Post Date April, 19 2023
Endometrial cancer is a serious gynecological disease that not only affects the normal life of patients, but also poses a serious threat to their health and safety. Reasonable treatment must be taken seriously.
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. Phase I patients should undergo total extrafascial hysterectomy and bilateral adnexectomy. Phase II patients should undergo total or extensive hysterectomy and bilateral adnexectomy, as well as pelvic and paraaortic lymph node resection. The surgical scope for phase III and IV patients is also the same as for ovarian cancer, and tumor cell reduction surgery should be performed.
2. Radiation therapy: It is one of the effective methods for treating endometrial cancer, divided into indoor irradiation and external irradiation.
3. Pregnancy hormone therapy: mainly used for the treatment of late 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. Common drugs: oral administration of 200-400mg/d medroxyprogesterone 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: For endometrial cancer with lesions limited to the endometrium, high differentiation, and positive progesterone receptors, patients insist on preserving fertility function and may consider using high-dose progesterone therapy without removing the uterus and double appendages. However, this treatment is still in the clinical research stage and should not be considered a normal treatment method.
Endometrial Cancer Dietary Therapy
1. Bitter gourd tea
Ingredients: 1 fresh bitter gourd and an appropriate amount of green tea.
Method: Remove the flesh of bitter gourd, add an appropriate amount of green tea, and hang the melon in a well ventilated place in shade. Then wash and dry the exterior of the dried bitter gourd, cut it into small pieces along with the tea leaves, and mix well. 10g/time, brewed with boiling water, daily substitute for tea.
