How to treat endometrium

For women, the uterus is a part that deserves everyone's attention and concern. The uterus not only determines whether a child is conceived, but also affects one's own health. So how to treat the endometrium? Once there is a problem with the endometrium, everyone should treat it calmly. It is best to receive treatment under the guidance of a professional doctor. At the same time, you should pay more attention to your own hygiene in daily life and avoid contact with cold water and unclean environment.

There are many treatments for endometrial cancer. In addition to trying traditional Chinese medicine, many people also need to pay attention to Western medicine treatment. So what is Western medicine treatment like, and how many effective Western medicine treatments are there? Let's take a detailed look at the Western medicine methods for endometrial cancer to better solve this disease.

The main treatments include surgery, radiotherapy and drug therapy. The treatment plan should be formulated based on the patient's general condition, tumor extent and degree of malignancy. Surgery is the main treatment in the early stage, while comprehensive treatment such as radiotherapy, surgery and drug therapy is used in the late stage.

1. Surgery

Stage I: Patients should undergo extrafascial total hysterectomy plus bilateral salpingo-oophorectomy or subradical hysterectomy, pelvic and para-aortic lymph node dissection or sampling.

Stage II: Radical hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic lymph node dissection should be performed.

Stage III: Comprehensive treatment is the main approach, with radiotherapy often being the first choice, or surgery being performed after the cancer has shrunk through radiotherapy; postoperatively, radiotherapy, chemotherapy, and hormone combined treatment are used as adjuvants. For patients with distant metastasis, radiological interventional therapy may be performed as appropriate.

Stage IV: progestin therapy and/or chemotherapy.

2. Radiation therapy

Radiotherapy alone: ​​suitable for patients in the advanced stage or who cannot tolerate surgery. It includes intracavitary and extracorporeal irradiation.

(1) Intrauterine irradiation: radiotherapy within the uterine cavity and vaginal vault.

(2) External irradiation: The irradiated area includes the tumor and pelvic infiltration.

3. Surgery plus radiotherapy

(1) Preoperative radiotherapy: It can reduce the recurrence of vaginal vault, shrink or eradicate regional lymph node metastasis, reduce the size of the tumor, inactivate cancer cells, reduce intraoperative spread and bleeding, and reduce the possibility of postoperative recurrence and distant metastasis, thus improving the surgical cure rate. Generally, intracavitary radiotherapy is performed, and surgery is performed 7 to 10 days after intracavitary radiotherapy, and preoperative external irradiation is performed 6 weeks after radiotherapy.

(2) Postoperative radiotherapy: supplements the deficiencies of surgery. If postoperative pathology confirms that cancer cells have involved the cervix, the cancer has invaded more than 1/2 of the uterine myometrium. Poor cell differentiation. The lesion extends beyond the uterus, and the pathological examination shows adenosquamous carcinoma/clear cell carcinoma/papillary adenocarcinoma, and the parauterine lymph nodes are positive. External irradiation should be supplemented after surgery. Intracavitary radiotherapy can be performed 2-4 weeks after surgery.

After reading so many methods, you should know how to treat endometrium. At the same time, the editor would like to give you some advice. You must pay attention to keeping your body warm. Many people have problems with their endometrium because of poor health and catching cold. Once such a problem occurs, it will be troublesome. I hope readers will exercise more and take care of their bodies.