Is the surgical effect good for endometrial cancer? Five Ikh Khorig for postoperative diet

The emergence of endometrial cancer causes special pain to many patients, and it is also a serious disease. We need to provide reasonable treatment based on the patient's condition, especially after surgery, and pay attention to daily care.

Treatment principles for endometrial cancer

The appropriate treatment method is selected based on the patient's age, physical condition, lesion range, and histological type. The vast majority of endometrial cancer is adenocarcinoma, which is not very sensitive to radiation therapy. Therefore, surgery is the main treatment, which can be combined with radiotherapy, chemotherapy, drugs (chemotherapy, hormones, etc.), biological therapy, and other comprehensive treatments.

Treatment of endometrial cancer

1. Surgical treatment: Prioritize treatment methods, especially for early cases. Stage I patients should undergo extended (extrafascial) total Hysterectomy and bilateral adnexectomy. In stage II, extensive Hysterectomy and bilateral pelvic and paraaortic lymph node dissection should be performed.

2. Surgical radiation therapy: In stage I patients, cancer cells and infiltration of the deep muscle layer were found in the ascites, with suspicious or metastatic lymph nodes. Postoperative radiation therapy is required. II. Phase II patients can receive preoperative intracavitary or extracorporeal irradiation based on the size of the lesion. Surgery should be performed within 1-2 weeks after the completion of radiation therapy. Surgery will be performed 4 weeks after the end of external irradiation.

3. Radiation therapy: Adenocarcinoma is not sensitive to radiation, but elderly patients and those with severe complications who cannot tolerate surgery and stage III and IV cases can consider radiation therapy, which has certain effects. Radiation therapy should include both indoor and external irradiation.

4. Progestogen treatment: For patients with advanced or recurrent cancer, those who cannot be resected surgically, or those who are young, early, and require to retain reproductive function, Progestogen treatment can be considered. The dosage of progesterone should be large. For endometrial cancer with good differentiation, slow growth, and high estrogen Progestogen receptor content, progesterone treatment effect is good. The side effects are mild, but can cause retention of water and sodium, edema, drug-induced hepatitis, etc., and gradually improve after drug withdrawal.

5. Treatment with anti estrogen preparations: Tamoxifen 10-20mg, taken orally twice a day, for long-term or divided treatment courses. Tamoxifen has the effect of promoting the increase of Hormone receptor level in pregnancy. The side effects include Bone marrow suppression of amenorrhea syndrome such as damp heat, cold, irritability, etc. The other side effects include dizziness, nausea, vomiting, irregular vaginal bleeding, amenorrhea, etc.