Does the endometrium have to be thick in endometrial cancer?

Oct 31, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, endometrial cancer refers to cancer of the endometrium, which is a group of epithelial malignant tumors arising from the endometrium. Whether the endometrium thickens in endometrial cancer depends on the stage of disease progression. In the early stages of the disease, the endometrium usually does not thicken; however, during the late or progressive stages, the endometrium may become thickened.

In general, endometrial cancer refers to cancer of the endometrium—the mucous membrane lining the uterus—and is a group of epithelial malignant tumors arising from the endometrium. Whether the endometrium thickens in endometrial cancer depends on the stage of disease progression. In the early stages of the disease, the endometrium usually does not thicken; however, during advanced or progressive stages, endometrial thickening may occur. The details are as follows:

In the early stages of the disease, if any uterine discomfort or symptoms appear, it is recommended to seek timely medical evaluation and treatment at a reputable hospital. Endometrial cancer may not present obvious symptoms initially, and the thickness of the endometrium may still remain within the normal range. Additionally, certain pathological types, such as serous adenocarcinoma or clear cell carcinoma, may invade the myometrium even in the early stages without necessarily causing significant endometrial thickening.

In advanced or progressive stages, due to cancer cell spread and proliferation, the thickness of the endometrium may increase significantly, exceeding the normal range.

The relationship between endometrial cancer and endometrial thickness is not constant. Women who have related symptoms or high-risk factors should undergo regular gynecological examinations, particularly ultrasound imaging. It is also important to maintain good personal hygiene, a positive mental state, a balanced diet, and actively cooperate with medical treatments.

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Is endometrial cancer associated with infertility?

The development of endometrial cancer is associated with long-term estrogen stimulation, which may lead to abnormal endometrial hyperplasia or even malignant transformation. This can interfere with normal menstrual cycles, ovulation, and endometrial preparation, thereby reducing the probability of conception and increasing the risk of early miscarriage. Pregnant women with endometrial cancer may also face pregnancy complications, such as preeclampsia, which are detrimental to maternal and fetal health.

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What are the early symptoms of uterine cancer?

In general, uterine cancer mainly includes endometrial cancer and cervical cancer. These two types share some common early symptoms but also have differences. Early symptoms may include abnormal vaginal bleeding, unusual vaginal discharge, dull pain or a feeling of heaviness in the lower abdomen, increased vaginal discharge, and mild pain after sexual intercourse. If any of these symptoms occur, prompt consultation with a gynecologist is recommended.

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What causes a thickened endometrium?

Under normal circumstances, thickened endometrium may be caused by factors such as hormonal fluctuations, aging, endometrial hyperplasia, polycystic ovary syndrome (PCOS), or endometrial cancer. If you experience any discomfort, it is recommended to seek medical attention promptly. In daily life, it is important to maintain menstrual hygiene and avoid excessive fatigue during menstruation. Regular gynecological examinations are also recommended, especially for women with menstrual irregularities or high-risk factors.

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What causes uterine bleeding?

In general, uterine bleeding may be caused by endocrine disorders, ovulation period bleeding, endometrial polyps, uterine fibroids, endometrial cancer, and other reasons. If you experience any discomfort, it is recommended to seek medical attention promptly. In daily life, it is important to maintain good personal hygiene, keep the vulva clean and dry; avoid excessive fatigue, and engage in appropriate physical activities such as walking and yoga to enhance physical health.