What are the treatments for endometrial cancer

Endometrial cancer makes many women become extremely depressed after the disease, and they hardly have the courage to live. Don't give up, there are many ways to treat endometrial cancer, here are the endometrial cancer treatment methods I've compiled for you, I hope it's useful to you!

Endometrial Cancer Treatment Methods

1. Surgery

Surgery is the most important treatment method for endometrial cancer. For early stage patients, the purpose of surgery is surgical-pathological staging, accurate judgment of the scope of lesions and prognosis related to the resection of diseased uterus and possible metastatic foci, and deciding the choice of postoperative adjuvant therapy. Surgical steps generally include abdominal lavage fluid examination, total extrafascial hysterectomy, bilateral ovarian and tubal resection, and pelvic lymph node dissection +/- para-abdominal aortic lymph node dissection. Whether lymph node dissection is needed for patients in the low-risk group (stage Ia, G1-2) is controversial. Proponents believe that the preoperative and postoperative pathologic types and differentiation degrees may be inconsistent, and intraoperative freezing may have errors in judging the infiltration of the muscularis propria; opponents believe that early-stage cancers have a low rate of lymph node metastasis, and that inoperative lymph node dissection can avoid more surgical complications. Surgery can be done either open or laparoscopically. For stage II patients, the operation should be modified wide hysterectomy (class II hysterectomy for cervical cancer), and pelvic lymph node and para-aortic lymph node dissection should be performed. Postoperative radiotherapy should be chosen according to the recurrence factors, and stage III or IV should also try to shrink the tumor to create conditions for postoperative radiotherapy. A considerable number of patients with early endometrial cancer can be cured through standardized surgery, but for patients with high risk factors for recurrence after surgery and pathological staging or advanced patients, certain postoperative adjuvant treatment is needed. Since patients with endometrial cancer are often older and have more comorbidities, such as hypertension, diabetes, obesity, and other cardiovascular and cerebral vascular diseases, it is necessary to assess their tolerance in detail and provide individualized treatment.

2. Radiotherapy

Radiotherapy is one of the effective treatments for endometrial cancer. Radiotherapy alone is only suitable for the old and weak and those with serious medical comorbidities who cannot tolerate surgery or are contraindicated to surgery, as well as those who should not be operated in stage III or above, including intracavitary and extracorporeal irradiation. Preoperative radiotherapy is seldom used, but for patients with heavy vaginal bleeding, poor general condition, many comorbidities, and inability to tolerate surgery in a short period of time, radiotherapy can be used to stop bleeding and control disease progression. After the patient's general condition improves, total hysterectomy + double adnexectomy is feasible. Preoperative radiotherapy is mainly intracavitary radiotherapy. Postoperative adjuvant radiotherapy is more commonly used in clinic. Indications for postoperative radiotherapy: lymph node metastasis or suspected lymph node metastasis in surgical exploration; myometrial infiltration of more than 1/2 or G2, G3; special histological types, such as plasma carcinoma, clear cell carcinoma, etc.; residual cancer in the margin of vagina. Total pelvic irradiation is given in the first three cases mentioned above, and the last case needs supplementary intracavitary radiotherapy. At present, radiotherapy is mostly combined with chemotherapy sensitization, also known as radiochemotherapy.

3. Chemotherapy

Chemotherapy is seldom used in the treatment of endometrial cancer alone, and is mostly used for special types of endometrial cancer, such as plasma, clear cell carcinoma, etc., or recurrent cases, or post-surgical patients with high risk factors for recurrence, such as G3, ER/PR negative patients. The main drugs applied in chemotherapy are platinum, paclitaxel and adriamycin, such as doxorubicin. At present, combination chemotherapy is mostly used, and the chemotherapy regimens are AP, TP, TAP and so on.

4. Hormonal therapy

Indications: advanced or recurrent patients; endometrial cancer patients with fertility preservation; conservative surgery combined with high-dose progesterone to preserve ovarian function; postoperative adjuvant therapy for patients with high-risk factors. Contraindications: hepatic and renal insufficiency; severe cardiac insufficiency; history of thrombosis; patients with diabetes mellitus; mentally depressed; allergic to progesterone; patients with meningioma. There is currently no recognized progestin treatment protocol, generally advocating the application of high-dose progestins alone, such as medroxyprogesterone acetate, medroxyprogesterone acetate, 17-hydroxyprogesterone hydroxyprogesterone, and 18-methylkynurenine. It is generally accepted that the duration of application should not be less than 1 to 2 years. High-dose progestins are more effective in pathologic specimens that are immunohistochemically progesterone receptor-positive, with efficacy rates of up to 80% in those with preserved reproductive function, and an overall response rate of 15% to 25% in patients with advanced or relapsed disease. For progesterone receptor-negative patients, triamcinolone acetonide can be added to reverse the receptor-negative condition and improve the therapeutic effect. Common side effects of progestin analogs include mild water-sodium retention and gastrointestinal reactions; others may include hypertension, acne, and mastalgia.

5. Traditional Chinese medicine

After surgery and radiotherapy, patients can be given traditional Chinese medicine, which can strengthen the body and improve the immunity of patients.

Patients who suffer from endometrial cancer should go to the hospital for treatment, it is easier to be treated in the early stage, but it is more troublesome to be treated in the middle and late stage. Through the introduction of the article, we have a clear understanding of the treatment measures for endometrial cancer, the specific cost according to the different methods, the charges are not the same, for this disease we have to have enough attention and vigilance, once confirmed with endometrial cancer, do not delay the time to timely accept the treatment, to avoid because of the delay in the time of treatment, which will lead to the emergence of other complications.

Endometrial cancer dietary therapy

1, winter melon seeds drink: 30 grams of winter melon seeds pounded, 30 grams of rock sugar, put in a bowl, into the boiling water 300 ml, simmering in water. Take 1 dose / day, 7 days / course.

2, Tianqi Lotus Root Egg Soup: Tianqi (Panax quinquefolius) powder 5 grams, 1 egg into a paste. Fresh lotus root 250 grams chopped, twisted juice (about 30 milliliters), add 30 milliliters of water, boil into the panax pseudoginseng powder egg paste, add salt to taste. Take 1 time/day. Mainly treats endometrial cancer of stasis-heat type.

3, white fruit and melon seeds soup: 10 white fruit, 30 grams of melon seeds, 15 grams of lotus seed meat, 1.5 grams of pepper into the pot, add 2 liters of water, boil the fire and then change the fire stew until the white fruit, lotus seeds rotten. Served separately, 2 ~ 3 times / day, 1 dose / day. Functions: Strengthening the spleen, inducing dampness, stopping leucorrhea. It is used in treating endometrial cancer; the symptom is more than bandhida.

4. Yangquan Jujube Soup: 30 grams of Yangquan, 10 jujubes, add water and decoction. 1 dose/day. Function: clearing away heat and removing toxins. It can be used for treating endometrial cancer of heat and toxin type. Tofu and Egg: 60g of tofu, 1 sheet of tofu skin, 1 egg boiled with water, add sugar and eat. Clearing heat and inducing dampness. The main treatment of endometrial cancer; symptoms see more than belt.

5, Colla Corii Asini porridge: 20 grams of wolfberry, 60 grams of round-grained rice with 500 milliliters of water to cook porridge, cooked into the Colla Corii Asini 20 grams to make it dissolve, and then cook for 2 to 3 minutes. Served 1 time / day, 15 days / course of treatment. It can be taken for a long time. Mainly treats anemia after endometrial cancer.

Early Symptoms of Endometrial Cancer

1. Irregular or excessive menstruation

Any irregular or heavy bleeding (especially women over 40 years old), especially when the bleeding cannot be controlled by medicines, should be examined in gynecological clinic. It is crucial for women who experience symptoms of irregular bleeding to confirm whether the bleeding is due to a tumor.

2. Chronic irregular menstruation

Women who have fewer than four cycles in a year are at increased risk of endometrial cancer. Regardless of age, they should be referred to a gynecologist for further examination and treatment.

3. Postmenopausal bleeding

This refers to any form of bleeding more than a year after the last menstrual period. This is a typical risk sign and should be examined by a gynecologist to rule out the possibility of endometrial or cervical cancer.

4. Abnormal Pap Smear Results

Although pap smears are mainly used to check for cervical disease, abnormal results of a particular test may be due to cancer of the endometrium. Up to half of patients with endometrial cancer have abnormal pap smears.

Any kind of disease should have certain early signs, so endometrial cancer is no exception. Knowing the early signs of endometrial cancer can lead to timely treatment at the early stage of the disease so that the condition can be better controlled.

How to take care of endometrial cancer

1. Routine care

During the treatment, nursing staff and family members should strengthen nutrition for patients in time, usually high-calorie, high-protein and high-vitamin diets should be given, and foods with high fat content and spicy stimulating foods should be avoided.

2, Chemotherapy drug treatment nursing

Chemotherapy is a common treatment method for endometrial cancer, and it is also a common auxiliary treatment for surgical treatment. Nursing care should pay attention to the reflection of chemotherapy for patients, adjust the treatment plan for patients in time, and try to reduce the side effects of chemotherapy. At the same time, family members of patients can also choose traditional Chinese medicine dietary therapy and other methods to reduce the side effects of patients' treatment.

3, psychological care

Nursing process if the patient performance pessimism, loss of emotion, family members to help patients adjust the mentality, more encouragement to the patient, to enhance their self-confidence. Where the spirit of optimism, enough self-confidence of the patient and the doctor to cooperate with the better, the treatment effect is also better, and vice versa is worse, so the patient should maintain a healthy mental state and optimistic mood.

4. Popularization of cancer prevention knowledge

Especially for patients with high risk factors, or for menopausal women with menstrual disorders and postmenopausal women with irregular vaginal bleeding, great attention should be paid to popularize the knowledge of endometrial cancer protection.

Daily precautions for patients with endometrial cancer

1. Set up confidence in overcoming the disease and keep good mood

After diagnosed with cancer, patients have a heavy psychological burden, and they are often unable to think about food or sleep at night due to the lack of understanding of the disease and the increased fear. In fact, the course of endometrial cancer is relatively slow, and it is one of the female malignant tumors with better prognosis. If the patients can alleviate their worries, set up confidence, actively cooperate with the treatment, and maintain a good psychological state, they can achieve better treatment effect, and at the same time, it is also an important condition for the recovery of the disease.

2, daily activities and sexual life

After surgery, because malignant tumors are prone to recurrence, it is necessary to follow up regularly, further review, to determine whether it can be restored to the time of sexual life and the degree of physical activity. Pay attention to the presence or absence of recurrent lesions and adjust the follow-up interval according to the patient's recovery. If after surgical treatment the patient shows symptoms such as reduced vaginal secretions and painful intercourse, water-soluble lubricants can be applied locally to increase the comfort of sexual life.

3. Pay attention to diet structure and keep the stools unobstructed

In order to prevent bleeding of vaginal stump and intestinal adhesion after surgery, endometrial cancer patients should keep the stools unobstructed and eat food high in calcium, high in protein, high in vitamin, easy to digest and rich in fiber, such as milk, seafood, bean curd, fruits, vegetables and so on.

Delayed treatment of endometrial cancer is far more frightening than cancer, so don't carry on with the discomfort or use your own medicine. What's more, the current medical technology has greatly improved the cure rate of cancer, for example, the cure rate of breast cancer has reached 50%, and the cure rate of thyroid cancer and endometrial cancer is also in the range of 40%~50%, the key is to be detected in the early stage in time, in order to be able to effectively treat it.

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