Patients with endometrial cancer mainly experience symptoms in three areas: First, obvious symptoms caused by local tumors in the uterus, such as irregular vaginal bleeding, changes in the menstrual cycle, a sense of fullness and dull pain in the lower abdomen and pelvic area, along with significant discomfort and pain. Second, clinical symptoms caused by metastatic lesions. Endometrial cancer can spread through three pathways, which after dissemination can cause a variety of symptoms, such as abdominal pain, bloating, constipation, headache, vomiting, movement disorders, chest tightness, coughing, wheezing, and difficulty breathing. Some patients may also experience bone pain. Third, systemic symptoms, which are typically seen in advanced stages of endometrial cancer and commonly include cachexia, fever, and others.