Endometrial Cancer Recurrence

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Once you finish your endometrial cancer treatment, you are suggested to undergo a regular medical checkup or Pap smear, since this helps you to know if your body is developing more cancer cells. Endometrial cancer recurrence is a state when your uterine cancer returns. Recurrence of cancer may take place after the treatment. Though there is no particular time for the recurrence of cancer, still chances of developing the cancer five years after the treatment are more.

Recurrence of endometrial cancer may occur at the same location where it was developed previously or it may develop at some other site in the body. For example, if endometrial cancer is treated when it was in the endometrium, in recurrence it may occur in the fallopian tubes or ovaries or at the other location in the uterus. In either circumstance, it is considered as endometrial cancer recurrence.

Types of endometrial cancer recurrence:

Basically, there are three types of uterine cancer recurrence:

  • Local recurrence: when the cancer develops at the same place it had started previously. It starts in the vagina, the pelvic wall, tissues nearby the uterus and cervix. All these are the most common regions in women who have not undergone the radiation nearby pelvic area.

  • Regional recurrence: When the cancer returns in the lymph nodes nearby uterus or endometrum.

  • Distant recurrence: when the cancer comes back in another part of the body which is distant from the previous site (often the liver bones, brain, lungs, abdominal cavity or bone marrow).

After diagnosing and confirming the recurrence of cancer, your doctor can explain the type of recurrence precisely.

Risk factors allied with the recurrence of endometrial cancer:

The risk of recurrence varies by person to person. It means the possibility of getting this disease again is different for each individual. It is based on various aspects such as the stage of cancer, the treatment you had and the duration after your treatment. If you are concerned about the risk factors of recurrence, contact your doctor and know your chances of getting this disease again. You might find that the information you get is quite different than the details mentioned in the statistics of uterine cancer, but always remember that each individual has unique situation. There may be some aspects in your case that gives rise to different situation.

Additional treatments after surgery:

Fortunately, if your cancer is treated in the initial stage (when it is not spread beyond the uterus at the time of diagnosis) it is curable. Certainly your doctors will tell you that they estimate your greater chance of cure.

When uterine cancer is detected, your doctor will consider certain factors such as grade and the stage (this is essential to be considered since the potential aggressiveness of the disease depends on this factor). These factors are used to determine whether any additional treatment is required along with surgery to decrease chance of endometrial cancer recurrence. Several patients, who undergo a surgery which includes complete removal of lymph nodes to make sure that the tumor has not spread, do not need to perform any further treatment.

Such patients have a high possibility of being cured with surgery only. Although, for some people at higher grade or higher stage some additional form of treatments such as chemotherapy or/and radiation therapy is recommended after surgery.

Further additional options:

Other than preferring a proper surgery to remove the endometrial cancer completely, and using the additional therapies like chemotherapy and radiations, there are no other specific and precise treatments that can show the further reduction in the possibility of cancer recurrence. However, having a healthy lifestyle is preferable for the cancer survivors. Obesity and intake of more fats in diet probably increases the risk of developing the cancer. In order to stay healthy and fit, one needs to avoid extra calories consumption (studies haven't proved whether obesity contributes to the higher risk of recurrence).

Close follow-up after uterine cancer surgery is the right option to avoid the recurrence. Since, your doctor informs that your possibilities to survive for long time are greater; you should also be concerned about adopting some good eating habits as well as daily activities that can help you stay healthy. Avoid smoking and over consumption of alcohol, getting often colonscopies, screening mammograms since they damage the healthy tissues.

Endometrial cancer recurrence is a rare occurrence and can be avoided by undergoing certain preventive measures. Stay healthy and have a healthy lifestyle.

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