I got endometrial cancer at the age of 20

Endometrial cancer at the age of 20 may be related to a variety of factors such as genetics, hormonal imbalance, obesity or metabolic disorders, environmental exposure, etc. It is a rare case and you should seek professional medical help for diagnosis and treatment as soon as possible. Treatment methods include surgery, drug therapy, and lifestyle adjustments.

1. Influence of genetic factors

Although endometrial cancer is more common in middle-aged and elderly women, a family history of endometrial cancer or hereditary non-polyposis colorectal cancer (HNPCC) may significantly increase the risk of young people. In view of genetic factors, patients and their families are advised to undergo genetic counseling and genetic testing, such as MLH1 and MSH2 gene screening, to determine whether there are susceptibility gene mutations.

2. Imbalance of hormone levels

Abnormal hormone secretion in young women, especially long-term high estrogen and low progesterone status, may increase the risk of disease. For example, PCOS patients may have irregular menstruation, which may cause high estrogen to act on the endometrium for a long time. It is recommended to go to the endocrinology department for standardized examinations and use hormone adjustment therapy such as oral contraceptives or progesterone therapy when necessary to balance hormone levels.

3. Obesity and metabolic-related diseases

Obesity can cause fat tissue in the body to secrete more estrogen, and is closely related to insulin resistance and chronic low-grade inflammation, which are important potential causes of endometrial cancer. For obesity-related conditions, they can be improved through scientific weight loss, exercise such as brisk walking and swimming, more than 150 minutes of moderate-intensity exercise per week, and a healthy diet such as high-fiber vegetables, whole grain foods, and reduced intake of sweets.

4. Environmental and external factors

Carcinogens in the environment, such as polycyclic aromatic hydrocarbons (PAHs), certain chemical pollutants, or long-term exposure in certain work environments may increase the risk of cancer. Avoiding hazardous environments, maintaining a healthy lifestyle, and getting regular medical examinations can help reduce the risk.

5. Treatment options

Although endometrial cancer varies from person to person, common treatments include:

Surgical treatment: Hysterectomy is usually the main treatment method, such as total hysterectomy and bilateral salpingo-oophorectomy, especially in advanced cases, which may require combined lymph node dissection.

Drug treatment: For early cases or patients who wish to preserve their fertility, progestin drug treatment, such as medroxyprogesterone tablets or dydrogesterone tablets, can be tried, while close follow-up monitoring of changes in the condition.

Adjuvant therapy: Chemotherapy or radiotherapy is used depending on the cancer stage. Common chemotherapy regimens include cisplatin combined with paclitaxel.

Early diagnosis and standardized treatment are crucial to improving prognosis. If you or your family have similar symptoms, please consult a specialist immediately. At the same time, you should maintain a healthy weight, a balanced diet, and regular exercise in your life to improve your overall health and reduce the potential risk of cancer.