Seven methods to determine endometrial cancer: these four characteristics are signals emitted by the body

Endometrial cancer is a familiar gynecological disease and a serious malignant tumor that needs to be taken seriously, especially after physical discomfort, it must be immediately examined.

Symptoms of endometrial cancer

1. Abnormal menstruation: The most common type is irregular vaginal bleeding, which can cause excessive or irregular bleeding. The initial amount of bleeding is not significant, and as the condition progresses, the amount of bleeding will increase. However, it is rare to experience significant bleeding. Patients without amenorrhea have increased menstrual flow, prolonged menstrual period, and intermittent amenorrhea. Patients with irregular vaginal bleeding after amenorrhea are alert to the possibility of endometrial cancer.

2. Abnormal vaginal discharge: In a few people, there is an increase in vaginal discharge, and there are many symptoms. In the early stage, it can be like pale blood and water, and in the late stage, there may be a purulent discharge with a foul odor.

3. Pain: Generally, endometrial cancer does not cause pain, but in the later stages, people will invade nearby organs and nerves, with a large tumor that produces compression symptoms, causing lower abdominal pain, pain in the waist, feet, and other parts.

4. Late stage lean and fever: symptoms such as general weakness, pale complexion, and anemia may also occur, known as cachexia.

Endometrial cancer examination

1. Medical history: Most of the patients with endometrial cancer are elderly women, and the infertility or delivery frequency is low due to delayed menopause or irregular menstruation. For young patients with irregular vaginal bleeding due to postmenopausal vaginal bleeding or irregular discharge odor associated with obesity, hypertension, and diabetes, it is also necessary to carefully find out the causes, especially for those who are ineffective after treatment. Vaginal discharge and abdominal pain are already late symptoms.

2. Clinical examination: Early general gynecological examinations often fail to detect anything, with a small uterine body, smooth cervix, and no abnormalities in the appendix. In the late stage of the disease, the uterus is older than the corresponding age, and some cases have bloody leukorrhea or decaying cancer tissue on their fingertips after double diagnosis; Some can already see protruding polyp like masses at the cervical opening. However, endometrial cancer can coexist with uterine fibroids, so those with an oversized uterus may not necessarily be advanced endometrial cancer.

3. Cytology examination: The diagnostic rate of vaginal cytology examination for endometrial cancer is lower than that for cervical cancer. The reasons are: ① columnar epithelial cells do not often shed; ② exfoliated cells dissolve, denature, and are not easily recognized when they reach the vagina through the cervical canal; ③ sometimes the cervical canal is narrow and blocked, making it difficult for exfoliated cells to reach the vagina. In order to improve the positive diagnosis rate, many scholars have improved the location and method of using specimens, and with the improvement of diagnostic technology, the positive diagnosis rate of uterine thyroid cancer has also significantly increased.