These doctors treat all stages of endometrial cancer. If you have any of the symptoms of endometrial cancer see Signs and Symptoms of Endometrial Cancer , you should see a doctor right away. The doctor will ask about your symptoms, risk factors , and medical history.
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The doctor will also do a physical exam and a pelvic exam. Ultrasound is often one of the first tests used to look at the uterus, ovaries, and fallopian tubes in women with possible gynecologic problems. Ultrasound uses sound waves to take pictures of the inside of the body. A small wand called a transducer or probe gives off sound waves and picks up the echoes as they bounce off the organs.
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A computer translates the echoes into pictures. For a pelvic ultrasound , the transducer is moved over the skin of the lower part of the belly abdomen. Often, to get good pictures of the uterus, ovaries, and fallopian tubes, the bladder needs be full. That's why women getting a pelvic ultrasound are asked to drink lots of water before the test. A transvaginal ultrasound TVUS is often better to look at the uterus. For this test, the TVUS probe that works the same way as the ultrasound transducer is put into the vagina. Images from the TVUS can be used to see if the uterus contains a mass tumor , or if the endometrium is thicker than usual, which can be a sign of endometrial cancer.
Womb (uterus) cancer
It may also help see if cancer is growing into the muscle layer of the uterus myometrium. A small tube may be used to put salt water saline into the uterus before the ultrasound. This helps the doctor see the uterine lining more clearly. This procedure is called a saline infusion sonogram or hysterosonogram. Sonogram is another term for ultrasound. Ultrasound can be used to see endometrial polyps growths , measure how thick the endometrium is, and can help doctors pinpoint the area they want to biopsy.
To find out exactly what kind of endometrial change is present, the doctor must take out some tissue so that it can be tested and looked at with a microscope. A gynecologist usually does these procedures, which are described below. An endometrial biopsy is the most commonly used test for endometrial cancer and is very accurate in postmenopausal women. It can be done in the doctor's office. A very thin, flexible tube is put into the uterus through the cervix.
Then, using suction, a small amount of endometrium is removed through the tube. The suctioning takes about a minute or less. The discomfort is a lot like menstrual cramps and can be helped by taking a nonsteroidal anti-inflammatory drug like ibuprofen before the procedure.
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Sometimes a thin needle is used to inject numbing medicine local anesthetic into the cervix just before the procedure to help reduce the pain. To get a better view of the inside lining of the uterus, the uterus is filled with salt water saline. This lets the doctor look for and biopsy anything abnormal, such as a cancer or a polyp.
This is usually done using a local anesthesia numbing medicine while the patient is awake. In this outpatient procedure, the opening of the cervix is enlarged dilated and a special instrument is used to scrape tissue from inside the uterus. This may be done with or without a hysteroscopy. This procedure takes about an hour and may require general anesthesia where drugs are used to put you into a deep sleep or conscious sedation drugs are put into a vein to make you drowsy either with local anesthesia injected into the cervix or a spinal or epidural.
What you should know after a uterine cancer diagnosis
Most women have little discomfort after this procedure. If cancer is found, the lab report will state what type of endometrial cancer it is like endometrioid or clear cell and what grade it is. Endometrial cancer is graded on a scale of 1 to 3 based on how much it looks like normal endometrium. Women with lower grade cancers are less likely to have cancer in other part of their body and are less likely to have the cancer come back after treatment recur.
If the doctor suspects hereditary non-polyposis colon cancer HNPCC as an underlying cause of the endometrial cancer, the tumor tissue can be tested for protein and gene changes. To help you get relief from side effects, your doctors and nurses need to know specific details about your symptoms. By keeping a side effect journal and bringing it with you to medical appointments, you can have this kind of information ready to share with them.
Some of the things you may want to write down in your journal include:. Should I seek a second opinion? Usually with a new diagnosis there is a period of time, depending on the cancer type and stage, before treatment begins. During this time, getting a second opinion may help give you peace of mind or an alternative treatment possibility.
How does this diagnosis affect my fertility? Talk to your health care team about all of your treatment options and the long-term effects. How will uterine cancer affect my ability to be intimate? The physical impact of cancer and cancer treatments can affect how you relate to a romantic partner. While some women find it difficult to bring up intimacy concerns with their doctor, being open about the physical or emotional difficulties you are experiencing is the first step in having your concerns appropriately addressed by your medical team.
Prepare yourself for any physical changes during treatment by having your doctor explain what these changes may be. Is there a clinical trial I can participate in? If so, will it be covered by my insurance?
Diagnosing uterine cancer
Clinical trials are the standard by which we measure the worth of new treatments and the quality of life of patients as they receive those treatments. For this reason, doctors and researchers urge people with cancer to take part in clinical trials. Surgery is not a treatment option for everyone.
If surgery is a treatment option for you, here is a list of questions that you may want to ask your health care team beforehand. Some of the things you may want to write down in your journal include: How long a side effect lasts The date and time a side effect occurs What impact the side effect has on your daily activities.
For example—does pain keep you from sleeping?
back2.barrica94.cl/fotografa-rflex-digital-dslr-los-anlisis-de-cmaras.php How strong the side effect is. For example—if you experience pain, how strong is it on a scale from 0 to 10, where 0 equals no pain and 10 is the worst pain possible? Surgery as a Treatment Option Surgery is not a treatment option for everyone. Why is surgery the best option for me?
What treatment options do I have that do not involve removing my uterus? What experience do you have performing uterine surgeries?