Clinically, many people do not pay attention to their uterine care, do not pay attention to their own hygiene, are usually under great pressure, and do not pay attention to rest, which can easily cause endometrial cancer. Once you suffer from this disease, the impact is very large. Everyone must treat it reasonably and effectively control the disease. What are the treatments for endometrial cancer? Treatment of endometrial cancer: Experts say that the effect of simple surgical treatment of endometrial cancer is better than simple radiotherapy, and the cure rate is 20% higher. Surgery can clarify the scope of the lesion, correctly perform clinical staging, and correctly determine the scope of surgery. Whenever surgery is possible, surgery should be performed first to remove the lesion as much as possible and reduce the tumor. Radiotherapy or progesterone therapy should be performed after surgery. Otherwise, progesterone, radiotherapy and/or chemotherapy should be performed first and then surgery should be performed when surgery is possible. Other treatments are still needed after surgical treatment of endometrial cancer. (I) Ascites or peritoneal washing fluid is used to search for cancer cells. After the peritoneum is cut open, if there is ascites, it is collected and centrifuged to search for cancer cells. If there is no ascites, 200 ml of normal saline is injected into the peritoneal cavity to wash the peritoneal cavity, and the washing fluid is sucked out and centrifuged to search for cancer cells. In addition to surgery, other auxiliary treatments should be given to those who find cancer cells. (II) Determine myometrial invasion during surgery: For stage I cancer with a uterus smaller than normal, or if the patient has limited surgery time due to some reasons, the uterine adnexectomy can be performed first, and the uterine specimen can be dissected to determine whether there is myometrial invasion. Of course, if the specimen is difficult to judge sometimes, subtle changes can be noted under the microscope. (III) Those who are not prepared for lymph node dissection: routinely explore the pelvic and abdominal para-aortic lymph nodes. Those with enlargement should at least undergo a biopsy. If the technical conditions are met and the patient allows, surgical lymph node dissection for endometrial cancer can be performed. |
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