Sexual Health
What are the early symptoms of endometrial cancer? How to Take Good Daily Care for Patients with Endometrial Cancer
In our daily lives, we may often hear the advice of gynecological experts, such as conducting gynecological examinations to gain a better understanding of our body. Through early symptoms, we can know whether our organs have undergone lesions. Endometrial cancer is a type of cancer and is a high incidence disease among female friends.
1、 Endometrial cancer?
1. Postmenopausal vaginal bleeding: Postmenopausal bleeding or irregular vaginal bleeding is a prominent and typical symptom in patients with endometrial cancer, which occurs early. The initial bleeding is small and intermittent, with less or even at least a small amount of blood on the underwear, with intervals ranging from a few days to a few weeks. Occasionally, the bleeding can be longer. In the late stage of the disease, there is a large amount of bleeding, which exceeds the previous menstrual flow and lasts, and sometimes anemia. People who are not menopausal can experience bleeding during menstruation, with prolonged bleeding, increased menstrual volume, or completely irregular bleeding.
2. Increased vaginal discharge: increased Vaginal discharge, i.e. leucorrhea, is another symptom of endometrial cancer, sometimes the first symptom, first watery, then purulent.
3. Abdominal pain: In the initial stage, patients generally have no abdominal pain, while some patients may experience lower abdominal distension and discomfort. In the later stage, obvious abdominal pain may occur due to tumor invasion and compression of nerves in the pelvic cavity. When secondary infection and pus accumulation occur in the uterine cavity, spasmodic abdominal pain may occur.
2、 How to treat it?
1. Operative treatment is preferred. Stage I patients should undergo extrafascial total hysterectomy and bilateral adnexectomy, and stage II patients should undergo extensive total Hysterectomy and pelvic lymph node resection.
2. Cancer cells and muscle long layers with cancer infiltration and lymph node metastasis were found in the ascites of stage I patients undergoing surgery and radiation therapy. Extracorporeal irradiation was added after surgery. Stage II or some stage III patients should receive external or intracavitary irradiation before surgery, and surgery should be performed 1-2 weeks after the end of radiotherapy.
3. Radiotherapy can be used for elderly and frail individuals with severe medical complications who cannot tolerate surgery, as well as those with stage III or above who are not suitable for surgery, including intracavitary and extracorporeal irradiation.
4. Hormone treatment: young and early patients who require to preserve their reproductive function, patients with advanced cancer who cannot be operated or who have cancer recurrence can be treated with large doses of synthetic Progestogen, medroxyprogesterone acetate 400mg, Intramuscular injection, 2 to 3 times a week of medroxyprogesterone acetate 500mh, Intramuscular injection, 2 to 3 times a week, etc. At least 12 weeks are required to evaluate the efficacy.