What are the treatments for endometrial cancer? There are three treatments

There are many ways to treat endometrial cancer, and surgery is one of them. Surgery is the main treatment, which can be assisted by radiotherapy and chemotherapy. The scope of surgery and the reasonable choice of radiotherapy and chemotherapy directly depend on the factors that affect its prognosis. In addition, for patients at different stages, it is also necessary to consider choosing the right treatment method to ensure that the patient can recover as soon as possible and will not affect his life after recovery, especially for some patients who want to continue to have children.

For some women who want to continue to have children, endometrial cancer is more serious than for ordinary women. The disease is likely to cause the patient to lose normal fertility. After the disease is discovered, it must be treated in time to ensure that the patient can recover normally. So, what are the treatments for endometrial cancer?
Treatment of adenomatous hyperplasia or stage 0 lesions depends on the patient's age and fertility requirements. For patients of age who want to preserve fertility, it has been shown in recent years that the lesions can disappear by restoring ovulation and reversing the endometrium to the secretory phase. However, since the causative factors may still exist, these women should be followed up regularly. For patients with adenomatous hyperplasia who are beyond childbearing age, hysterectomy is the treatment of choice.
(1) Surgical treatment : Currently, there is a consensus that most stage I and II endometrial cancers can be cured by surgery. Stage Ia G1 cancer can be cured by total hysterectomy plus bilateral salpingo-oophorectomy.
(2) Radiotherapy <br/>There is still controversy about the effect and application of radiotherapy. However, it is generally believed that for stage I, grade I, without myometrial invasion, simple surgery is sufficient. For stage I poorly differentiated cancer (grade II, III), myometrial invasion >1/2, lymph node metastasis, and stage II endometrial cancer, preoperative intracavitary radium therapy followed by total hysterectomy and bilateral salpingo-oophorectomy and postoperative auxiliary external irradiation are currently used.
(3) Hormone and chemotherapy <br/>As mentioned above, progesterone can transform abnormally proliferative endometrium into secretory or atrophic endometrium, thereby leading to atrophy and reversal of endometrial adenomatous hyperplasia or adenoma. About 1/3 of patients with advanced or recurrent endometrial cancer respond to progesterone preparations, especially those with lung metastasis, with about 35% of patients showing significant responses. However, it is not effective for recurrent or persistent lesions in the pelvic cavity.