Gynecological Oncology Gynecology Specialist Assoc. Dr. İlker Kahramanoğlu gave information about the subject.
This disease, which is known as Uterine Cancer in society but has many medical names such as "Endometrium Cancer" and "Uterus Cancer", can be completely treated when diagnosed early.
The biggest symptom is bleeding
Uterine cancer is a common type of cancer in women in our country as well as in the world. This disease is a disease that manifests itself with bleeding. When irregular bleeding occurs in women who are going through menopauseWhen women who have gone through menopause complain of spotting or bleeding, the suspicion of endometrial cancer comes to mind. Bleeding is a sign of disease In a way, it is an advantage. Because cancer can be detected at an early stage before it spreads in patients who consult specialists in this field due to bleeding.
80% of Patients Receive Early Diagnosis
It is possible to predict endometrium cancer by examination. From patients who are suitable for the condition, a biopsy is performed by taking a piece from the uterine area with painless methods during the examination and as a result of this biopsy, if any, cancer is diagnosed.
Once the final result is obtained, it is also very important to explain the current situation to the patient and their relatives, to provide information about how the process will proceed, and to give trust-based explanations to the patient about what to do in the next steps. "In particular, healthy communication between the surgeon and the patient provides advantages in the treatment program for both parties in every sense," he commented.
Is Surgery the Only Treatment Method?
“Endometrium cancer surgery is not a simple uterus or ovarian removal operation. In this operation, in addition to the uterus, the lymph nodes, that is, the areas where the disease is likely to spread, must be evaluated in detail, and as a result of this evaluation, the lymph nodes that may spread must also be removed. Traditionally, in endometrial cancer surgeries, all lymph nodes were removed during surgery to detect possible lymph node spread. Nowadays, instead of collecting all the lymph nodes, the first lymph nodes that are likely to be involved are found with special dyes and only those are removed. Detailed evaluation of these lymph nodes with special sizes and thinner sections during pathological examination allows even a few cancer cells to be seen. With this technique, we achieve better oncological results with less morbidity in patients. Uterine cancer patients are often operated on using the laparoscopic closed method. While some are discharged on the same day without any hospitalization, others are discharged after a maximum of 1 day of hospitalization.
The most likely scenario in endometrial cancer is that patients are diagnosed at Stage 1 and treated only with surgery.
Which Patients Need Additional Treatment?
The majority of patients can only be treated with surgery. However, some patients may require additional radiation therapy and/or chemotherapy after surgery. The pathological results of the parts removed during the operation reach the surgeons in approximately 10-14 days. And the results here matter.
There are some criteria that need to be considered regarding additional treatment. These;
-Size of the Tumor
-How advanced the tumor is in the uterine muscle tissue
-Whether the disease affects the lymph channels and vessels within the uterine muscle
-Whether there is a tumor on microscopic imaging in the removed lymph nodes
By evaluating these criteria, it is decided whether the patient needs additional treatment after surgery. Nowadays, in addition to classical pathological examination, we can perform molecular classification of the tumor and better predict the course of the disease and the need for additional treatment. Thus, it is possible to achieve higher positivity rates and achieve successful oncological results with less burden on the patient.
Genetic Predisposition is Very Important! Beware of Obesity and Diabetes!
Assoc. Dr. İlker Kahramanoğlu,” All