What Is endometrial Cancer?
Endometrial cancer usually occurs in women over the age of 50 and thus after menopause, but up to 25% of cases may occur before the menopause. At diagnosis, about 75% of women have a cancer confined to the uterus (stage I). For these women, the prognosis* is good and the 5-year survival rate is 90%.
What Causes endometrial Cancer?
There are many risk factors that predispose a woman to develop endometrial cancer.
- Diabetes Mellitus
- Combination of diabetes ,obesity and hypertension is sometimes called corpus cancer syndrome.
- Unopposed estrogen therapy without progestin therapy carries 4-8 times increased risk of endometrial cancers.
What Are The Symptoms?
Most common symptom is Abnormal uterine bleeding and Post menopausal bleeding.
How Is endometrial Cancer Diagnosed?
- Routine screening of asymptomatic women not recommended
- Trans vaginal USG & sonohysterogram: ET > 5mm in postmenopausal women needs evaluation
- Pap smear: unreliable, accuracy = 30 – 50%
- First step: Office endometrial aspiration biopsy +ECC
- 90 – 98% accuracy
- Procedure success 95%
- Complications: Rare, Perforation 1 – 2 / 1000
- D&C: If cervical stenosis
- Hysteroscopy: Abnormal bleeding after negative / inadequate EA, identify polyps & submucous myoma
- At sunrise we offer transvaginal USG, sonohysterogram, Pap smear, Hysteroscopy for biopsy and evaluation
The cornerstone of treatment is surgery. Radiotherapy and chemotherapy used after surgery are called adjuvant therapies, meaning that they are used in addition to surgery.
At sunrise we do proper staging, laparoscopic total hysterectomy with bilateral salpingoopherectomy and selective lymphadenectomy. Selective lymphadenectomy is done following SLN Mapping which can help patients avoid the side effects associated with a complete lymphadenectomy when not required in early stages of endometrial cancer with no lymph node involvement.
Laparoscopic Treatment Of endometrial Cancer:
The complete surgery radical hysterectomy with bilateral salpingoopherectomy along with pelvic and paraaortic lymph node removal when involved is done With laparoscopic approach by which we ensure Lesser Blood loss, Shorter hospital stay ,better overall survival.