Endometrial Cancer (Uterine Cancer)

Uterine (Endometrial) cancer is the most common gynecologic cancer (i.e., cancer that originates in female reproductive system). it develops in the body of the uterus, or womb, which is a hollow organ located in the lower abdomen. The wall of the uterus is comprised of an inner lining (called the endometrium) and an outer layer of muscle tissue (called the myometrium).

Endometrial cancer (Uterine Cancer) is most common after the reproductive years, between the ages of 60 and 70. Endometrial cancer is sometimes called uterine cancer, but there are other cells in the uterus that can become cancerous — such as muscle or myometrial cells…

Causes of Endometrial Cancer (Uterine cancer)

Endometrial Cancer (Uterine cancer) seems linked to several predisposing factors : -

Abnormal uterine bleeding. Diabetes. Familial tendency. History of uterine polyps or Endometrial hyperplasia. Hypertension. Low fertility index and anovulation. Nulliparity. Obesity. Uninterrupted estrogen stimulation.

Diagnosis of Endometrial Cancer (Uterine Cancer)

1.     The doctor performs a pelvic exam, checking the vagina, uterus, ovaries, bladder, and rectum for Endometrial Cancer (Uterine Cancer). The doctor feels these organs for any lumps or changes in their shape or size. an instrument called a speculum is used to widen the vagina so the doctor can see the upper portion of the vagina and the cervix.

2.     The Pap test is often performed during a pelvic exam Endometrial Cancer (Uterine Cancer). The doctor uses a wooden scraper (spatula) or small brush to collect a sample of cells from the cervix and upper vagina. The cells are then sent to a medical laboratory to be checked for abnormal changes. Because uterine cancer begins inside the uterus, it may not show up on a Pap test, which examines cells from the cervix.

3.     A biopsy is necessary to help the doctor make a diagnosis. A biopsy can usually be done in the doctor’s place. In a biopsy, the doctor removes a sample of tissue from the uterine lining. In some cases, a woman may require a dilation and curettage (D&C), which is usually same-day surgery done in a hospital with anesthesia. during a D&C, the opening of the cervix is widened and the doctor scrapes tissue from the lining of the uterus. A pathologist examines the tissue to check for cancer cells, hyperplasia, or other conditions. after a D&C, women may have cramps and vaginal bleeding during healing.

Common Endometrial Cancer (Uterine Cancer) Symptoms

Abnormal bleeding- heavy bleeding between periods, or heavy bleeding during irregular periods. Pain during sexual intercourse. Pelvic pain or pain in the legs or back. Difficulty urinating or pain during urination. Enlarged uterus found upon medical exam. Vaginal discharge that can be thick or watery; pink or brown; and foul smelling.unexpected weight loss.

Medical Treatment of Endometrial Cancer (Uterine Cancer)

Surgical Treatment of Endometrial Cancer (Uterine Cancer)in India : – Surgery is the best option when Endometrial Cancer (Uterine Cancer) is diagnosed in its very early stages. at this time, the location and the stage of cancer make removal easy. sometimes patients are treated with a combination of surgery and radiation therapy…

Hysterectomy in India : – almost all women with Endometrial cancer (except those with advanced or stage IV) are treated with a hysterectomy. they may also receive additional treatment…

Radiation therapy in India : – sometimes radioactive pellets are placed inside the body near the tumor. This is called brachytherapy or internal radiation therapy. Fatigue, upset stomach, diarrhea and nausea are also common complaints of women having radiation therapy…

Chemotherapy in India : – uses anticancer drugs to kill the cancer cells. The drugs are given orally or intravenously. they enter the bloodstream and can travel to all parts of the body to kill cancer cells…

Hormonal therapy : -uses drugs like progesterone that will slow the growth of Endometrial cells. These drugs are usually available as pills. This therapy is usually reserved for women with advanced or recurrent disease…

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“You are leaning toward ovarian cancer?! but I had my ovaries removed in a complete hysterectomy 23 years ago!!”

I am a retired school principal with a doctorate in Educational Leadership. I love people and enjoy helping others. I have always been a very active person and very healthy until getting ovarian cancer.

I am now a survivor of early stage ovarian cancer for almost two years. I want to help others become more aware of ovarian cancer, especially the symptoms and the lack of screening tests. Breast cancer has mammograms; other gynecologic cancers can be screened with a pap smear. but there is nothing yet for screening ovarian cancer.

The symptoms we now know often mimic so many others, but if they persist for more than a few weeks, see your gynecologist for a pelvic exam, trans-vaginal ultrasound and a CA 125 blood test.

Unfortunately, I explained my symptoms away and convinced myself it wasn’t anything to worry about. perhaps, I can help others recognize the silent symptoms so they will discuss them with their gynecologists.

One of the symptoms of ovarian cancer that I experienced was bloating. Well, for many of us women, bloating is something we are very familiar with and tend to dismiss with monthly periods, eating too much popcorn or peanuts, or just retaining water.

Another symptom is unexplained weight loss or weight gain. I was watching my weight, eating right, and exercising regularly, but began gaining weight. I called my doctor to see if my new medicine was causing the weight gain. although he said no, I didn’t follow up on the cause.

Abdominal pain is also a silent symptom. Years ago, I mentioned abdominal pain to my gynecologist. After numerous tests that showed nothing, she said it was probably the “phantom ovary”—similar to someone having a leg amputated but still feeling pain from it. Eventually, the pain went away. When it returned, I referred to it as the “phantom ovary” and gave it no further thought.

A persistent lack of energy or fatigue— I was feeling unbelievably tired the weekend before my diagnosis. but my husband and I are always on the go—I thought I just needed to slow down a bit.

Back pain is also a symptom that I had. my back often hurts and I have had two back surgeries. When I began having back pain, again I dismissed it as normal back pain due to so much lifting with 3 grandchildren.

Did you know that • Ovarian cancer occurs in 1 out of 71 women? • Ovarian cancer is very treatable when it is detected early, but 81% of cases are not diagnosed until the cancer has spread or advanced? • 3 out of 4 women will be diagnosed with ovarian cancer in the later stages where the survival rate is only 25%? • 50% of women diagnosed with ovarian cancer will die within 5 years; among African American women that number increases to 54%. • Ovarian cancer has been labeled the “silent killer” because the signs and symptoms are linked with many other types of illnesses and because there is not a test, a vaccine or an accurate screening tool? • Chances of ovarian cancer increase with menopause, a family history of ovarian, breast or colon cancer, or not bearing a child.

Many gynecologists do not ask their patients about ovarian cancer symptoms, and many patients are unaware of the symptoms to ask questions. as students in the medical field who are hearing this, perhaps you will ask your patients specific questions. Finding ovarian cancer in its earliest stages makes a big difference in survival! With early detection, the survival rate of five years or longer is greater than 90%.

I began having severe abdominal pains right after I went to bed. Five or six hours later, my husband took me to the emergency room where we both thought the doctor would give me an antibiotic and send me home. that was not the case. He found a mass that needed to be removed and had called in a surgeon. the surgeon said there were three possibilities of what he would find in surgery: • Colon cancer • Diverticulitis • Ovarian cancer When he said he was leaning toward ovarian cancer, I was shocked. “You are leaning toward ovarian cancer?! but I had my ovaries removed in a complete hysterectomy 23 years ago!!” the doctor shrugged his shoulders and said that’s what he thought it was. to me, this was the kiss of death! I had always heard that no one survived ovarian cancer. thank goodness this isn’t so, and more good news is on the horizon as more advanced research continues.

After I had been diagnosed with ovarian cancer, I wondered why I had not taken the CA 125 test during my annual gynecological exams. I thought this was a screening test for ovarian cancer. I did not know there was no test for ovarian cancer. I also thought a Pap smear would give some indications!

The surgeon and oncologist removed an ovarian tumor mass about the size of a golf ball. it was localized—the entire tumor was removed and it did not appear that any cancer spread beyond the tumor. a more extensive pathological report gave more details, and the course of action was determined. the oncologist said it was at a stage between 1 and 2. I had chemotherapy of carbo-platinum and taxotere every 21 days for six months.

The oncologist also said that even without the ovaries, it was still ovarian cancer and was treated and managed as ovarian cancer. There are not many cases like mine. a general gynecologist might see 1 or 2 in a lifetime; my cancer hospital sees a handful each year.

Had I not gone to the emergency room for what I thought was a diverticulitis flare-up, I wonder how long it would have been before I would be diagnosed with ovarian cancer? That’s why it’s a blessing—mine was caught in the early stages! until we have a screening test for ovarian cancer, we need to spread the awareness symptoms to all women and all doctors and nurses, which will help with early detection for more women, and that will save more lives!

(Sorry ya'll if my spelling is off!)

Abnormal Bleeding

Unusual Heavy Discharge

Pelvic pain

Pain during urination

Bleeding between regular menstrual periods or after sexual intercourse, douching or a pelvic exam

not sure about the cancer,, but I have had cysts all my life,,

you are in unbelievable pain,, in your abodomine,, right where your overies are,, you have irregular periods,, stuff like ,, the pain is usually right around when you ovulate or before you start your period.