Many women choose minimally invasive operations that enable them to go home the same or the following day and offer such benefits as decreased pain and relatively fast recovery. Our innovative approach to identifying and removing only the necessary lymph nodes during surgery is an option that many women with early-stage uterine cancer select. For women whose cancers are more advanced and require additional treatments following surgery, our medical oncologists are investigating chemotherapy regimens using novel drugs and drug combinations available through our clinical trials.
Our Fertility Preservation experts can often guide women to options that help preserve fertility before undergoing treatment. Uterine Endometrial Cancer. Uterine Endometrial Cancer Diagnosis. Overview Stages of Uterine Endometrial Cancer. Uterine Endometrial Cancer Treatment. Living Beyond Uterine Endometrial Cancer. Pelvic lymph node dissection — removal of some lymph nodes from the pelvis. Para-aortic lymphadenectomy — removal of lymph nodes that surround the aorta, the main artery of the heart.
Laparoscopic lymph node sampling — removal of lymph nodes through a narrow viewing tube called a laparoscope, which is inserted through a small incision cut in the abdomen belly. Sentinel lymph node mapping — use of fluorescent imaging to identify potentially cancerous lymph nodes that would otherwise go undetected. Radiation therapy : the use of X-rays, gamma rays and charged particles to fight cancer. Brachytherapy and external beam radiation are the most common radiation therapies used to treat endometrial cancer.
Novel techniques in image-based brachytherapy with directed magnetic resonance MR guidance offer better patient outcomes and fewer side effects. Chemotherapy : the use of anticancer drugs to treat cancerous cells. Hormone therapy : medication or surgical procedures that interfere with hormone activity.
Gynecologic cancers can often be difficult to treat, with traditional therapies — surgery, chemotherapy, radiation — becoming less effective with the recurrence of disease. Immunotherapy has been showing promise in this area, though, particularly for endometrial cancer.
Health Home Conditions and Diseases. What You Need to Know Endometrial cancer starts in the lining of the uterus — the endometrium. What is endometrial cancer? Types of Endometrial Cancer Endometrial cancers are usually grouped into one of four categories: p53 mutation POLE mutation Copy number high Copy number low Clinical trials are being used to assess treatments for cancers found within each of these groups, including novel immunotherapy trials.
The purpose of these visits is to make sure that you stay healthy. A healthy lifestyle is recommended after cancer treatment. Several studies have found that obesity, high blood pressure, and diabetes can contribute to long-term health risks for women with type 1 endometrial cancer. A healthy diet and regular exercise can help lower these risks.
Abnormal Uterine Bleeding: Bleeding from the uterus that is different from what is normal for a woman who is not pregnant. This bleeding may vary in how long, how regular, and how often it occurs. BMI is used to determine whether a person is underweight, normal weight, overweight, or obese. Endometrial Biopsy: A procedure in which a small amount of the tissue lining the uterus is removed and examined under a microscope.
Endometrial Intraepithelial Neoplasia EIN : A precancerous condition in which areas of the lining of the uterus grow too thick. Fallopian Tubes: Tubes through which an egg travels from the ovary to the uterus.
The gene is the basic unit of heredity and can be passed from parent to child. Hormones: Substances made in the body that control the function of cells or organs. Hysteroscope: A thin, lighted telescope that is used to look inside the uterus and do procedures. Lymph Nodes: Small groups of special tissue that carry lymph, a liquid that bathes body cells. Lymph nodes are connected to each other by lymph vessels.
Together, these make up the lymphatic system. Menopause is confirmed after 1 year of no periods. Ovaries: Organs in women that contain the eggs necessary to get pregnant and make important hormones, such as estrogen, progesterone, and testosterone.
Progesterone: A female hormone that is made in the ovaries and prepares the lining of the uterus for pregnancy. Progestin: A synthetic form of progesterone that is similar to the hormone made naturally by the body. Stage: Stage can refer to the size of a tumor and the extent if any to which the disease has spread. Transvaginal Ultrasound Exam: A type of ultrasound in which the device is placed in your vagina. Uterus: A muscular organ in the female pelvis. During pregnancy, this organ holds and nourishes the fetus.
Copyright by the American College of Obstetricians and Gynecologists. All rights reserved. Your doctor can help you identify the cause of your symptoms and recommend appropriate treatment, if needed.
When a person is diagnosed with endometrial cancer, the stage of the cancer affects what treatment options are available and the long-term outlook. Endometrial cancer is easier to treat in the early stages of the condition. If you develop symptoms that might be endometrial cancer, make an appointment with your primary care doctor or gynecologist. A gynecologist is a special type of doctor that focuses on the female reproductive system.
Your doctor will ask you about your symptoms and medical history. They will perform a pelvic exam to look and feel for abnormalities in your uterus and other reproductive organs. To check for tumors or other abnormalities, they may order a transvaginal ultrasound exam. An ultrasound exam is a type of imaging test that uses sound waves to create pictures of the inside of your body. To perform a transvaginal ultrasound, your doctor or other healthcare professional will insert an ultrasound probe into your vagina.
This probe will transmit images onto a monitor. If your doctor detects abnormalities during the ultrasound exam, they may order one or more of the following tests to collect a sample of tissue for testing:. After collecting a sample of tissue from your endometrium, your doctor will send it to a laboratory for testing.
A laboratory professional will examine the sample under a microscope to learn if it contains cancer cells. If you have endometrial cancer, your doctor will likely order additional tests to learn if the cancer has spread. For example, they might order blood tests , x-ray tests , or other imaging tests.
There are several treatment options available for endometrial cancer. There are potential benefits and risks associated with each treatment option. Your doctor can help you understand the potential benefits and risks of each approach. Endometrial cancer is often treated with a type of surgery known as hysterectomy.
During hysterectomy, a surgeon removes the uterus. They might also remove the ovaries and fallopian tubes, in a procedure known as a bilateral salpingo-oophorectomy BSO. Hysterectomy and BSO are typically performed during the same operation. To learn if the cancer has spread, the surgeon will also remove nearby lymph nodes. This is known as lymph node dissection or lymphadenectomy. If the cancer has spread to other areas of the body, the surgeon might recommend additional surgeries.
Radiation therapy uses high-energy beams to kill cancer cells. Your doctor might recommend one or both types of radiation therapy after surgery. This can help kill cancer cells that might remain after surgery. In rare cases, they might recommend radiation therapy before surgery.
This can help shrink tumors to make them easier to remove.
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