Tuesday, March 11, 2008
Endometrial cancer symptoms
Endometrial cancer (carcinoma of the endometrium). also known as the uterus cancer (carcinoma of the corpus uteri). is a common gynecologic malignancy, after cervical cancer. A clinical symptoms in patients with very early age can be no obvious symptoms, only in the census or other reasons for gynecological examination discovered accidentally. Once the onset of symptoms, many of performance : (1) Bleeding : before and after the menopausal vaginal bleeding endometrial cancer is the main symptom, often for a small to moderate amounts of bleeding, Few of the massive bleeding. Not only younger or near-menopausal patients easily mistaken for menstrual disorders, timely treatment, doctors often neglect. Some also have delayed menstrual cycle, but the performance of the law. In postmenopausal patients with multiple performance for sustained or intermittent vaginal bleeding. Endometrial cancer patients in general no contact bleeding. Late hemorrhage may have miscellaneous Lanru tissue. (2) vaginal discharge : adenocarcinoma due to intrauterine growth, the chances of infection less than cervical cancer, Initially there may be only a small amount of gutsy leucorrhea, but after Slovakia infection, necrosis, a large number of offensive discharge pus-like liquid. Sometimes fluid inclusions can carcinoma of small debris. If cervical empyema caused fever, abdominal pain, leukocytosis. The general situation is rapidly deteriorating. (3) Pain : As with cancer and bleeding on the deposit arrangement, Irregular stimulate uterine contraction caused intermittent pain about 10~46%. Such symptoms usually occur in late. If cancer tissue penetration serous erosion parametrial or connective tissue, bladder, directly or oppress other organizations also can cause pain, was often stubborn and sexual increase; More than from the bottom, lower abdominal radiotherapy to the thigh and knee. (4) Other : Late patients themselves can be touched under increasing abdominal hysterectomy and / or adjacent tissues and organs can be addressed to the side of the lower extremity pain, ureteral or oppression caused the side of ureteropelvic stagnant water or renal atrophy; or anemia, weight loss, fever, for cachexia and other systemic failure performance. Endometrial cancer later age, with pregnancy seems impossible, But literature There have been isolated with pregnancy or tubal pregnancy cases reported. 2, signs (1) total performance : a considerable number of patients with diabetes, hypertension or obesity. Anemia occurred in a long time enemy out of the patients. A advanced disease consumed by cancer, pain, loss of appetite, fever, there dyscrasias. (2) pelvic examination findings : Early pelvic genital have no obvious change, uterine normal for around 40% leiomyoma or merger to advanced lesions, the uterus increases. Postmenopausal women with a shrinking but not satiated and stiffen, in particular vigilance. Ovarian be increased or normal or tumor associated with the possibility of feminization. Double doctor as a result of obese patients, pain or lack of cooperation Nonpalpable, insisted not to insist on identification, diagnosis is not based on the size of uterus. The number of patients without cervical lesions. Only in advanced cervical violations, we can see from the cervical cancer mouth prominent. Parametrial invasion have after-induced cervical involvement. (3) metastatic lesions : the terminally ill in the groin or touched swelling stiffen financial entire block into the lymph nodes, or lung, liver and other places transfer signs.
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