Patient's question:
On October 5, 2013, a uterine curettage was performed. On the 9th, it was diagnosed as endometrioid adenocarcinoma of the uterus. From the 13th to the 25th, intraperitoneal chemotherapy was administered. On the 29th, a laparoscopic staging surgery for endometrioid adenocarcinoma of the uterus was performed. Diagnosis: Endometrioid adenocarcinoma (G3) Stage Ia Uterine Adenomyosis Chronic Cervicitis.Doctor's answer:
Currently, the main methods for treating endometrial cancer include surgery, radiotherapy, chemotherapy, endocrine therapy, etc. Among these, surgery is the preferred treatment method. During surgery, the treatment plan should be comprehensively evaluated, selected, and formulated based on the stage of the tumor, the patient's age, overall condition, and the presence or absence of medical comorbidities.1. Clinical Stage I: Patients with clinical stage I disease can undergo total abdominal hysterectomy or subtotal abdominal hysterectomy with bilateral salpingo-oophorectomy during treatment.
2. Clinical Stage II: The surgical options for patients with clinical stage II disease mainly include radical hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aortic lymph node dissection, etc. Based on the surgical staging and pathological examination results, the patient's condition is comprehensively evaluated, supplemented with radiotherapy, chemotherapy, or endocrine therapy.
3. Clinical Stage III or Higher: Patients with clinical stage III or higher disease should primarily receive comprehensive treatment. The first choice is usually radiotherapy, or surgery after the tumor shrinks following radiotherapy. Some patients may undergo surgery as the first option. Postoperative radiotherapy, chemotherapy, and endocrine therapy are used to prevent distant metastasis and eliminate residual pelvic and abdominal lesions. Patients with distant metastasis to individual organs such as the liver or lungs may receive interventional treatment if appropriate.
4. Recurrent Cases: Locally recurrent patients can undergo surgery, radiotherapy, or chemotherapy, or a combination of these treatments. Patients with distant recurrence should receive high-dose progestogen therapy or chemotherapy.