Abnormal vaginal bleeding before and after menopause? Suspicion of endometrial cancer



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Recent changes in Westernized eating habits have rapidly increased the incidence of endometrial cancer, a typical advanced type of female cancer. The number of patients treated with endometrial cancer has risen by about 50%, from 12,169 in 2013 to 17,421 in 2017, according to the statistics of the Examination Service and the Ministry of Health. health insurance evaluation. Endometrial cancer has increased at all ages and has shown a rapid increase in young people in their twenties and thirties. In their twenties, they went from 152 to 317 to reach 108%, while those in their thirties increased to 60%, from 935 to 1497.

Choi Min-chul, Professor of the Cancer Center of the 39, Bundang CHA General Hospital, said: "Recently, patients with endometrial cancer are increasing due to the influence of lifestyle and obesity. Since more than 85% of endometrial cancer patients survive for more than 5 years, the cure rate is high, so it is best to manage them regularly with regular self-management as a regular exercise and a lifestyle regular. "

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The endometrium is the The innermost layer of the uterus, which is the thin membrane in which the fetus is found during pregnancy. It is thickened and cleared once a month because of the hormonal effect, and menstruation occurs when the endometrial tissue falls during menstruation. Endometrial cancer is a disease in which abnormal cancer cells develop in the endometrium.

The cause of endometrial cancer is not clear, but it is presumed that the female hormone (estrogen) is the main cause. If estrogen accumulates excessively in the body, the proliferation of endometrial cells will be favored, and the likelihood of mutant cancer cells will increase.

If menarche is fast or menopausal, if amenorrhea is prolonged, if there is no birth experience, and if the long-term administration of a drug that affects female hormones increases the likelihood of endometrial cancer, It is desirable to find and diagnose. About 90% of patients with endometrial cancer suffer from abnormal menstrual bleeding, such as menstrual excess before menopause or abnormal badl bleeding before and after menopause.

If abnormalities are observed in the endometrium, the presence of cancer is determined by endometrial curettage or examination of cervical tissue. For the treatment of endometrial cancer, surgery is recommended for the excision of the uterus and ovaries and tubal ovaries. Professor Choi said, "Endometrial cancer can be cured primarily by surgical treatment when it is detected early, however, if endometrial cancer is thought to be confined to the 39 endometrium only at a young age, the uterus can be preserved by hormone therapy rather than by surgery to preserve fertility. "

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