The emergence of endometrial cancer causes special pain for many women. This is also a serious disease. We must actively and reasonably treat, while also taking good care of daily life and diet.
Treatment of endometrial cancer
1. Surgical treatment: Priority treatment plan for endometrial cancer. The purpose of surgery is to perform surgical pathological segmentation, determine the direction of the lesion and important factors related to prognosis, and remove the cancerous uterus and other potential metastatic furnaces. Stage I patients should undergo total extrafascial hysterectomy and bilateral adnexectomy; Phase II should undergo total or extensive hysterectomy and double appendectomy, as well as pelvic and paraaortic lymph node resection; The surgical scope of advanced patients in stages III and IV is also the same as ovarian cancer, and tumor cell reduction surgery should be performed.
2. Radiotherapy: It is one of the effective methods for treating endometrial cancer, divided into two types: intracavitary irradiation and extracorporeal irradiation.
3. Progesterone therapy: mainly used for the treatment of advanced or recurrent endometrial cancer. The mechanism may be that pregnancy hormones act on cancer cells, binding with pregnancy hormone receptors to form complexes that enter the nucleus, delaying DNA and RNA replication, and inhibiting the growth of cancer cells. Commonly used medication: 200-400mg/d of oral medroxyprogesterone acetate 500mg, intramuscular injection twice a week.
4. Estrogen preparation treatment: The indications are the same as pregnancy hormones. Tamoxifen (TAM) is a non steroidal anti estrogen drug that also has weak estrogenic effects. The commonly used dose is 20-40mg/d. Tamoxifen can be used for 2 weeks to increase the progesterone receptor content before treatment with progesterone, or it can be used simultaneously with progesterone.
5. Chemotherapy: Commonly used chemotherapy drugs include cisplatin, doxorubicin, paclitaxel, cyclophosphamide, fluorouracil, mitomycin, etoposide, etc.
6. Fertility preservation therapy: The lesion is limited to endometrial, well differentiated, and pregnancy hormone positive endometrial cancer. Patients strongly demand preservation of fertility function and may consider not removing the uterus and double attachments, but using a large amount of pregnancy hormone therapy. However, this treatment is still in the clinical research stage and should not be used as a routine treatment method.
Endometrial cancer care
1. Eat a variety of foods, such as milk, eggs, fish, meat, poultry, and soy products that contain high-quality protein. Eat fruits that are rich in vitamins, and avoid high fat, cold, and spicy foods. Research has shown that high-fat foods entering the human body promote the secretion of estrogen in women, have a certain stimulating effect on the uterus, and stimulate the normal repair of the uterus. Therefore, in daily life, adhere to a low-fat diet, drink plenty of water, and avoid spicy and stimulating foods.