Joke Collection Website - News headlines - [Dr. Su Xuan] Guidelines for education and struggle of endometrial cancer.

[Dr. Su Xuan] Guidelines for education and struggle of endometrial cancer.

(schematic diagram. Image source: shutterstock)

"Doctor, I saw a tumor under ultrasound. Will I get endometrial cancer? 」

This kind of problem often occurs in clinic. Endometrial cancer is a strange term for people. Previous health education seldom paid more attention to this kind of cancer. Everyone knows how to pay attention to breast cancer and how to prevent cervical cancer, but what about endometrial cancer?

"Doctor, I do a smear every year. Why do I still get endometrial cancer? The patient reluctantly raised this question, further exposing the blind spot of the public health system. Endometrial cancer, like breast cancer, has gradually become a common cancer in women, and the incidence rate has exceeded that of cervical cancer. But how many people know how to pay attention to this cancer?

Cervical cancer is asymptomatic at the initial stage, so we must rely on annual smear for screening.

Breast cancer is asymptomatic at the initial stage, so you should have a photographic screening every two years.

However, endometrial cancer is symptomatic in the early stage, almost all of which are manifested by abnormal bleeding, so in theory, it will make the public more alert than cervical cancer and breast cancer.

The most common symptom of endometrial cancer is non-menstrual bleeding. Therefore, as long as there is regular non-menstrual bleeding, we need to be vigilant and think about whether there is the possibility of endometrial cancer. If people repeatedly treat abnormal bleeding for 3 to 6 months, but it still doesn't improve, they need to check whether there is a problem.

Endometrial cancer, as its name implies, is a cancer that grows from the endometrium. Since being called "membrane" means that it is membranous, not a tumor, it is difficult to express "whether there is a tumor or endometrial cancer several centimeters big" by ultrasound. It behaves like a weed in a park and will grow and spread on the surface. Unless it is very serious, it will not invade the deep muscle layer, which means that the initial endometrial cancer will not penetrate into the muscle layer like the roots of big trees.

Therefore, as long as it can be diagnosed early, endometrial cancer is easy to solve.

How do you generally suggest checking? In the past, ultrasound was used for inspection. As mentioned above, because it is membranous, it cannot be measured, and it can only be judged and evaluated by its thickness. In the past 20 years, most doctors have evaluated the risk of cancer by its thickness.

However, when menstruation comes, the thickness of the endometrium itself often exceeds 1 cm, or even approaches 2 cm. Therefore, using the thickness to evaluate, doctors will be in great trouble, and it is often a big thunder and little rain, and it is a false alarm.

In the past, doctors suspected that the endometrium was very thick, so they suggested that people do endometrial curettage or endometrial biopsy. However, all endometrial sections are normal, because they will be confused with the endometrium during menstruation or cause errors due to angle.

How to judge accurately? In fact, this is the same as the weeds in the park. As long as you see it with your own eyes, you can easily tell who is a weed. Hysteroscopy is the application of technology. With a small camera sticking into the uterine cavity, it can accurately judge whether there is endometrial lesions. Only when the lesions are highly suspected, it is necessary to make sections, which can greatly reduce unnecessary endometrial scraping and damage.

Moreover, when arranging the biopsy, if the biopsy can be done under hysteroscope, the specimen can be obtained more accurately, unlike the blind scraping method in the past, which can make the whole process less harmful and more accurate.

(Source: Q 8 Online Health Consultation)

What should I do if the slice is diagnosed as endometrial cancer? According to the rule of thumb, the vast majority of endometrial cancer is in the first stage, that is to say, 9 cases of 10 patients can be cured by "staged operation of endometrial cancer" without chemotherapy and radiotherapy. Endometrial cancer is a kind of cancer with high cure rate, which is much simpler than cervical cancer and breast cancer, so people don't have to worry.

Generally, imaging examination will be done before operation to scan whether there is metastasis in the stomach. After the scan, you can prepare for the operation. The operation method is simple. Minimally invasive laparoscopic surgery has become the first choice for this kind of surgical treatment. If an experienced laparoscopic doctor is in charge of the operation, he can be discharged from the hospital 2~3 days after the operation, and there is no need to place drainage tubes, nasogastric tubes, etc. After the operation, he can eat and get out of bed the next day. The popularity of minimally invasive surgery has made the anti-cancer road of endometrial cancer patients very quality, and most patients can easily overcome cancer.

Conclusion: Early detection of endometrial cancer depends on public vigilance. If you have long-term abnormal bleeding, you need to do hysteroscopy to see if there is any problem.

Laparoscopic staging surgery is the first choice for endometrial cancer, which is much less traumatic and faster than traditional laparotomy.

The vast majority of endometrial cancer is in the early stage. As long as surgery is possible, you can face it bravely without adjuvant treatment such as chemotherapy, and your life is just as happy.

& lt this article is authorized by Q 8 health news network, and the original text is published here >

& lt This column reflects experts' opinions and does not represent our position >