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Uterine cancer

Discussion in 'All Categories' started by Diksha - Jul 16th, 2024 12:21 pm.
Diksha	My relative has got cancer in the uterus.What are the treatment options available for this type and stage of cancer? What treatment do you recommend and why?
re: Uterine cancer by Dr. B. S. Bhalla - Jul 16th, 2024 12:34 pm #1
Dr. B. S. Bhalla	The treatment options for uterine cancer depend on the type and stage of the cancer, as well as the patient's overall health and preferences. Here’s an overview of common treatments: Treatment Options: Surgery: Hysterectomy: Removal of the uterus. This is often the primary treatment for early-stage uterine cancer. Bilateral Salpingo-Oophorectomy: Removal of the ovaries and fallopian tubes. Lymph Node Dissection: Removal of nearby lymph nodes to check for the spread of cancer. Radiation Therapy: External Beam Radiation: Directs radiation at the cancer from outside the body. Brachytherapy: Places radioactive material inside the body, near the cancer site. Hormone Therapy: Used for cancers that are sensitive to hormones. This therapy can slow the growth of certain types of uterine cancer. Chemotherapy: Uses drugs to kill cancer cells. It is typically used for advanced or recurrent uterine cancer. Targeted Therapy: Uses drugs that target specific molecules involved in cancer growth. It is less common but can be effective for certain types of uterine cancer. Immunotherapy: Helps the body's immune system fight the cancer. This is a newer type of treatment and may be used for advanced cancer. Recommended Treatment: The recommended treatment depends on various factors such as the type and stage of the cancer, patient's overall health, and personal preferences. Here’s a general guideline based on the stage: Early Stage (Stage I): Surgery (Hysterectomy with or without Bilateral Salpingo-Oophorectomy) is usually recommended. Radiation Therapy may be recommended if there are high-risk features present. Intermediate Stage (Stage II): Surgery with a more extensive lymph node dissection. Radiation Therapy post-surgery to reduce the risk of recurrence. Advanced Stage (Stage III and IV): Combination of Surgery and Radiation Therapy. Chemotherapy is often added, especially if the cancer has spread to distant organs. Hormone Therapy may be used if the cancer is hormone-receptor-positive. Targeted Therapy or Immunotherapy can be considered based on specific characteristics of the cancer. Factors Influencing Treatment Recommendations: Type of Uterine Cancer: Endometrial carcinoma vs. uterine sarcoma. Stage of Cancer: Localized, regional, or metastatic. Patient’s Age and Overall Health: Ability to tolerate surgery and other treatments. Hormone Receptor Status: Presence of hormone receptors can make hormone therapy an option. Molecular and Genetic Markers: Specific mutations or markers can guide the use of targeted therapy.