Diagnostic criteria for endometrial cancer

Endometrial cancer. In our daily lives, we have all heard of endometrial cancer. However, due to the lack of professional knowledge about endometrial cancer, it is often easy to neglect endometrial cancer. Experts say that endometrial cancer, also known as uterine body cancer, refers to cancer that occurs in the endometrium, and adenocarcinoma originating from the endometrial glands is relatively common. The key points of its clinical diagnosis mainly include the following aspects, which I will introduce one by one below.

Key points in clinical diagnosis of endometrial cancer

(A) It is more common in elderly women, with the peak age being 50 to 60 years old.

(ii) High-risk factors for endometrial cancer: infertility, nulliparity, late menopause (>52 years old); diseases related to increased estrogen levels: polycystic ovary syndrome, ovarian granulosa cell tumor, endometrial hyperplasia, irregular bleeding from uterine fibroids, long-term anovulatory functional uterine bleeding; history of exogenous estrogen; combined hypertension, diabetes and obesity; family history of cancer, etc.

(III) Vaginal bleeding: Vaginal bleeding is the main symptom after menopause, and menstrual disorders occur during the perimenopause period. Women who have not yet reached menopause may experience increased menstrual flow, prolonged menstrual periods, intermenstrual bleeding, or irregular vaginal bleeding.

(IV) Abnormal vaginal discharge: In the early stage, there is an increase in vaginal discharge, serous or serous bloody vaginal discharge. In the late stage, secondary infection may cause purulent or purulent bloody discharge with a foul odor, often accompanied by abnormal vaginal bleeding.

(V) Lower abdominal pain: When the tumor is too large to block the cervical opening or the cancer infiltrates the cervix, the internal cervical opening is blocked, causing blood and pus accumulation in the uterine cavity, which can cause lower abdominal pain. In the late stage, due to the infiltration of the cancer or compression of the surrounding nerve tissue, the lumbar and lower abdominal pain may radiate to the lower limbs and feet.

(VI) In the late stage, patients may experience weight loss, anemia, fever, cachexia, etc., and patients with larger lesions involving the adnexa or pelvic and abdominal cavities may feel a mass.

The above not only introduces endometrial cancer to you, but also introduces some methods of treating endometrial cancer. I hope it will be helpful to patients with endometrial cancer.