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Palliative Care Consultations in Gynaeoncology$
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Sara Booth, Eduardo Bruera, and Teresa Tate

Print publication date: 2004

Print ISBN-13: 9780198528067

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198528067.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 January 2021

Endometrial cancer: fundamentals and advanced disease

Endometrial cancer: fundamentals and advanced disease

(p.35) Chapter 3 Endometrial cancer: fundamentals and advanced disease
Palliative Care Consultations in Gynaeoncology

John J. Kavanagh

Oxford University Press

This chapter focuses on endometrial cancer, the number one common gynaecological cancer in the United States and the second most common in the United Kingdom. Cancer of the uterus is predominantly a disease of the developed world and afflicts most of its sufferers in their menopausal stage. It presents as vaginal bleeding accompanied by vaginal discharge. Women who have unopposed oestrogen therapy, obesity, hypertension, nulliparity, diabetes mellitus, and endometrial hyperplasia are at a great risk of developing endometrial cancer. The diagnosis of this cancer is obtained through small catheter aspiration of the endometrial cavity and, if necessary, formal dilatation and curettage are performed. Once diagnosed, examinations such as a chest X-ray, mammogram, and CT scan of the pelvis and the abdomen are performed. Surgery of a staging procedure and extirpation of the gynaecologi organ are performed, followed by post-operative radiotherapy to avoid recurrence and relapse. For those whose cancer has metastasized, hormonal therapy and chemotherapy are usually administered.

Keywords:   endometrial cancer, gynaecological cancer, uterus, menopausal stage, vaginal bleeding, vaginal discharge, catheter aspiration, endometrial cavity, formal dilatation

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