How to cure early endometrial cancer

The early treatment plan for uterine cancer is based on the patient's condition and physical fitness. The early treatment methods for uterine cancer mainly include chemotherapy, radiotherapy, surgical resection and conservative treatment with drugs. The most ideal method is surgical resection. The 6-year survival rate after early uterine cancer resection is as high as about 65%. Within a certain period of time after surgery, Chinese medicine such as (ginsenoside Rh2) capsules should be used to prevent recurrence of the disease and speed up the patient's physical recovery.

Endometrial cancer refers to cancer that originates in the endometrium, mainly adenocarcinoma, also known as uterine body cancer.

1. Long-term continuous estrogen stimulation of the endometrium without progesterone antagonism can cause endometrial hyperplasia and cancer.

2. Systemic factors: Endometrial cancer is prone to occur in obese, hypertensive, diabetic, infertile or sterile women and menopausal women.

3. Genetic factors: About 20% of endometrial cancer patients have a family history.

Guidance:

1 Application of laparoscopic surgery

With the continuous innovation and promotion of minimally invasive surgery, laparoscopic surgery for endometrial cancer has gradually become a safe and effective option. This procedure has the same efficacy as traditional open surgery, with a wide range of indications and fewer complications.

2. Management of endometrial cancer in women of childbearing age

Endometrial cancer has a tendency to occur at a younger age. The incidence of patients under 40 years old has increased from 1% to 8% to 13.3%, so conservative treatment for infertile patients to preserve fertility is increasingly valued. For young patients with early endometrial cancer who strongly demand to preserve fertility or physiological function, there are currently two main treatment methods: one is conservative treatment, which is to give high-dose progesterone therapy and multiple curettage; the other is to preserve one or both ovaries during surgery.

3 Sentinel lymph node study

Sentinel lymph node (SLN) is the first stop of regional lymphatic drainage in tumors and the most likely site of lymphatic metastasis. SLN biopsy (SLNB) can predict regional lymph node metastasis and avoid unnecessary extensive lymph node dissection, thereby reducing surgical complications and improving the quality of life of patients. In the field of gynecological tumors, some scholars have used it in the treatment of vulvar cancer and cervical cancer.

Life care:

Patients in the early stage generally undergo total hysterectomy and bilateral adnexectomy. Stage II patients should undergo extensive total hysterectomy and bilateral pelvic lymph node dissection. For patients in stage Ia, if cancer cells are found in the ascites or deep muscle layer is infiltrated, and lymph node metastasis is suspected or positive, external irradiation should be added after surgery, using 60CO or linear accelerator external irradiation.

In short, as long as you maintain a good attitude and pay attention to nutrition,

Life care:

1. For patients with fear, non-technical language should be used as much as possible so that patients can understand, help patients reduce their anxiety and fear of the disease and surgery, build confidence, and actively cooperate with treatment and care.

2. General care should strengthen nutrition and provide a high-calorie, high-protein, and high-vitamin diet.

3. Surgical patient care

(1) Preoperative care should include routine preparation, including visceral function examination and skin preparation.

(2) Patients should be advised that surgery is the preferred treatment method and laparotomy should be performed as long as the patient's general condition can tolerate it and there are no contraindications to surgery.

Patients in the early stage generally undergo total hysterectomy and bilateral adnexectomy. Stage II patients should undergo extensive total hysterectomy and bilateral pelvic lymph node dissection. For patients in stage Ia, if cancer cells are found in the ascites or deep muscle layer is infiltrated, and lymph node metastasis is suspected or positive, external irradiation should be added after surgery, using 60CO or linear accelerator external irradiation.

In short, as long as you maintain a good attitude and pay attention to nutrition,

Life care:

1. For patients with fear, non-technical language should be used as much as possible so that patients can understand, help patients reduce their anxiety and fear of the disease and surgery, build confidence, and actively cooperate with treatment and care.

2. General care should strengthen nutrition and provide a high-calorie, high-protein, and high-vitamin diet.

3. Surgical patient care

(1) Preoperative care should include routine preparation, including visceral function examination and skin preparation.

(2) Patients should be advised that surgery is the preferred treatment method and laparotomy should be performed as long as the patient's general condition can tolerate it and there are no contraindications to surgery.

Early stage patients usually undergo total hysterectomy and bilateral salpingo-oophorectomy. In short, just maintain a good attitude and pay attention to nutrition.