Uterine Cancer

Uterine cancer is the abnormal (malignant) growth of any cells that comprise uterine tissue.  The uterus is the hollow, pear-shaped pelvic organ in women where fetal development occurs. Endometrial cancer begins in the layer of cells that form the lining (endometrium) of the uterus.

What are the symptoms of uterine cancer?

A key sign is abnormal vaginal bleeding, such as bleeding after menopause or bleeding between periods. Other symptoms may include pelvic pain and pain during sex, but some women experience no symptoms at all.
Can have no symptoms, but people may experience:
Pain areas: in the pelvis
Menstrual: heavy menstruation or irregular menstruation
Whole body: anaemia or fatigue
Also common: gynaecological bleeding or vaginal bleeding

How we diagnose endometrial cancer?

In addition to a physical examination, the following imaging tests may be used to diagnose uterine cancer:
  • Pelvic examination.The doctor feels the uterus, vagina, ovaries, and rectum to check for any unusual findings. A Pap test, often done with a pelvic examination, is primarily done to evaluate for cervical cancer.
  • Transvaginal ultrasound.
  • Computed tomography (CT or CAT)
  • Magnetic resonance imaging (MRI).

    Doctors also use the following surgical tests to establish a diagnosis:

  • Endometrial biopsy– A biopsy is the removal of a small amount of tissue for examination under a microscope.
  • Dilatation and Curetage (D&C). A D&C is a procedure to remove tissue samples from the uterus.

How is Uterine Cancer treated?

Surgery is the most common treatment for uterine cancer (also called endometrial cancer). The extent of the surgery depends on whether the tumor is contained in the uterus or has spread. The minimum surgical procedure is a hysterectomy to remove the uterus, cervix, and both fallopian tubes and ovaries. Often surgery also includes the removal of lymph nodes in the pelvis and abdomen.

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DR Chitrathara K

HOD & Senior Consultant in Surgical & Gynaec Oncology. VPS Lakeshore Kochi
Specialized in gynecological, urological, and breast cancer surgeries.

  • Actively participated in the development of surgical oncology as a separate speciality in Kerala
  •  First lady Urologist of Kerala.
  • Started Kerala's first Gynaecological Cancer Surgery unit at Regional Cancer Centre, Thiruvananthapuram in 1993 & urological oncology in 2009.
  • Authored malayalam book “ Sthreekalile Arbudam-Ariyendathellam” published in 2014 by DC books
  • Editor of the following books - Ovarian Cancer (2008), Cervical cancer (2010) and Uterine Cancer (2015).

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