Endometrial cancer, steep rise among female cancers “Early detection is important”

[이데일리 이순용 기자] February 4 every year is ‘World Cancer Day’ established by the International Cancer Prevention Alliance in 2005 to raise awareness of cancer and help cancer patients.

Ewha Womans University Women’s Cancer Hospital (Principal Byung-in Moon) emphasized endometrial cancer care on the occasion of ‘World Cancer Day’. Professor Kim Mi-gyeong from the Department of Obstetrics and Gynecology at Ewha Womans University Women’s Cancer Hospital explained, “The fastest growing female cancer is endometrial cancer.

Endometrial cancer is a cancer that occurs in the endometrium, and its prevalence is steadily increasing due to western eating habits, obesity, and an aging society. According to cancer registration statistics of the Central Cancer Registry Headquarters, the crude incidence of endometrial cancer is increasing rapidly 4 times in 20 years from 3.1 per 100,000 women in 1999 to 12.8 in 2019, and it is the 10 most common cancers among women. climb to 7th place.

Approximately 80% or more of endometrial cancer is diagnosed early confined to the uterine body, and early endometrial cancer has a good prognosis with a 5-year survival rate of 90% or more. However, in the case of advanced cancer, which accounts for 15-20%, the response to chemotherapy is lower than other types of cancer, and the 5-year survival rate is less than 30%, resulting in bad treatment. In addition, the risk of recurrence of early endometrial cancer is less than 10%, which is excellent in treatment results, but in the case of advanced endometrial cancer, the recurrence rate is reported to be as high as 20 to 50% or more depending. on the stage.

Professor Mi-Kyung Kim said, “Most early endometrial cancers are cancers with a very good prognosis, with many being curable. Early diagnosis is the most important thing, so if you have abnormal vaginal bleeding, such as excessive menstruation, irregular bleeding, or bleeding after menopause, do not ignore the symptoms and seek gynecological care so that diagnostic tests can be carried out at the right time.”

Endometrial cancer is classified into stages 1 to 4. Stage 1 is diagnosed when it is confined to the uterus, stage 2 when it invades the cervix, stage 3 when it invades the nodes lymph or the surrounding tissues, and stage 4 when there is metastasis. to other organs. .

In most cases, staging is determined by staging surgery, but in cases where surgery is difficult, staging is determined by imaging tests such as CT, MRI, and PET-CT. In stage 1 or 2 endometrial cancer, laparoscopic or robotic surgery is performed after staged surgery. If the uterus is large, open surgery is performed because there is a risk of cancer tissue overflowing when the resected tissue is taken out.

In the third stage of endometrial cancer, staging surgery is performed first, and then radiation therapy, chemotherapy, or a combination of radiation therapy and chemotherapy is performed to reduce the recurrence rate In the fourth stage, chemotherapy and bleeding to relieve symptoms In severe cases, radiotherapy or hysterectomy is performed.

Care after endometrial cancer surgery is important. What affects the survival rate is regular exercise and maintaining an appropriate weight. Professor Kim Mi-kyung said, “After suffering from endometrial cancer, instead of eating a lot of foods that are known to be good for the body but have not been verified, regular moderate-intensity exercise for at least 30 minute that makes you sweat three or more times a week can lead to excess weight gain. It’s more important not to get steamed up,” he says.

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