Endometrial cancer is a cancer that arises from the endometrium (the lining of the uterus or womb). It is the result of the abnormal growth of cells that have the ability to invade or spread to other parts of the body.
The first sign is most often vaginal bleeding not associated with a menstrual period. Other symptoms include pain with urination or sexual intercourse, or pelvic pain. Endometrial cancer occurs most commonly after menopause. The signs and symptoms of endometrial cancer include: Vaginal bleeding after menopause Bleeding between periods An abnormal, watery or blood-tinged discharge from your vagina Pelvic pain Pain during intercourse Approximately 40% of cases are related to obesity.
Endometrial cancer is also associated with excessive estrogen exposure, high blood pressure and diabetes. Whereas taking estrogen alone increases the risk of endometrial cancer, taking both estrogen and progesterone in combination, as in most birth control pills, decreases the risk. Between two and five percent of cases are related to genes inherited from the parents. The treatment of endometrial cancer varies depending on the stage of the cancer. Staging is based on the findings from the initial surgery, which involves the removal of the entire uterus and cervix (total abdominal hysterectomy), the fallopian tubes, and the ovaries. These organs are examined to determine the extent of the cancer (staging). During this operation, cells are collected from the peritoneal cavity and tested for cancer. The lymph nodes in the pelvis and surrounding areas are removed and examined for cancer. Only then is a decision made about treatment.
Treating endometrial cancer will depend on the characteristics of your cancer, such as the stage, your general health and your preferences. The other treatment methods are: Surgery, Radiation, Hormone therapy, Chemotherapy. Surgery is done to remove the uterus is recommended for most women with endometrial cancer. Most women with endometrial cancer undergo a procedure to remove the uterus (hysterectomy), as well as to remove the fallopian tubes and ovaries (salpingo oophorectomy). A hysterectomy makes it impossible for you to have children in the future. Also, once your ovaries are removed, you'll experience menopause, if you haven't already. While surgery, surgeon will also inspect the areas around your uterus to look for signs that cancer has spread. Your surgeon may also remove lymph nodes for testing. This helps determine your cancer's stage.