Late-stage symptoms of endometrial cancer

Written by Du Rui Xia
Obstetrics
Updated on October 21, 2024
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Endometrial cancer is a common malignant tumor in the female reproductive system. In advanced stages, patients often experience irregular vaginal bleeding. In addition, there may be bloody discharge from the vagina. If an infection is present or there are signs of necrosis due to the cancer, there may also be purulent discharge or other foul odors. Additionally, there are more apparent symptoms such as pain, abdominal masses, and in late stages, the cancer may invade blood vessels, causing swelling in the lower limbs, or spread to nearby organs, such as the ureters, leading to renal damage. Over time, this can also lead to cachexia, fever, and other signs of systemic failure.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Causes of Endometrial Cancer

Patients with endometrial cancer generally have factors such as hypertension, diabetes, and obesity that induce the condition. They are more prone to developing endometrial cancer. Furthermore, endometrial cancer is divided into hormone-dependent and non-hormone-dependent types. Hormone-dependent endometrial cancer occurs when there is an excess of estrogen produced in the body without sufficient counteraction by progesterone, leading to excessive growth and proliferation of the endometrial lining. When this growth becomes uncontrolled, it can lead to cancer. Non-hormone-dependent endometrial cancer is not caused by hormonal factors and its development is more complex. Additionally, the pathology type of non-hormone-dependent endometrial cancer is also quite unique.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to perform surgery for endometrial cancer

Surgical treatment for endometrial cancer needs to be determined based on the specific stage and type of the cancer, as well as the size of the lesions. If the lesions are small and the cancer is in an early stage, a complete hysterectomy including the removal of both fallopian tubes and ovaries can be performed. Intraoperative pathology assessment of the endometrium is also necessary to determine the specific pathological type. If it is a special type of endometrial cancer, it is also necessary to clear the pelvic lymph nodes. If the endometrial cancer is at a later stage and the lesions are larger, then in addition to the removal of the uterus and both fallopian tubes and ovaries, it is also necessary to clear the lymph nodes around the abdominal aorta in the pelvis.

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Written by Du Rui Xia
Obstetrics
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Can endometrial cancer patients become pregnant?

After the occurrence of endometrial cancer, it is not possible to become pregnant. This is because, after pregnancy, a woman's immunity decreases, and her resistance to illness declines. This will affect the woman's health and may exacerbate the condition of endometrial cancer. Additionally, women with endometrial cancer, even if they become pregnant, may experience miscarriages as the embryo cannot develop normally, and even many harmful symptoms might occur, affecting the woman's health. Therefore, women with endometrial cancer should take contraceptive measures to prevent unintended pregnancies.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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What to do about endometrial cancer pain?

Endometrial cancer, when cancerous tissues invade local nerves, can cause patients to experience pain. This type of pain is recommended to be alleviated by oral painkillers. Pain caused by cancer is an important factor affecting the quality of life of patients in the middle and late stages of the disease; therefore, in clinical practice, analgesic medications can be administered to relieve symptoms in patients with cancer pain. (Please take medications under the guidance of a doctor.)

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Written by Li Li Jie
Obstetrics and Gynecology
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Is endometrial tofu dregs-like a sign of endometrial cancer?

Endometrial cancer usually manifests in five main aspects. First, irregular vaginal bleeding, which is typically light but can be moderate in some patients. If the patient is postmenopausal, the bleeding often appears as either continuous or intermittent. Second, menstrual disorders, which are a common symptom of endometrial cancer as it is a malignant tumor occurring in the endometrium and significantly affects menstruation. Third, vaginal discharge, where some patients may experience a discharge of thin, white secretions, or a very small amount of bloody discharge in the early stages of the disease. Fourth, pain; once a patient develops endometrial cancer, the tumor may cause bleeding and possibly lead to infection. Fifth, abdominal masses, which can occur if there is a combination of large uterine fibroids or in advanced stages, potentially leading to the formation of large masses in the pelvic cavity due to the spread of a uterine cavity abscess.