Is endometrial lesion cancer? Not necessarily

Endometrial lesions are not necessarily cancers, some of which are cancers, mainly including endometrial hyperplasia, endometrial polyps or endometrial cancer related to estrogen stimulation. If it is benign, no treatment is required through endometrial curettage. However, if it is a malignant lesion, surgical treatment is required. In addition, surgery and radiotherapy, radiotherapy, and hormone therapy can treat endometrial lesions.

Endometrial lesions include endometrial hyperplasia and endometrial cancer, so endometrial lesions are not necessarily cancer, but a small part of them may be cancer. Endometrial lesions include endometrial hyperplasia, endometrial polyps or endometrial cancer related to estrogen stimulation. How to diagnose specifically, first of all, we need to understand whether there is irregular vaginal bleeding or fluid discharge, and do a gynecological examination to see if the uterus is enlarged and whether there is a possibility of tumor.
Patients are generally advised to undergo painless ultrasound examinations, which are acceptable to everyone. Ultrasound examinations can detect whether there are lesions in the endometrium, that is, whether there are polyps, growths, or tumor tissues in the endometrium. Ultrasound can see nodules caused by lesions, or hyperplasia of the endometrium. If so, clinicians will recommend that patients undergo endometrial curettage or hysteroscopy. Curettage is a blind scraping of endometrial lesions, while hysteroscopy is better, using a small lens to enter the uterine cavity and then take a careful and comprehensive look. If you see where there is a problem, you can use a small biopsy forceps to take some tissue for pathological examination, and finally confirm whether the endometrium is a benign or malignant lesion.
If it is a benign lesion, some of them may not need treatment; if it is endometrial cancer, it must be treated correctly.
1. Surgery: This method is the first choice for patients with endometrial lesions. For stage I patients, extrafascial total hysterectomy and bilateral adnexectomy are performed, and for stage II patients, extensive total hysterectomy and pelvic lymph node excision should be performed.
2. Comprehensive treatment of surgery and radiation: Patients with stage I endometrial lesions have cancer cells in their ascites and lymph node metastasis. After surgery, they can use external irradiation to kill these cancer cells. Patients with stage II or some stage III can use external irradiation or intracavitary irradiation before surgery, and surgery can be performed 1 to 2 weeks after the completion of radiotherapy.
3. Radiotherapy: This therapy can be used for elderly and frail patients with endometrial lesions and patients with serious medical complications who are not suitable for large-scale surgical treatment. Those who are not suitable for surgery at stage III or above can use radiotherapy, including intracavitary and extracorporeal irradiation.
4. Hormone therapy: Young patients with endometrial lesions who wish to preserve their fertility can use hormone therapy. Patients with advanced cancer who cannot undergo surgery or whose cancer has recurred can also use this therapy, which can be treated with large doses of artificially synthesized progestins.