radiation exposure in the body cavity and outside agencies.

3. Chemotherapy is often used in patients with advanced stage inoperable or radiotherapy, and pengambuhan after therapy.
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Symptoms of Endometrial Cancer

Early stage patients do not show obvious symptoms, sometimes it just feels normal when tests or examinations oncologist. However, once symptoms appear, usually feels like the following:
1. Vaginal bleed: this is a symptom of endometrial cancer is the most common and earliest symptom encountered. Often irregular blood out, blood comes out sometimes many times a little, for women who have menopausal symptoms menstrual encountered as much, lasts a long time, for women who have menopausal symptoms encountered as vaginal bleeding.

2. Vaginal discharge: release of endometrial cancer were dead organ can result in vaginal discharge, fluid can exit such as rice soup mixed with a little blood or pus with a bad odor.

3. Pain: often occurs in patients with advanced stage, tumor pain due to nerve choke, can be felt in the lumbosacral, lower abdomen or even to foot.

4. Patients with advanced palpable enlargement of the uterus, may also lead to leg swelling and pain, anemia, thin body, fever, decreased body condition, etc..

Based on the above symptoms is followed by supporters examination, diagnosis can be performed against endometrial cancer, and therefore the woman should always be alert to changes in menstruation, vaginal secretions and the type of substance, so symptoms should immediately consult a hospital.

Diagnosis of endometrial cancer

1. Curettage Diagnosis

Pap smears are usually done first, and then checks the intrauterine new endometrial curettage performed, the sample will be included and separated into a bottle that has been marked, and delivered to the pathology examination. The results obtained are supporting pathology diagnosis of endometrial cancer.

2. Hysteroscopy

Able to directly observe the endometrial lining of lesions, and taken an active lesions suspected to be examined.

3. Catheter intrauterine

By using a catheter made ​​of special materials, or brush catheter inserted into the intrauterine secretion of substances taken for cytological examination, used for screening examinations.

4.USG: can show penginvasian muscle layer.
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Endometrial Cancer

Endometrial cancer is a malignant tumor that grows in the lining of the endometrium glands, is one of the three kinds of malignant tumors of the reproductive organs, occupies about 7% of all cancers in women, accounting for 20% - 30% of her reproductive tract malignant tumors. Endometrial cancer can grow at any age, the most common age is 58-61 years, 50% - 70% of disease after menopause. Lately cancer cases continues to increase endometrial lining, has approached even exceed cervical cancer. The possibility of cancer patients live 5 years endometrial lining 25% - 30%, re-recurrence of cancer of the endometrium lining is that most affect the likelihood of 5-year survival of patients.
Causes that trigger the growth of endometrial cancer

Until now the medical world still not sure what the cause of endometrial cancer, usually estimated as a combination of many factors, but it causes other dangerous ie: tearing of the cervix, too frequent sexual intercourse, sexual relations are chaotic, ignoring the sexual hygiene, neglect menstrual hygiene, skin covering the penis is too long mate, two types of herpes virus infection and papilloma virus infection, venereal disease, fungal infections, etc..

The group of people prone to endometrial cancer.

1. Fat person : Excessive fat can be a cause of endometrial cancer.

2. People with diabetes: patients with diabetes or those with abnormal glucose levels, the risk of endometrial cancer compared to normal people is 2.8 times as much.

3. Patients with hypertension: most endometrial cancer is also accompanied by hypertension.

4. People irregular menstruation: menstrual chaos, polynomial, risk than normal women of endometrial cancer is 3 times as much.

5. People who early menstruation and late menopause: people who start menstruating early before age 12 years compared with that after 12 years, the risk of endometrial cancer more layers of 60%, as well as late menopausal women more prone to endometrial cancer.

6. Endometrial cancer is more common in a lot of labor, have never given birth, and who can not conceive.

7. Patients with polycystic ovary syndrome.

8. Patients with ovarian tumors: can lead to irregular menstruation, bleeding after menopause and endometrial gland enlargement and even cancer endometrial glands.

9. Women who take hormones that females have a higher risk of developing endometrial cancer.
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