Treatment for endometrial cancer is usually with surgery to remove the uterus, fallopian tubes and ovaries. Another option is radiation therapy with powerful energy. Drug treatments for endometrial cancer include chemotherapy with powerful drugs and hormone therapy to block hormones that cancer cells rely on.
What is the most effective treatment for endometrial cancer?
Surgery is the first treatment for almost all women with endometrial cancer. The operation includes removing the uterus, fallopian tubes, and ovaries. (This is called a total hysterectomy bilateral salpingo-oophorectomy or TH/BSO).
Is endometrial cancer easily treated?
Endometrial cancer is highly curable when found early. Uterine carcinosarcoma is a very rare type of uterine cancer, with characteristics of both endometrial cancer and uterine sarcoma.
How is endometrial cancer treated without surgery?
If a woman cannot have surgery, the doctor may recommend radiation therapy instead. Options for giving radiation therapy to treat uterine cancer may include radiation therapy directed towards the whole pelvis and/or applied only to the vaginal cavity, often called vaginal brachytherapy.
Is chemo required for endometrial cancer?
Chemo is not used to treat stage I and II endometrial cancers. In most cases, a combination of chemo drugs is used. Combination chemotherapy tends to work better than one drug alone. Chemo is often given in cycles: a period of treatment, followed by a rest period.
Can endometrial cancer come back after hysterectomy?
The chances of endometrial cancer recurrence vary based on a number of factors that are unique to each patient, including age and the stage and spread of the initial cancer. Endometrial cancer is most likely to recur in the first three years after the initial treatment, though late recurrence is also possible.
Does endometrial cancer spread quickly?
The most common type of endometrial cancer (type 1) grows slowly. It most often is found only inside the uterus. Type 2 is less common. It grows more rapidly and tends to spread to other parts of the body.
What is the difference between uterine cancer and endometrial cancer?
Endometrial cancer begins in the layer of cells that form the lining (endometrium) of the uterus. Endometrial cancer is sometimes called uterine cancer. Other types of cancer can form in the uterus, including uterine sarcoma, but they are much less common than endometrial cancer.
Where does endometrial cancer spread first?
In general, uterine cancer can metastasize to the rectum or bladder. Other areas where it may spread include the vagina, ovaries and fallopian tubes. This form of cancer is typically slow-growing and often detected before it has spread to more distant areas of the body.
What percentage of endometrial biopsies are cancerous?
Conclusions: In a postmenopausal woman without vaginal bleeding, if the endometrium measures > 11 mm a biopsy should be considered as the risk of cancer is 6.7%, whereas if the endometrium measures < or = 11 mm a biopsy is not needed as the risk of cancer is extremely low.
Is radiation therapy painful?
Radiation does not hurt, sting, or burn when it enters the body. You will hear clicking or buzzing throughout the treatment and there may be a smell from the machine. Typically, people have treatment sessions 5 times per week, Monday through Friday.
How soon after hysterectomy do you start chemo?
Chemotherapy is usually started 1 to 4 weeks after surgery. After a hysterectomy, call your doctor if: You have bright red vaginal bleeding that soaks one or more pads in an hour, or you have large clots.
What are the side effects of radiation therapy for uterine cancer?
Some common side effects of radiation therapy used for uterine cancer are:
- skin problems.
- bladder problems, including discomfort, urge to urinate often and bleeding.
- nausea and vomiting.
- bowel obstruction.
- lymphedema in the legs.
- sexual problems including vaginal dryness and painful intercourse.
Can endometrial cancer come back?
Endometrial cancer is most likely to come back within the first few years after treatment, so an important part of your treatment plan is a specific schedule of follow-up visits after treatment ends.
What happens if you don’t treat endometrial cancer?
If endometrial cancer isn’t treated, it may spread outside of the uterus. As it progresses, it may spread to the pelvic lymph nodes and other pelvic organs. Advanced-stage cancer may spread to lymph nodes and on to the lungs, liver, bones, brain, and vagina.
How long is chemo treatment for uterine cancer?
Generally, a course of chemotherapy is completed within three to six months and may be repeated if necessary. In the Gynecologic Oncology Program at Moffitt Cancer Center, our multispecialty team of experts takes a highly individualized approach to uterine cancer treatment.