Detect and screen for endometrial cancer

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Quach Thanh Dung - Internal Oncologist - Radiation Oncology Center - Vinmec Times City International Hospital.

At the late stage, the 5-year survival rate of endometrial cancer is only about 9%, so endometrial cancer has been and is a fear of many women. So how to detect and screen for this dangerous gynecological cancer? Below is the advice of the Master. Doctor Quach Thanh Dung, Radiation Oncology Center - Vinmec Times City International Hospital

1. What is endometrial cancer?

Endometrial cancer is a cancer that develops from the endometrium. It is the result of abnormal growth of cells that have the ability to invade and spread to other parts of the body.
Abnormal bleeding is the first and typical sign of endometrial cancer. Sometimes, bleeding during perimenopause will confuse women with disorders of this period. However, bleeding with a lot of discharge, with a bad smell will be a warning bell that you should go to the doctor immediately.
In addition, the following symptoms are also warning signs that women should get screened for endometrial cancer today:
Pelvic pain: Pain when urinating, leaking urine or pain after delivery Unexplained weight loss Unexplained vaginal discharge: Heavy white discharge, accompanied by a strange smell and color.

2. What factors increase the risk of endometrial cancer in women?

Factors that increase the risk of endometrial cancer in women include:
Hormone replacement therapy: In which the role of estrogen is ranked as the leading risk factor. Women treated with this method with high doses for a long time have an increased risk of endometrial cancer. Irregular ovulation, early puberty or late menopause and infertility also increase the risk of this dangerous type of cancer. Age: The average age of women with endometrial cancer is between 50 and 70 years old. However, less than 5% of endometrial cancers are diagnosed before the age of 40. . And about 50 - 70% of women get endometrial cancer after menopause. Nowadays people's life expectancy is increasing, so if abnormal vaginal bleeding after menopause is due to endometrial cancer. The uterus is also increasing. At the age of 80, endometrial cancer accounts for 50-60% of cases of abnormal bleeding. Family history: People with a family history of endometrial cancer have a higher risk of endometrial cancer. Other risks include diabetes, obesity, and not having children (childless women are three times more likely to have the disease than women with many children).

3. To check for endometrial cancer, what do doctors usually do?

3.1 Ultrasound

Transvaginal ultrasonography assesses the thickness and structure of the endometrium or assesses the extent of invasion into the myometrium. At the same time, ultrasound also helps to screen for other diseases such as uterine fibroids, ovarian cysts ...

3.2 Uterine biopsy curettage:

Take specimens and send for pathology. This method needs to be done carefully, to prevent perforation of the uterine lining.

3.3 Hysteroscopy:

The doctor will directly observe the image of the uterine lining and accurately evaluate the lesion such as bud, bleeding necrotic ulcer, or hyperplasia of the uterine lining that is easy to bleed, from It determines the extent of the tumor and helps to locate the biopsy area.

3.4 Computed tomography, abdominal magnetic resonance imaging and PET-CT scan:

Assess the extent of invasion, tumor spread, lymph node metastasis as well as the progression of cancer into other organs

3.5 Cancer Marker Tests:

CA 125 increases in about 50-60% of cases

3.6 Histopathological examination:

Determination of histopathological type, histology, differentiation, vascular invasion...

4. Vinmec - A prestigious address for endometrial cancer screening and treatment

As the health system with the first private general hospital to achieve JCI global medical certificate, Vinmec always brings the best cancer screening and treatment services to customers, including internal cancer. Endometrial surgery with:
Top modern and advanced machine system The laparoscopic surgery methods are performed by a team of highly skilled doctors, bringing good treatment effect while still ensuring the aesthetics. america Always up to date with the most optimal and effective methods of screening and treatment for endometrial cancer: cancer screening through genetic testing, robotic surgery with a success rate of up to 95%

Gynecological examination, in which screening for endometrial cancer periodically at least once a year is the most effective way to prevent this dangerous disease. Let's take care of your own health with Vinmec today, sisters!
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