Is surgery necessary for endometrial cancer?

Written by Du Rui Xia
Obstetrics
Updated on September 16, 2024
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For endometrial cancer, surgery is generally recommended as the first choice, because early-stage endometrial cancer can largely be cured through surgical treatment. Besides surgery, other options include medication, radiation therapy, and chemotherapy, which are used for mid to late stages or in conjunction with surgery in early stages. When treating endometrial cancer, the treatment method should be chosen based on the specific condition and stage of the patient. In early-stage endometrial cancer, surgery is the preferred treatment. Therefore, aside from surgical treatment, patients should choose medication, radiation therapy, or chemotherapy based on their specific conditions.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Endometrial cancer requires chemotherapy.

If endometrial cancer has high-risk factors, chemotherapy is needed after surgery if these high-risk factors are found in the pathological staging. If it's early-stage endometrial cancer without these high-risk factors, chemotherapy might not be necessary after surgery because chemotherapy also serves to prevent recurrence and metastasis. Therefore, it is advised that patients with high-risk factors in endometrial cancer undergo chemotherapy. Although chemotherapy may have significant side effects, it can improve the survival time and quality of life for cancer patients. The decision to proceed with chemotherapy should be based on the postoperative pathological staging, biopsy results, and the presence or absence of factors like lymph node metastasis.

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Written by Li Lin
Obstetrics and Gynecology
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Stage IA endometrial cancer

Endometrial cancer is a group of epithelial malignant tumors that occur in the endometrium. Clinically, the surgical pathology staging revised by the World Health Organization in 2000 is mainly used, based on the severity of the lesion after surgery. Endometrial cancer can be divided into four stages, where, depending on the size and severity of the lesion, it can further be classified into sub-stages a, b, and c. Stage IA refers to cancer limited to the endometrium and is the earliest stage of endometrial cancer. Stage IA endometrial cancer can be completely cured with surgical treatment.

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Written by Du Rui Xia
Obstetrics
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Can endometrial cancer patients become pregnant?

After the occurrence of endometrial cancer, it is not possible to become pregnant. This is because, after pregnancy, a woman's immunity decreases, and her resistance to illness declines. This will affect the woman's health and may exacerbate the condition of endometrial cancer. Additionally, women with endometrial cancer, even if they become pregnant, may experience miscarriages as the embryo cannot develop normally, and even many harmful symptoms might occur, affecting the woman's health. Therefore, women with endometrial cancer should take contraceptive measures to prevent unintended pregnancies.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is a thick endometrium the same as cancer?

Endometrial thickening is not necessarily cancerous. Causes of endometrial thickening generally include irregular hyperplasia or endometrial polyps, both of which can lead to thickening of the endometrium, but this is not necessarily indicative of cancer. Whether it is endometrial cancer is usually determined if patients with endometrial thickening do not show clear improvement after treatment with medication. Typically, a curettage procedure is performed to collect tissue for pathological examination. If the pathology report indicates endometrial cancer or precancerous lesions, then it will be reported. Therefore, endometrial thickening is not necessarily indicative of endometrial cancer, and it can occur with conditions like endometrial polyps or irregular endometrial hyperplasia. Treatment at this stage should be based on the pathological results. Thus, while endometrial thickening should be taken seriously, it is not necessarily cancerous.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Are uterine polyps and endometrial cancer the same?

Endometrial polyps and endometrial cancer are different. First, both can be induced by hormonal imbalances in the body, but endometrial polyps may also involve inflammatory elements, leading to the formation of polyps. Additionally, the age of onset differs; endometrial polyps are more common in women of reproductive age, whereas endometrial cancer typically occurs after the age of 45. Furthermore, their clinical manifestations vary. Women with endometrial polyps mainly experience changes in menstrual cycles and infertility, and generally, endometrial polyps grow slowly. In contrast, women with endometrial cancer mainly experience abdominal pain, heavy vaginal discharge, or bleeding. In advanced stages, women may exhibit signs of cachexia. These two conditions can be differentiated through diagnostic curettage.