cancer doctors

Endometrial Cancer Stages

Question: pathophysiology of endometrial cancer stage IV with brain metastasis?

Answer: Endometrial (uterine) cancer is cancerous growth of the lining of the uterus.It mainly occurs after menopause. Epidemiology-25% premenopausal and 75% postmenopausal. The most affected group is between 50-59. Pathophysiology- Increase in natural estrogen levels. Histopathology is usually an endometrial adenocarcinoma. It appears as a background of endometrial hyperplasia . Tumor cells are atypical and form irregular glands with multiple lumens. The stroma is reduced.; producing back to back aspect With evolution of the disease; the myometrium, the outer lining is infiltrated. Risk Factors:Obesity ->30lbs or 14kg.. Women with excess fats produce more estrogen. Fat converts certain hormones into a form of estrogen. Diabetes and hypertension. These conditions are usually associated with obesity. Other cancers, such as colon cancers, and breast Ca. In Race. White women have a higher risk than black. Nulliparity, when a woman never became pregnant, infertility, early menarche,first menstruation and late menopause. Post menopausal women who use estrogen replacement therapy. Use of Tamoxifen, drug used for breast cancer.This drug tends to have estrogen like effects on the uterus. Women who use birth control pills that have a combination of estrogen and progesterone are at lesser risks. The progesterone protects the endometrium from the cancer causing effect of the estrogen. Stages of endometrial cancer: Endometrial carcinoma is surgically staged using the FIGO cancer staging system. Stage IA: tumor is limited to the endometrium Stage IB: invasion of less than half the myometrium Stage IC: invasion of more than half the myometrium Stage IIA: endocervical glandular involvement only Stage IIB: cervical stromal invasion Stage IIIA: tumor invades serosa or adnexa, or malignant peritoneal cytology Stage IIIB: vaginal metastasis Stage IIIC: metastasis to pelvic or para-aortic lymph nodes Stage IVA: invasion of the bladder or bowel Stage IVB: distant metastasis, including intraabdominal or inguinal lymph nodes The only treatment is surgery. Abdominal Hysterectomy is recommended over vaginal hysterectomy. It affords opportunity to examine and obtin washings of abdominal cavity to detect further evidence of Ca. Lymphadenectomy or removal of pelvic and paraaortic lymph nodes is considered esp for Stage 3 and 4, where the lymph nodes are involved. Surgery with radiation is advised for Stage 1 and 2. Surgery plus chemotherapy is advised in severe cases as in Stage 3 and 4. Survival rates: The 5-year survival rate for endometrial cancer following appropriate treatment is: 75% to 95% for stage 1 50% for stage 2 30% for stage 3 less than 5% for stage 4 The picture here is very dim if the disease is not detected early. So regular check ups with pap smears is recommended. I hope you don't have this dreaded and awful disease. But if you do or know somebody who does, don't delay, go for surgery and chemotherapy. If it has metastasized to the brain, that means other organs are also affected.


Endometrial Cancer Stages News

Robotic Surgery: Ready for Prime Time in Endometrial Cancer?

Medscape
Researchers compared perioperative morbidity, resource use, and the cost of laparoscopic and robotic hysterectomy in 2464 women with endometrial cancer, and found that robotic hysterectomy offers little short-term benefit.
 

Laparoscopy Acceptable for Staging Uterine Cancer

Doctors Lounge
Comprehensive surgical staging of endometrial cancer can be performed laparoscopically with relatively small differences in recurrence rates compared to laparotomy, according to a study published online Jan. 30 in the Journal of Clinical Oncology.
 

Commercializing Angiogenesis Affecting Drugs in Cancer: The Faster Route to ...

Sacramento Bee
The report extensively analyses their 177 identified drug targets, organized into 170 drug target strategies, and assesses them in 70 cancer indications. BioSeeker has applied its unique drug assessment methodology to stratify the angiogenesis ...
 

Pricey surgery robots lack clear benefits: study

Reuters
In the latest study to cast doubt on the technology, researchers found similar complication rates among women treated for endometrial cancer whether or not surgeons got help from a robot. Yet robotic surgery costs about $1300 more than the low-tech ...
 

The Link Between Obesity and Endometrial Cancer

Medscape
[1] With an incidence of 24 in 100000, endometrial cancer is the fourth most common cancer in women. [2] When diagnosed at an early stage, this form of cancer is associated with a relatively good prognosis. Endometrial cancer is more common in ...
 

Wonder Woman

Walk to increase longivity
Wonder Woman
 

Rediff

Cancer - Know Your Chances
AllAfrica.com
 

Another Year, Another High...

NASDAQ
Ariad's out-licensed product candidate Ridaforolimus is under development for multiple oncology indications, including soft tissue/bone sarcomas, endometrial cancer, breast cancer, lung and colon cancers, ovarian cancers and kidney cancer.
 

Study: Coffee Could Prevent Endometrial Cancer

WBAL Baltimore
BALTIMORE -- A recent study says that coffee may play a role in preventing endometrial cancer. According to the American Cancer Society, endometrial cancer is the most common cancer of the reproductive system in women, and thousands are diagnosed with ...
 

Gene mutation discovery sparks hope for effective endometriosis screening

Medical Xpress
3 early online issue of EMBO Molecular Medicine, the study explored an inherited mutation located in part of the KRAS gene, which leads to abnormal endometrial growth and endometrial risk. In endometriosis, uterine tissue grows in other parts of the ...
 

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