How to perform surgery for endometrial cancer

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 09, 2024
00:00
00:00

Surgical treatment for endometrial cancer needs to be determined based on the specific stage and type of the cancer, as well as the size of the lesions. If the lesions are small and the cancer is in an early stage, a complete hysterectomy including the removal of both fallopian tubes and ovaries can be performed. Intraoperative pathology assessment of the endometrium is also necessary to determine the specific pathological type. If it is a special type of endometrial cancer, it is also necessary to clear the pelvic lymph nodes. If the endometrial cancer is at a later stage and the lesions are larger, then in addition to the removal of the uterus and both fallopian tubes and ovaries, it is also necessary to clear the lymph nodes around the abdominal aorta in the pelvis.

Other Voices

doctor image
home-news-image
Written by Xu Xiao Ming
Obstetrics and Gynecology
53sec home-news-image

Stage IB endometrial cancer treatment

Endometrial carcinoma Stage IB refers to tumors localized to the body of the uterus, where tumor infiltration is less than half of the myometrium. Surgical treatment is feasible for this stage and involves a slightly extensive total hysterectomy coupled with bilateral adnexectomy. During the surgery, a frozen section pathology test should be conducted. If the pathology report from the frozen section indicates special types of endometrial-like cancer, including papillary serous adenocarcinoma, clear cell carcinoma, squamous cell carcinoma, carcinosarcoma, and undifferentiated carcinoma, additional procedures are required. Moreover, if enlarged para-aortic or common iliac lymph nodes are palpated during the surgery, lymphadenectomy of the pelvic and para-aortic lymph nodes should be performed.

doctor image
home-news-image
Written by Li Lin
Obstetrics and Gynecology
43sec home-news-image

Are uterine cancer and endometrial cancer the same?

Uterine cancer is divided into cervical cancer and endometrial cancer. Cervical cancer is a malignant tumor that occurs in the epithelium and glandular tissue of the cervix, while endometrial cancer is a group of epithelial malignant tumors that occur in the endometrium. The two types of cancer differ due to their different sites of origin. Accordingly, the examination and treatment methods adopted are also not completely the same based on the different sites of origin. However, both cervical and endometrial cancers are primarily treated with surgery, followed by corresponding radiotherapy and chemotherapy.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
44sec home-news-image

Early symptoms of endometrial cancer

When endometrial cancer occurs in women, it first manifests as abnormal proliferation of the endometrium, increased endometrial surface area, and increased secretions, which can increase the pressure inside the uterine cavity, leading to lower abdominal pain in women. Most women can tolerate this pain, but it tends to worsen during vigorous activities or sexual intercourse. Vaginal discharge may become watery and increase. Additionally, some women may experience increased menstrual flow or irregular vaginal bleeding. Over time, this can lead to blood loss anemia in women, manifesting as dizziness, fatigue, and changes in appetite.

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
45sec home-news-image

Endometrial cancer leukorrhea symptoms

The main manifestation of endometrial discharge is an increase in the amount of discharge, which can be watery or bloody. Sometimes, it can also appear as pus-blood-like discharge. Another main symptom of endometrial cancer is irregular vaginal bleeding. During an ultrasound, uneven echoes can be seen within the uterine cavity. The patient may also experience pain in the lower abdomen and increased menstrual flow. Therefore, if there are abnormalities in menstruation or unusual vaginal discharge, it is necessary to promptly go to the hospital for an ultrasound and gynecological examinations, and receive treatment based on the results of these tests.

doctor image
home-news-image
Written by Liu Jian Wei
Obstetrics and Gynecology
30sec home-news-image

What to do about endometrial cancer pain?

Endometrial cancer, when cancerous tissues invade local nerves, can cause patients to experience pain. This type of pain is recommended to be alleviated by oral painkillers. Pain caused by cancer is an important factor affecting the quality of life of patients in the middle and late stages of the disease; therefore, in clinical practice, analgesic medications can be administered to relieve symptoms in patients with cancer pain. (Please take medications under the guidance of a doctor.)