Ferret endometrial cancer need to catch clues

Endometrial cancer is the cancer of the endometrium, the overwhelming majority as adenocarcinoma.

As one of the three malignant neoplasms of female genital mutilation, a high incidence of age-58-61-year-old, representing approximately 7% of the total female cancer, malignant neoplasms of female genital tract 20 ~ 30%, there is an increasing trend in recent years, the incidence has become close to or even exceed the cervical cancer.

Hazards

In the last 20 years, due to factors such as estrogen abuse, endometrial cancer and breast cancer incidence was significantly increased and younger trend in women's high incidence of breast cancer, # 1, # endometrial cancer, high mortality, harmfulness.

Endometrial cancer first according to the clinical symptoms

Vaginal bleeding, unusual vaginal discharge fluid, uterine effusion or empyema for endometrial cancer symptoms, including irregular vaginal bleeding is the most typical symptoms, start a small amount of bleeding is often, occasionally for a large number of bleeding, especially after menopause and middle-aged women found a small amount of vaginal bleeding, to guard against the incidence of endometrial cancer.

Premenopausal women can be manifested as menorrhagia, menstrual bleeding menstruation interim extension or, sometimes characterized by abnormal fluid discharge, vaginal secretion increases, water or bloody, some of them accompanied by abdominal pain. Endometrial cancer early symptoms significantly, it is not difficult to detect, such symptoms should be timely treatment.

Now commonly used to check include:

Gynecological three hezhen check: is the most basic means of inspection.

Vaginal shedding cytology: non-invasive, through the shedding of endometrial cells morphology of endometrial cancer is found.

Image: b-mode ultrasound, CT, MRI.

Are non-invasive, which is more universal, b-economy.

Hysteroscopy: arthroscopic surgery endometrial lesions can be found early.

Cervical and endometrial biopsy (segmented endometrial biopsy): both sides of the Palace and the Palace of the corner is the endometrial cancer predisposing parts, especially when piecewise scraping endometrial should take note of these parts.

General following the above examination, the diagnosis can be confirmed.

Minority women following the above examination diagnosis cannot be established, cannot except for endometrial cancer, may carry out comprehensive curettage, but does not advocate comprehensive diagnostic curettage as conventional endometrial cancer and the preferred method of diagnosis. Endometrial cancer misdiagnosis, misdiagnosis of misdiagnosis, missed and the reasons are due to lack of experience of the physicians often focus on cervical cancer, ignore the presence of endometrial carcinoma; in endometrial biopsy, bottom and sides of the missing Palace, the Palace is the endometrial cancer missed an important reason. Mistaken for endometrial cancer occurs only in older women, and uterus increases, but not to the uterus, young women suffering from endometrial cancer's lack of awareness is missed, endometrial cancer misdiagnosed.

Atypical hyperplasia of endometrium is endometrial cancer and precancerous lesions

Endometrial hyperplasia of simple or complex with about 10 years respectively, 1% or 3% for endometrial cancer, while 80% can be spontaneous regression.

If the vast majority of progesterone treatment is applied can be reversed. And atypical hyperplasia of endometrium, endometrial cancer and precancerous lesions, according to their classification, their cancer rates are also different, with the classification of cancer rates rise, increasing

E I N Ⅰ, Ⅱ and ⅲ its cancer rate 15%, 24% and 45%; and is also closely linked with age, EIN menopause is 3% of cancer, and postmenopausal EIN ' cancer rate is 25%.

EIN intimal by conservative treatment can transform even pregnancy but there is still a possibility of recurrence.

EIN the ovulation or progesterone after treatment, most good prognosis, and strict follow-up as a small number of effect was not good, it is timely for hysterectomy, avoids the development for endometrial cancer.

Endometrial cancer with the following diseases identification

1. menopause transition of dysfunctional uterine bleeding (hereinafter referred to as menopause transition dysfunctional uterine bleeding)

Mainly manifested as menstrual disorders, such as the quantity increase, by extension, the interval bleeding or irregular bleeding, and so on.

Gynecological examination found no exception, and endometrial cancer symptoms and signs are similar. It is difficult to distinguish clinically. Should first subparagraph curettage, confirmed and symptomatic treatment.

2. vaginitis

Mainly ischemic leucorrhea, and endometrial cancer phase differential.

Former see vaginal wall congestion or submucosal powder in bleeding point, the latter see normal vaginal wall, flowing from the cervical canal. Older women also should be noted that the coexistence of two things.

3. uterine myoma submucous or endometrial polyp

Many presented as menorrhagia and extended by the period, the needs and endometrial cancer phase differential.

Time line segment curettage, Hysteroscopy and B-type ultrasonography, confirmed is not difficult.

4. primary fallopian tube cancer

Mainly manifested as vaginal discharge, vaginal bleeding and pain in lower abdomen.

Segmented curettage-negative, paracervical block objects, palpable and endometrial cancer, uterine curettage-positive noncombustibility palpable next to none. B-mode ultrasound check helps to distinguish.

5. senile endometritis merge postmenopase

Often performance increase in vaginal fluid discharge, serous, Pyogenic or with pus.

Uterine normal big or increase the soft, expanding cervical canal and consultation can clear diagnosis. blowing Expansion after the cervical canal see pus, wiping out of inflammatory cells, see no cancer cells. Endometrial cancer with postmenopase, pus flows out blow out, should also, pathologic tissues can be confirmed. However, attention should be paid to the possibility of the coexistence of the two.

6. cervical cancer, uterine Sarcoma

Are characterized by irregular vaginal bleeding and drain.

Cervical duct carcinoma lesions in the cervical canal, cervical laminoplasty formation barrel cervical. The General number of uterine Sarcoma in intrauterine and uterus increases. Segmented curettage and cervical biopsy is able to identify.

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(Practice editing: xiujie)