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Endometrial Cancer Prognosis

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Endometrial cancer originates in the lining of the uterus (womb) or endometrium. Endometrial cancer prognosis refers to the medical view or estimation regarding the course of this cancer. In the case of endometrial cancer, certain factors such as the appearance of the cancer cells under the microscope, the stage or grade of cancer, the extent at which the cancer cells has spread and whether the progesterone contributes in the growth of cancer cells are considered.

Your doctor may speak about a positive prognosis if your cancer seems to respond to the treatment in a favorable manner. The prognosis might be unfavorable if your uterine cancer seems to be complicated to control. It is significant to keep in mind that a prognosis is only a part of prediction and your doctors may not be very certain about the upcoming results for a particular patient.

Survival rate of patients:

For the patients who are diagnosed in the initial stages, the one-year uterine cancer survival rate is around 92 percent. If the cancer cells are not spread at large extent, the five year survival rate can be around 95 percent. In case if the cancer has developed and spread at large extent or at distant organs, the five year survival rate possibly revolves around 25 percent. Detection in the initial stages is the key for a precise endometrial cancer prognosis.

Early symptoms and detection:

Since early diagnosis is important, women need to be aware of the signs and warning of this cancer. Unintentional bleeding or discharge from vagina manifests initially in this cancer, and women should be more concerned if they observe such indication following menopause or between menses. Pre-menopausal women may undergo bleeding between menses, while the postmenopausal women may undergo spotting. Other indications involve frequent and heavy episodes of bleeding after the age of 40. Some may experience pain in the lower back. Another symptom is a white or clear vaginal discharge after menopause.

With an aim to receive a precise endometrial cancer prognosis through early diagnosis, women should know the right time to visit a doctor. They should consult the doctor if they experience bleeding following douching or intercourse. The same thing is applicable if their periods lasts for more than a week, or if occurs more frequent (within every 21 days). It also becomes an issue of concern if they experience vaginal bleeding six months after menopause.

Awareness about risk factors and prognosis:

Being aware of the odds that increase the risk of getting cancer is helpful for getting accurate prognosis. A history of polycystic ovarian syndrome and benign endometrial growth contributes to the elevating risk. Infertility, obesity and diabetes also increase the risk. Te hormone replacement therapy and drug tamoxifen that excludes progesterone also increases the possibilities. Irregular menses and inability to conceive also raises the risk.

Factors affecting the prognosis (possibility of recovery) and treatment options:

The endometrial cancer prognosis depends on the following options:

  • How the tumor appears during biopsy under the microscope.
  • Stage of the cancer or the extent at which the tumor has spread (inside the uterus, outside the uterus or in distant locations).
  • Whether progesterone affects the cancer cells.

Types of treatment:

Which type of treatment should be used to control the growth of tumor or remove the tumor depends upon the prognosis as well as the extent of malignancy. For initial stage (stage1), surgical removal of the fallopian tubes, ovaries and uterus may be advised. A radiation therapy following the surgery can be advised in stage 1, if the cancer cells get spread in to the lymph nodes. This may also be performed if the patient has higher possibilities of cancer recurrence.

Combination of radiation with surgery can also be advised for stage 2 cancer. In some cases (especially for stage 3 and stage 4) chemotherapy may be recommended.

As in all, uterine cancer stage is considered to be the key factor to determine the prognosis of the patient. Generally, the less extent of spread (i.e. local cancer) can give better prognosis. The observations and estimations of the pathologists affect the prognosis. After staging the cancer, doctor will discuss the specifics and the available treatment options with the patient. Fortunately, it can be said that chances of endometrial cancer cure are higher

So, endometrial cancer prognosis involves all the above factors. Your doctor will go through your medical history to reach at some decisions regarding the treatment.

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