Diagnosis and endometrium cancer tests

English

In the United States, endometrium cancer is the most common types of cancer that influence the reproductive organs of women and people with a female task at their birth. Around 66,000 cases are diagnosed every year and the rates increase.

There is no unique test or examination to recognize endometrium cancer. Therefore, medical care (HCP) use many different types of tests to make the diagnosis.

If you have endometrium cancer and diagnostic knowledge, this can be useful to know what to expect.

What is endometrium cancer?

The term endometrium cancer is used for any cancer that comes from the mucous membrane of the upper part of the uterus, also referred to as the uterus cavity. It occurs when a non -identified trigger healthy cells of the mucous membrane (endometrium) causes mutan or cancer cells.

Read: Summary information: What you should know about endometrium cancer >>

What are the symptoms of endometrium cancer?

Abnormal bleeding are the main symptom for endometrium cancer. This includes:

  • Vaginal bleeding between menstrual periods
  • Important changes in your menstrual cycle (even during perimenopause if bleeding can be unpredictable)
  • Very abundant menstrual times that last for a long time or occur frequently
  • Any bleeding or remark after menopause
  • Other common symptoms are:
  • Pain or cramps directly under your stomach
  • Changes in your vaginal secretion
  • A new vaginal secretion after menopause

The company of menopause indicates that many women with endometrium cancer do not receive any diagnoses after menopause because they do not know that bleeding, even if it only occurs once, is an important alarm signal.

“For women after menopause, a secretion, bleeding or vaginal coloring does not automatically mean that they have cancer, but it is important to carry out tests,” said Nita Lee, MD, an affiliated professor of obstetrics and gynecology at the University of Chicago.

But medical suppliers do not always tell their patients that they should bleed after menopause. In a survey carried out by Menopause Society, less than half of the respondents said that their doctors had orientation towards bleeding after menopause and endometrium cancer.

Even if women are consulted with a medical provider about irregular bleeding after menopause, they may not examine them to identify endometrium cancer. “Often women go to their doctors who say:” I have vaginal farmers “, and the doctors will say:” This is probably a urine infection (IU), “said Lee. She asks women who believe that their concerns are not seriously taken into account in order to apply for a gynecological examination or a reference.

Who develops endometrium cancer?

Endometrium cancer is more common in women who have passed the menopause. The average age in which the diagnosis has been received is 60 years.

Black women get this diagnosis more often in more advanced stages and die from endometrium cancer. The possible reasons for this difference are a greater option that the diagnosis with a more unusual and more aggressive type of endometrium cancer, their genetics and the fact that black women with endometrium cancer have fewer opportunities to get appropriate care than white women. Experts are working on getting more information and raising awareness of this inequality.

Lee: Why do black women die from endometrium cancer more often? >>

How is endometrium cancer diagnosed?

The process of diagnosing endometrium cancer begins with a conversation between the patient and her medical provider. It is important that you share your personal and family history so that your medical provider can better understand any risk factor that makes you more susceptible to endometrium cancer.

Then your medical supplier will carry out a physical examination. Lee says that a pelvic examination is important because it enables its medical supplier to check things like the size of her uterus and spread out on the cervix or the vagina.

Your medical provider also captures a detailed medical background to experience possible risk factors, including:

  • Obesity or metabolic syndrome
  • Pre -existing diseases such as polycystic ovary syndrome (SOP) in connection with endometrium cancer
  • Family history of gynecological cancer (in particular endometrium cancer) or certain genetic disorders such as Lynch syndrome, also known as an inherited colon cancer without polypse (CCHSP)
  • Estrog therapy
  • Used tamoxifen to prevent or treat breast cancer
  • Start at a young age in the menstrual period and late menopause, which means that you are exposed to estrogen
  • Non -pregnant

What happens afterwards depends on your unique situation, but you will make you at least one of these tests:

  • Ultrasonic (Basin or transvaginal), the sound waves used
  • Biopsia -endometriumA procedure in the office through which a thin and flexible probe in the uterus through the Uterushal
  • Hysteroscopyin which a medical provider introduces a tiny telescope into the uterus to recognize and complete the biopsy of an anomaly
  • Dilatation and course (D&C.For his acronym in English) a procedure that implies the dilution of the cervix and the removal of the uterus with a special tool (teaspoon) that is carried out if an endometrium biopsy is not sufficient.
  • Genetic and protein tests To recognize the Lynch syndrome, an underlying cause of some cases of endometrium cancer
    • Tests could also be carried out to try out three hereditary features (MMRD, MSI-H and TMB-H) that indicate this
  • Complete bloodstream (HGC)A blood test that evaluates different types of blood cells (such as red and white blood cells) to prove abnormal values
  • CA-125 BluttestWhat tries to recognize a substance called CA-125 that many endometrium cancer in the bloodstream

A test in which endometrium cancer is not detected? A dad smear that is only used to detect cellular changes in the cervix that can cause cervical cancer.

“Many people think wrongly when they had a Pap Lolau with normal results that they have no endometrium or uterine cancer,” said Lee. He added that many of their patients are surprised if they are diagnosed with normal results after years of dad smear tests.

Tests for the detection of cancer spread

If your medical provider believes that cancer is in an advanced stage, you have to carry out further tests to determine whether he has spread to other parts of the body. This includes:

  • Thorax X -Rays To recognize cancer in their lungs
  • Computer tomography (TC)This is an Equis ray process for recognizing cancer in your other organs
  • Magnetic resonances (RM) This uses radio waves and magnets to identify the spread of cancer in the brain, in the spinal cord, in the uterus and in the lymph nodes
  • Positeronic emission imaging (TEP)If sugar is radioactive (glucose) to demonstrate cancer cells, since these cells use glucose faster than normal cells.

These tests are carried out (or not) depending on whether your cancer is in an advanced stage and in other specific circumstances.

Early detection is the key

Endometrium cancer is very treatable if it is demonstrated early. The relative survival rate of 5 years is 95%if cancer is not spreading, ie if it is not out of the uterus.

If you had symptoms of endometrium cancer or just want to know your risk, speak to your medical provider. If you are concerned about the costs, the Cancer Prevention Foundation offers support for free and cheap cancer tests.

This educational resource was created with the support of Karyopharm.

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