Endometrial cancer treatments

The article was professionally consulted by Specialist Doctor I Le Thien Quang - Internal Oncologist - Department of Examination & Internal Medicine - Vinmec Danang International General Hospital.

Endometrial cancer arises from the endometrium. The most common sign of the disease is abnormal vaginal bleeding. If left untreated, endometrial cancer can affect a woman's motherhood.

The lining that covers the entire inner surface of the uterus, also known as the endometrium, plays an important role in a woman's conception and subsequent pregnancy. Every month, under the influence of female sex hormones, the endometrium grows and thickens, ready to nest for a fertilized egg.
Endometrial cancer is cancer that arises from the endometrium as a result of abnormal growth of endometrial cells.
The first sign of endometrial cancer is abnormal bleeding outside of the menstrual period, especially after menopause. Other symptoms include pain with urination or intercourse, or pelvic pain.
The cause of endometrial cancer is most often thought to be due to an increased amount of estrogen (female hormone) leading to abnormal growth of the cells lining the uterus, making the lining of the uterus worse. abnormal thickening of the uterine lining.

Most patients are treated with surgery, some are treated with radiation (also called radiation therapy), some are treated with hormones, some are treated with a combination of methods. this. The doctor will talk to the patient about the details of the treatments and the results that will be achieved.
Radiation Therapy is a method of using high-energy beams to kill cancer cells. Like surgery, this is a local treatment that only affects cells in the treatment area. There are two forms of radiation therapy:
External radiation: Using a large beam generator outside the body to shine rays into the treatment area. Patients are usually treated 5 days per week for several months. Patients can only need outpatient treatment without needing to be hospitalized. Internal radiation: A small tube of radioactive material is inserted into the vagina and left there for several days. Patients will be hospitalized and limited visits during the treatment days. Endocrine therapy is a method of using drugs to prevent cancer cells from being exposed to the hormones they need to grow. Before endocrine therapy, doctors will order endocrine tests to see if the patient is likely to respond to this treatment or not. This is a systemic treatment. The most commonly used medication is called progesterone, which comes in pill form. This method can be indicated for patients who are inoperable, have metastasized or relapsed after treatment.
Surgery Surgery for endometrial cancer includes removal of the uterus, ovaries and fallopian tubes, removing lymph nodes to check if cancer cells have spread to the lymph nodes. If the cancer is limited to the endometrium, the patient will not need any further treatment.

The method of laparoscopic total hysterectomy is indicated for the following subjects: Uterine fibroids; Large uterine fibroids, size > 12 weeks gestation; Uterine fibroids cause compression of other organs, causing many malignant complications, causing infertility. The tumor is located in the broad ligament. Endometrial hyperplasia with no results Endometrial hyperplasia has no results Menorrhagia and internal therapy unsuccessful Cervical injury: CIN II, CIN III, CIS Early-stage endometrial cancer After egg abortion with only Hysterectomy laparoscopic method of total hysterectomy will remove the entire tumor, thoroughly solve the source of the clinical symptoms, besides, laparoscopic surgery helps patients reduce trauma, evaluate more aesthetic and the patient also recovers faster after surgery than open surgery as before.
The advantages of the technique include: High aesthetics for the patient: If laparoscopic surgery is almost no scar, only 3 holes in the trocart are about 0.5 cm in size, compared to open surgery with scars of about 0.5 cm. 10 cm. Complete laparoscopic hysterectomy is an advanced technique that helps the patient recover quickly without leaving bad scars on the abdominal wall. Less pain after surgery: after surgery, patients have less pain or only mild pain on the first day, while open surgery pain 3-5 days. Quick recovery: After laparoscopic surgery, the patient can walk and eat normally the next day. Short hospital stay: On average, laparoscopic surgery requires only 3 days of hospital stay, while open surgery requires a hospital stay of 5-7 days. Less expensive: Although the cost of laparoscopic surgery is higher than that of open surgery, the hospital stay is short, the drug is used less, and the recovery is quick, so the total cost of treatment is not high.

Procedure: The procedure is performed: Patients come to the pre-operative examination -> Examination and testing -> There are indications for surgery and are eligible for surgery -> Admission to the Obstetrics Department -> Preparation for surgery -> Surgery -> Follow-up and postoperative care -> Eligible for discharge -> Discharge from hospital.
Why should this technique be done at Vinmec Ha Long? Experienced doctors in Obstetrics and Gynecology. The doctors are all department heads, experienced doctors at central and provincial hospitals such as: Doctor CKII Bach Cam An, Doctor CKII Bui Minh Phuc, Master, Doctor Nguyen Thanh Vinh, Doctor CKI Le Thi Phuong ...
Modern civilized disease prevention system, comprehensive care, meals, rest, exercise, health education, each room is equipped with amenities like a guest apartment 5-star hotel, patient information is confidential.
Vinmec Ha Long's Hybird operating room is the most modern operating room system in the world today, integrating operating room and advanced imaging facilities (CT scan, MRI, ultrasound...) Reduce surgery time and bring the best surgical effect to the patient, minimize the risk of hospital infections, complications during laparoscopic surgery to help patients less trauma, recover quickly, leave scars The scar is very small and especially the safety is very high compared to conventional open surgery.
When performing laparoscopic total hysterectomy at Vinmec Ha Long, the patient can experience the most advanced techniques such as: full HD laparoscopic surgery system, with a tissue cutter when the tumor is too large. , with uterine thrust for surgery, with vaginal suture devices
In resuscitation anesthesia, Vinmec adheres to anesthesia protocols, anesthesia safety guidelines, anesthesia checklist for 100% surgery to minimize incidents and unwanted effects.