Post Date November, 16 2024
Endometrial cancer is a familiar gynecological disease and a serious malignant tumor. Patients may also experience abnormal changes after illness, and it is necessary to immediately undergo examination and diagnosis.
What is endometrial cancer
Endometrial cancer is a group of epithelial malignant tumors that occur on the endometrium and is one of the three major malignant tumors in the female reproductive tract. Adenocarcinomas originating from endometrial glands are the most common.
The incidence of endometrial cancer accounts for 7% of all malignant tumors in women, and 20% -30% of malignant tumors in the female reproductive tract. Endometrial cancer can be divided into two types: estrogen dependent and non estrogen dependent, with the former being more common.
Symptoms of endometrial cancer
1. Menstrual abnormalities: The most common is irregular vaginal bleeding, which is not cleaned immediately and starts with a small amount of bleeding. As the condition progresses, the amount of bleeding increases, but large amounts of bleeding are rare. Patients without menopause may experience an increase in menstrual flow, an extension of the menstrual period, frequent periods, and intermittent periods; People who have already menopaused and experience vaginal bleeding, which is medically referred to as irregular vaginal bleeding after menopause, should first be alert to the possibility of endometrial cancer in the uterus.
2. Abnormal vaginal discharge: A small number of people may experience an increase in vaginal discharge, which can appear as pale blood in the early stages; Late stage co infection may result in pus like discharge and a foul odor.
3. Pain: Generally, endometrial cancer does not cause pain, but in advanced stages, it may invade nearby organs and nerves, or cause compression symptoms due to the large size of the tumor, which may cause lower abdominal pain, lower back, legs, feet, and other areas of pain.
4. Late stage lean and fever: symptoms such as general weakness, pale complexion, and anemia may also occur, known as cachexia.
Endometrial cancer examination
1. Medical history and clinical manifestations: Vaginal bleeding after amenorrhea and menstrual disorders during the menopausal transition period should be ruled out, and benign diseases should be managed.
2. Ultrasound examination: Vaginal ultrasound examination can determine the size of the uterus, the shape of the uterine cavity, whether there are any vegetations in the uterine cavity, the thickness of the endometrium, and whether the muscle layer is infiltrating and deep, providing reference for clinical diagnosis and management. The ultrasound image of endometrial cancer shows uterine enlargement, substantial uneven echogenic areas within the uterine cavity, disappearance of uterine cavity lines, and irregular echogenic areas within the muscle layer. The color Doppler display can see a mixture of speckled and rod-shaped blood flow signals, with high flow velocity and variable direction spectrum analysis as low impedance blood flow spectrum.
