Endometrial cancer is one of the three most common tumors of the female reproductive tract. It often occurs during the perimenopause and postmenopause periods. The incidence rate has been on the rise in recent years and will continue to rise in the next few decades. 80% of patients are overweight or obese The occurrence of endometrial cancer is related to many factors, especially those with the following conditions, should be more vigilant: Obesity: About 80% of endometrial cancer patients are overweight or obese, that is, their weight exceeds the normal value by 10%. Obesity is a manifestation of endocrine imbalance. Fat can increase the estrogen content in the blood, leading to endometrial hyperplasia and even cancer. Diabetes: Diabetic patients have metabolic abnormalities and their risk of developing endometrial cancer is three times higher than that of those with normal blood sugar levels. Hypertension and coronary heart disease: These are the consequences of hypothalamus-pituitary-adrenal dysfunction and metabolic abnormalities. At the same time, endometrial cancer is also related to an unhealthy lifestyle such as eating a high-calorie, high-fat diet and lack of exercise. Reproductive endocrine disorders: including amenorrhea, irregular vaginal bleeding, infertility, polycystic ovary syndrome (PCOS), etc. These diseases and manifestations are all related to abnormal ovarian endocrine function. Hormone replacement therapy: Those who take exogenous estrogen for a long time have an increased risk of endometrial cancer, which is related to the dosage and duration of use. Bad eating habits: High fat can store estrogen, leading to endometrial hyperplasia and even cancer. Therefore, people who consume a lot of fat and oil will have an increased risk of endometrial cancer. Vegetables and fruits have a protective effect, and eating more can reduce the risk. Exposure to X-rays: For example, frequent X-ray and CT scans. Genetic factors: About 20% of endometrial cancer patients have a family history or a history of cancer in close relatives. Early symptoms can be easily overlooked In fact, endometrial cancer has many symptoms, but they are often ignored, resulting in untimely detection and delayed treatment. Its early manifestations include irregular menstruation before and after menopause, irregular bleeding after menstruation, vaginal discharge (the symptoms of discharge are very similar to bleeding. If there is infection, there will be purulent discharge and foul odor), abdominal pain (if the tumor involves the internal os of the cervix, it can cause pyometra, lower abdominal distension and cramp-like pain. In the late stage, it infiltrates the surrounding tissues or compresses the nerves, which can cause pain in the lower abdomen and lumbosacral region), and anemia (in the late stage, there are symptoms of weight loss and cachexia). Intimal hyperplasia, active treatment Endometrial cancer is a "rich man's disease". By correcting some bad daily habits, detecting symptoms and receiving timely and correct treatment, you can effectively prevent the disease from worsening. First, we must strengthen medical knowledge. Women who have abnormal menopausal bleeding, vaginal discharge, obesity, hypertension or diabetes should be vigilant, seek medical attention in time, and undergo screening such as cytology, pathological histology, and imaging examinations to help with early diagnosis. Second, patients with endometrial hyperplasia, especially atypical hyperplasia, should be actively treated, and those with poor results should have their uterus removed in a timely manner. If the patient already has children, has no hope of having children, or is older, there is no need for conservative treatment and the uterus can be removed directly. Third, when there are benign gynecological diseases, it is best not to use radiotherapy to avoid inducing tumors. Fourth, menopausal women should use estrogen replacement therapy under the guidance of a doctor, and use progesterone at the same time to regularly transform the endometrium. Fifth, developing good habits such as using electric blankets less, drinking green tea every day, and exercising more can help prevent the disease. |
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