Endometrial cancer life care

I believe everyone knows that a good nursing measure is very important for patients with endometrial cancer, and it is also very effective for the recovery of the disease. So what are the specific nursing measures for endometrial cancer? I believe that many patients do not know much about it, so let me tell you in detail what are the nursing measures related to endometrial cancer?

Endometrial cancer, also known as uterine body cancer, refers to cancer that occurs in the endometrium, most of which are adenocarcinomas. It is one of the three most common malignant tumors in the female reproductive tract, with a peak age of 58 to 61 years old, accounting for about 7% of all female cancers and 20 to 30% of female reproductive tract malignant tumors. In recent years, the incidence rate has been on the rise, approaching or even exceeding that of cervical cancer.

1. To calm patients’ fears, non-technical language should be used as much as possible so that patients can understand, help them reduce their anxiety and fear about the disease and surgery, build their 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 treatment of choice and that 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.

For patients with stage Ib uterus larger than 2 months of pregnancy, stage III and some stage IV patients can be irradiated before surgery or intracavitary irradiation with 137Cs, 192Ir, etc. Surgery can be performed within 1 to 2 weeks after the end of radiotherapy.

4. Nursing care for hormone and other drug treatments

(1) Progestin therapy can be considered for patients with advanced cancer, recurrent cancer, those who cannot undergo surgery, or young patients with early stage cancer who wish to preserve their fertility. Generally, the dosage is high, such as 200-400 mg/day of medroxyprogesterone acetate and 500 mg/day of progesterone acetate. It takes at least 10-12 weeks to initially evaluate the effect. During treatment, it is necessary to pay attention to observe side effects. Generally, side effects are mild and can cause water and sodium retention, edema, and drug-induced hepatitis. Patients should be told that they will gradually improve after stopping the medication.

(2) Patients treated with tamoxifen should pay attention to the side effects of the drug, such as hot flashes, chills, and menopausal syndrome, as well as bone marrow suppression. A small number of patients may experience vaginal bleeding, nausea, and vomiting. If any side effects occur, they should report to the physician. Tamoxifen is a non-steroidal anti-estrogen drug, usually taken orally at a dose of 20 to 40 mg/day. It can be used for a long time or for a course of treatment.

I hope that these nursing measures related to endometrial cancer can help more patients, so that they have the courage to take relevant nursing measures and do a good job in related nursing work, which will be more conducive to the recovery of the disease, and more conducive to their re-experiencing the beauty of life and returning to normal life.