Can B-ultrasound detect endometrial cancer? Introduce several commonly used examination items

Endometrial cancer is a familiar gynecological disease and a serious malignant tumor. After abnormal conditions occur, we need to conduct timely and reasonable examinations to diagnose it.

Symptoms of endometrial cancer

1. Irregular bleeding: Vaginal bleeding is the main symptom of endometrial cancer, often in small to moderate amounts. In young women or perimenopausal women, it is often mistaken for menstrual irregularities and ignored. After menopause, women mainly exhibit continuous or intermittent vaginal bleeding. Some patients only exhibit a small amount of vaginal bloody discharge after amenorrhea. Late stage patients may mix rotting fleshy tissue with bleeding.

2. Vaginal discharge: Some patients have varying degrees of vaginal discharge. In the early stage, it can manifest as thin white secretions or a small amount of bloody discharge, combined with infection or cancer furnace necrosis, and purulent secretions with a strange odor. Sometimes vaginal discharge can accompany tissue samples.

3. Pain: Cancer stoves and the bleeding they cause stimulate uterine contractions, causing paroxysmal abdominal pain. After amenorrhea, cervical stenosis in women can cause poor drainage of uterine secretions, leading to secondary infection and accumulation of pus in the uterine cavity. Patients can experience severe lower abdominal pain and fever. The late stage cancer tissue of the tumor infiltrates the entire layer of the uterus, or invades the adjacent connective tissue, cervical ligaments, bladder, intestines, or compresses the pelvic wall tissue or nerves, causing persistent and gradually worsening pain, accompanied by lumbosacral pain or radiating to the lower limbs on the same side.

4. Abdominal mass: Early endometrial cancer generally cannot contact the abdominal mass. When endometrial cancer combines with large uterine fibroids, or in the late stage, there is pus accumulation in the uterine cavity, which metastasizes to the pelvic and abdominal cavity to form a huge mass (ovarian metastasis, etc.), the abdomen may come into contact with the mass, which is generally solid, with poor mobility, and sometimes tenderness.

5. Other tumors: Late stage lesion infiltration and compression of iliac blood vessels can cause swelling and pain in the ipsilateral lower limb. Lesion infiltration and compression of the ureter can cause hydronephrosis in the ipsilateral pelvis and ureter, and even cause renal atrophy. Persistent bleeding can cause long-term tumor consumption of secondary anemia

6. Vaginal bleeding after amenorrhea: This is a typical symptom of endometrial cancer patients, which occurs early. The initial bleeding is small, intermittent, sometimes even at least, with only a small amount of blood on the underwear. The amount of bleeding in the late stage of the lesion is large, exceeding the previous menstrual flow and persisting, sometimes resulting in anemia. People who are not menopausal can experience bleeding during menstruation, with prolonged bleeding, increased menstrual volume, or completely irregular bleeding.