Endometrial Cancer

Endometrial cancer, also known as early-stage uterine cancer,  is confined to the uterus and has not yet spread to nearby organs. Early-stage uterine cancer, while serious, is highly treatable and often curable. Recognizing symptoms early and seeking timely medical advice are key steps in managing the condition effectively.

What is Endometrial Cancer?

Endometrial cancer affects the lining of the uterus and begins in the layer of cells that form the lining of the uterus, called the endometrium. 

Other types of cancer can form in the uterus, including uterine sarcoma, which develops in the myometrium, the muscle wall of your uterus, but is rare.

The uterus is part of the reproductive system of women where a fetus develops during pregnancy. The top part of the uterus is called the body or corpus. At the end of the uterus is the cervix, connecting it to the vagina. Uterine cancer refers to cancer in the body of your uterus. Cancer in your cervix — cervical cancer — is a different type of cancer.

Symptoms of endometrial cancer:

  • Vaginal bleeding after menopause.
  • Bleeding between periods before menopause
  • Lower abdominal pain or cramping in your pelvis, just below your belly.
  • Thin white or clear vaginal discharge if you’re postmenopausal.
  • Pelvic pain that can often be severe

Stages of Uterine Cancer:

Traditional surgeries best suited for laparoscopic surgeries include:

Stage I cancer hasn’t spread beyond your uterus.
Stage II cancer has spread to your cervix.
Stage III cancer has spread to your vagina, ovaries and/or lymph nodes.
Stage IV cancer has spread to your bladder or other organs far away from your uterus.

What type of surgery is suggested for uterine cancer?

Usually, after all tests and examinations are conducted, and if uterine cancer is detected, then surgery is the primary treatment for endometrial cancer. Most likely, a hysterectomy is suggested. There are four types of hysterectomy procedures:

  • Total abdominal hysterectomy: The surgeon makes an incision (cut) in your abdomen to access and remove your uterus.
  • Vaginal hysterectomy: The surgeon removes your uterus through your vagina.
  • Radical hysterectomy: If cancer has spread to your cervix, you may need a radical hysterectomy. The surgeon removes your uterus and the tissues next to your uterus. The surgeon also removes the top part of your vagina, next to your cervix.
  • Minimally invasive hysterectomy: The procedure involves the laparoscopy or robotic arms and is popularly know as the Laparoscopic-Assisted Vaginal Hysterectomy (LAVH)

FAQs

Can a Pap test diagnose uterine cancer?

No. The Pap test (Pap smear) doesn’t screen for or diagnose uterine cancer. It checks for cervical cancer.

Do I need to have my ovaries removed?

Many menopausal women who have uterine cancer need their ovaries removed. But if you’re younger than 45 and premenopausal, you should discuss with the doctor whether to keep or remove the ovaries.

What are the warning signs of uterine cancer?

Abnormal or irregular bleeding includes bleeding between periods if you still menstruate and bleeding or spotting if you’re postmenopausal. 

Does uterine cancer spread quickly?

Type 1 cancers don’t spread quickly. Type 2 cancers can spread quickly and may require more aggressive treatment.

At what age is endometrial cancer most common?

Endometrial cancer is most common in people who’ve gone through menopause. The average age of menopause is 51.

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