Analysis of recurrent cases of endometrial cancer

Analysis of recurrent cases of endometrial cancer

Endometrial cancer, also known as uterine body cancer, refers to a malignant tumor that originates from the endometrial epithelium. The vast majority of them are adenocarcinomas that originate from the endometrial glands, and are therefore called endometrioid adenocarcinomas. It is one of the three major malignant tumors of the female genitalia, with a peak age of 58 to 61 years old, accounting for about 7% of the total number of female cancers and 20 to 30% of female reproductive tract malignant tumors. In recent years, the incidence rate has been on the rise and has approached or even exceeded cervical cancer. The course of endometrial cancer develops relatively slowly, and clinical symptoms appear early. Most cases are still in the early stages when they are discovered, so surgical treatment is effective and the prognosis is relatively good.

In addition to medical history, symptoms and signs, segmental curettage is the most commonly used method to diagnose endometrial cancer. When performing segmental curettage, the cervical canal is first scraped with a small curette ring, and then the uterine cavity is entered.

Scrape the endometrium, and the scrapings obtained should be divided into bottles and labeled for pathological examination. B-ultrasound examination, uterine cavity suction catheter or uterine cavity brush sampling for uterine cavity cytology examination, hysteroscopy, endometrial biopsy, lymphangiography, estrogen and progesterone receptor detection are commonly used auxiliary examination methods.

The incidence of endometrial cancer was 30%, and the difference in high-risk factors between the two groups was statistically significant (P<005).

Endometrial cancer is a malignant tumor that occurs in the endometrial epithelium, also known as uterine cancer. It is one of the three most common malignant tumors of the female reproductive organs. It is more common in elderly women, with more than 80% of cases occurring in women over 50 years old, accounting for 20% to 30% of female reproductive tract malignant tumors. The true cause of endometrial cancer is still unknown, but its risk factors have long been noticed by people. Its risk factors include obesity, diabetes, and high blood pressure, which are called "endometrial triad" or "endometrial cancer syndrome." The three may be related to a high-fat diet, which is directly related to endometrial cancer. In addition, it is also related to menstrual disorders, early menarche and late menopause, nulliparity, infertility, polycystic ovary syndrome, ovarian tumors, etc.

Uterine cancer is mainly treated with surgery, supplemented by radiotherapy, progesterone therapy and chemotherapy. Surgery plays a very important role in the treatment of endometrial cancer. The standard treatment for endometrial cancer is still abdominal hysterectomy. Almost all patients with uterine cancer require surgical treatment, especially for patients in stage I and II.

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