The cancer of the endometrio has been detected in some patients with breast cancer who have been treated by the hormone tamoxifeno.

1. Pelvic examination. During the examination, the doctor will do a palpamiento to detect masses or changes in the form of the womb.

2. It tries Papanicolaou, using a cotton piece, a brush or a wooden toothpick to scrape gently the exterior of the neck of the womb (gap of the womb) and the vagina to gather cells.

3. Dilation and curettage (D and C) to extract pieces of the endometrio. The gap of the neck of the womb expands with an instrument in the shape of spoon and the walls of the womb are scraped gently to extract a textile piece. This textile then is examined to detect cells cáncerosas.

The probability of recovery (prognosis) and selection of treatment will depend on the stage (or stadium) in that the cancer is (if only it is in the endometrio or if it has been spread to other parts of the womb or other parts of the body) and of the state of health in general. In a precocious stage, the recovery probability can depend also on if the feminine hormones (progesterone) are affecting the growth of the cancer.

The following stages are used in the classification of the cancer endometrial:

Stadium I. The cancer is in the principal body of the womb only, and does not invade the textiles of the neck of the womb.

Stadium II. The cancerous cells have been spread to the neck of the womb.

Stadium III. The cancerous cells have been spread out of the womb, but they have not been spread out of the pelvis.

Stadium IV. The cancerous cells have been spread out of the pelvis, to other parts of the body, to the bladder of the urine or to the rectum.

Appellant. Illness appellant (relapse) means that the cancer has returned after having being treated.

Treatments exist for all the patients with cancer cervicouterino. Three classes of treatment are used:

- surgery (extraction of the cancer in an operation)

- radiotherapy (radiaciónes of high energy to eliminate the cells cáncerosas)

- chemotherapy (medicines or "poisons" to eliminate the cells cáncerosas).

- hormonoterapia (use of feminine hormones to eliminate the malignant cells).

The surgery is the most common treatment of the cancer of the endometrio. One usually extracts the cancer by means of a hysterectomy, an operation in which the whole womb is extracted.

• Abdominal hysterectomy. The womb is extracted by means of an incision in the abdomen. It can be necessary to extract also the ovaries and the horns of Falopio (bilateral Salpingooforectomia).

• Radical hysterectomy is an operation in which there are extracted the neck of the womb, the womb and part of the vagina. Also the lymphatic ganglions of the area are extracted. (The lymphatic ganglions are small structures in the shape of string bean that are for the whole body and whose function is to produce and to store cells that fight the infections; nevertheless, they can contain cancerous cells).

The treatments for cancer of the endometrio will depend on the stage in which there is the illness, the size of the tumor, the age and general state of health.

Stadium I. The treatment can consist in (to see the previous explanations):

1. Entire abdominal hysterectomy, with salpingooforectomia bilateral, and dissection of lymphatic ganglions. Radiotherapy and/or chemotherapy post-surgery.

2. Alone radiotherapy for chosen patients.

Stadium II. The treatment can consist in:

1. Entire abdominal hysterectomy, with salpingooforectomia bilateral, and dissection of lymphatic ganglions. Radiotherapy post-surgery.

2. Previous radiotherapy, followed by entire abdominal hysterectomy, with salpingooforectomia bilateral, and dissection of lymphatic ganglions.

3. Radical hysterectomy.

Stadium III. The treatment might consist in:

1. Radical hysterectomy, generally followed by radiotherapy.

2. Alone radiotherapy.

3. Hormonal therapy or hormonoterapia.

Stadium IV: The treatment might consist in:

1. Radiotherapy.

2. Hormonal therapy.

3. Clinical chemotherapy essays.

Relapses: The treatment of the relapse might consist in:

1. Radiotherapy to relieve symptoms, like pain, nausea and abnormal intestinal functions.

2. Hormonal therapy.

3. Clinical chemotherapy essays.

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