Diagnosis of uterine cancer by the vaginal smear

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Please try again, the name must be unique. Yes, delete this comment Cancel. This comment has been deleted. This comment has not been deleted. Report Comment. The most common form of treatment for cancer of the uterus is surgically removing the uterus and cervix.

Diagnosis of Endometrial Cancer

This procedure is called a total hysterectomy. If the fallopian tubes and both ovaries are also removed, it is called a bilateral salpingo-oophorectomy. Ovaries are often removed to reduce the risk of the cancer coming back, as ovaries produce oestrogen, a hormone that may cause the cancer to grow.

The surgery can be performed through a cut in the abdomen laparotomy or using keyhole surgery laparoscopic surgery. You will be given a general anaesthetic.

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During the procedure, the surgeon may remove additional tissue if the cancer has spread, or to remove lymph nodes in your pelvis. For women who were not menopausal before treatment who then have a bilateral salpingo-oophorectomy, they will experience menopause with the removal of their ovaries. Therefore, if you are concerned about how surgery will affect your fertility, it is important to talk to your specialist before treatment begins. The treatment team will advise you of how to take care of yourself following surgery, including avoiding lifting, driving and sexual intercourse for a short period of time during your recovery.

Radiotherapy , the use of X-rays to kill or injure cancer cells, is commonly used as an additional treatment to reduce the chance of the cancer coming back. It may be recommended as the main treatment if you are not well enough for surgery. Radiotherapy is given either externally, where a machine directs radiation at the cancer and surrounding tissue; or from inside the body brachytherapy , where radioactive material is put in thin tubes and placed near the cancer internally.

Radiotherapy to the pelvic region may cause menopause, therefore, if you are concerned about how treatment will affect your fertility, it is important to raise your concerns with your treatment team before treatment commences. Hormone treatment is usually given if the cancer has spread or if the cancer has come back recurred. It is also sometimes used if surgery is not an option. Progesterone is the main hormone treatment for women with uterine cancer, and it is available in tablet form or by injection by a GP or nurse.

It helps shrink some cancers and to control symptoms. Chemotherapy is used to treat certain types of uterine cancer, or when cancer comes back after surgery or radiotherapy, or if the cancer is not responding to hormone treatment.

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It can be used to control the cancer and to relieve symptoms. It is usually given as a drug that is injected into a vein intravenously. The doctor will explain the chemotherapy treatment course and how long it will last. Depending on your treatment, your treatment team may consist of a number of different specialist staff, such as:.

In some cases of uterine cancer, your medical team may talk to you about palliative care. Palliative care aims to improve your quality of life by alleviating symptoms of cancer. As well as slowing the spread of uterine cancer, palliative treatment can relieve pain and help manage other symptoms.

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Treatment may include radiotherapy, chemotherapy or other drug therapies. It is not possible for a doctor to predict the exact course of a disease, as it will depend on each person's individual circumstances. However, your doctor may give you a prognosis, the likely outcome of the disease, based on the type of uterine cancer you have, the test results, the rate of tumour growth, as well as your age, fitness and medical history.

However, you may be able to minimise your risk factors, such as maintaining a healthy weight, and being vigilant about any abnormal vaginal bleeding. Last medical review of source booklet: March Cancer in Australia Cancer series no.

CAN Canberra: AIHW.