How to check if you have endometrial cancer

The cause of endometrial cancer is not very clear at present. You can judge whether you have endometrial cancer based on its more obvious symptoms. For example, if you find uterine bleeding and some tumors on the endometrium, women with this condition should be checked as soon as possible.

1. Cytology

The diagnosis rate of vaginal cytology for endometrial cancer is lower than that for cervical cancer. The reasons are: ① columnar epithelial cells do not often fall off; ② the fallen cells often dissolve and degenerate when they reach the vagina through the cervical canal, making them difficult to identify; ③ sometimes the cervical canal is narrow and closed, making it difficult for the fallen cells to reach the vagina. In order to improve the positive diagnosis rate, many scholars have improved the location and method of specimen collection. With the improvement of diagnostic technology, the positive diagnosis rate of endometrial cancer has also been greatly improved.

2. Ultrasound examination

Uterine ultrasound examination is of certain significance for the size, location, degree of myometrial invasion, whether the tumor penetrates the uterine serosa or involves the cervical canal of endometrial cancer, and its diagnostic compliance rate is 79.3% to 81.82%. It has been reported that the accuracy of ultrasound is about 87% for patients over 45 years old and compared with hysteroscopy and biopsy. In addition, Xie Yanggui and others performed B-ultrasound examination according to the UICC staging method, and compared with surgical exploration and pathology based on the tumor location, myometrial invasion, parauterine and adjacent organ involvement, and the staging compliance rate reached 92.9%. B-ultrasound examination does not cause creative and radioactive damage to patients, so it is one of the routine examinations for endometrial cancer. It has a certain reference value, especially in understanding myometrial invasion and clinical staging.

3. Diagnostic curettage

Curettage is an indispensable method for diagnosis. It is necessary not only to determine whether it is cancer, but also to determine the location of the cancer. If cervical adenocarcinoma is misdiagnosed as endometrial cancer and treated with general hysterectomy, it is obviously inappropriate; if endometrial cancer is misdiagnosed as cervical adenocarcinoma, it is also inappropriate. However, microscopic examination cannot distinguish between cervical adenocarcinoma and endometrial cancer. Therefore, segmented diagnostic curettage is required. First, use a small curette to scrape the tissue inside the cervical canal, then enter the uterine cavity to scrape the tissue of the two sides of the uterine horns and the anterior and posterior walls of the uterine body, and bottle them separately with labels and send them for pathological examination. If there is resistance when the inner opening is injured, the cervix can be slightly dilated to No. 5. Segmental curettage often goes too deep when scraping the cervical canal, mistaking the contents of the uterine cavity for cervical canal cancer; or endometrial cancer descends into the cervical canal, mistaking it for cervical canal cancer or uterine body cancer involving the cervical canal; or the original cervical canal cancer has too much cancer tissue, and when the small curette enters the uterine cavity, it brings in a little cervical cancer tissue and mistaking it for cervical cancer to have reached the uterine cavity. All these situations indicate that the lesions are already in a late stage, and they should be treated according to the scope of cervical cancer surgery.

In life, women should pay more attention to their physical health and pay attention to the hygiene of their private parts, which can prevent many gynecological diseases. When menstruation comes, it is necessary to deal with vaginal secretions, avoid infection with unclean bacteria, and pay attention to personal hygiene, which plays a key role in preventing diseases.