Uterine cancer as the name suggests is cancer that is present or begins in the endometrium (cells that form uterus lining). It is a rare form of cancer that usually lasts for a medium-term duration. Stage IV is the most advanced cancer stage and the most extensive. Even though a medical diagnosis is needed to confirm this cancer, they are to be supported with lab tests and imaging tests. Pelvic exam, pap test, ultrasound, and biopsy, sometimes CT or MRI may also be performed.
The main uterine cancer treatment is surgery which removes the uterus. The treatment is ultimately dependent on the stage you are in, chemotherapy or radiation could be required in advanced cases.
There are various signs and symptoms of uterine cancer such as
Abnormal vaginal bleeding
Vaginal discharge
Pain with urination and/or sex
Pelvic pains
The gynecologic oncologist may suggest any of these available treatment choices such as surgery, radiation, chemotherapy, and hormone therapy. The direction that the treatment can take is decided upon factors such as the stage of uterine cancer you are in, your age, and health parameters.
Surgery: Removing ovaries, uterus, part of the vagina, fallopian tubes, and nearby lymph nodes
Chemotherapy: Cycles of drug being administered with gaps in between. These drugs are given to the patient via an IV.
Radiation Therapy: Internal or external radiation
Hormone Therapy: The usage of progesterone on the uterine cancer cells.
Risks and Complications of Uterine Cancer Treatment
There are various treatment methods and related side effects of each treatment procedure. We mention here the risks and complications due to chemotherapy and surgery.
Side effects due to Chemotherapy:
Fatigue
Risk of infection
Nausea and vomiting
Hair loss
Loss of appetite, and diarrhoea
Inability to become pregnant
Early menopause
Side effects due to Surgery:
Pain and tiredness
Nausea and vomiting
Difficulty emptying the bladder and having bowel movements
Menopausal symptoms (incase ovaries are removed)
Swelling in legs (in case lymphadenectomy is done)
Inability to become pregnant (when hysterectomy is done)
The frequency of the post-treatment consultations should be higher during the first one to two years post-treatment.
During these consultations, it is important to update the doctor about any additional symptoms if any which might indicate the return of cancer or another condition.
Regular physical examinations including pelvic examination and medical tests include blood tests and X-rays should be undertaken during post-treatment consultations.
A recommended post-cancer treatment rehabilitation plan must include
Physical Therapy
Pain Management
Nutritional Planning
Emotional Counselling
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