Uterine Cancer
There are two types of uterine cancer: endometrial cancer and uterine sarcoma. Symptoms can include bleeding after menopause, or between periods, and treatment often consists of a hysterectomy, or removal of the uterus.
Endometrial cancer develops in the inner lining of your uterus, or endometrium. Endometrial cancer is one of the most common of the gynecologic cancers.
Uterine sarcoma develops in the muscle wall of your uterus, or the myometrium, and is rare.
Risk Factors
There are multiple risk factors for developing endometrial cancer, and can include an imbalance between estrogen and progesterone, obesity, age, diet, family history, menstrual and reproductive history, and health conditions such as diabetes. Additionally, treatments for other conditions such as radiation therapy to the pelvis and estrogen replacement therapy without progesterone increase your risk of developing uterine cancer.
If you are at high risk for developing uterine cancers, talk to your doctor about steps and lifestyle changes you can make to preserve your health.
Symptoms
Symptoms of endometrial cancer or uterine sarcoma can include:
- Lower abdominal pain or cramping in the pelvic area
- Vaginal bleeding between periods
- Vaginal bleeding or spotting post menopause; or a thin white or clear vaginal discharge
- Heavy, frequent, or prolonged vaginal bleeding in women over 40
Diagnosis
It is important to talk with your doctor if you experience signs of uterine cancer. Your doctor will review your symptoms, family history and risk factors, in addition to a physical and pelvic exam.
Your doctor may order tests to determine a diagnosis of uterine cancer, including lab tests and imaging tests, such as an MRI, CT scan or transvaginal ultrasound.
Treatments
While your treatment plan will vary based on your overall help and the type and severity of the cancer you have, most people with endometrial cancer require surgery. Most people end up having a hysterectomy, where a surgeon will remove the uterus and the cervix.
Other common treatments may include:
- Chemotherapy
- Radiation therapy
- Hormone therapy
- Immunotherapy
Prognosis/Life after uterine cancer treatment
Early detection and treatment are key to surviving uterine cancer. Patients are able to return to their normal activities within a reasonable amount of time