Surgical Treatment of Endometrial Cancer (Uterine Cancer)
Surgery is the best option when Endometrial Cancer (Uterine Cancer) is diagnosed in its very early stages. At this time, the location and the stage of cancer make removal easy. Sometimes patients are treated with a combination of surgery and radiation therapy.
Hysterectomy
Almost all women with Endometrial cancer (except those with advanced or stage IV) are treated with a hysterectomy. They may also receive additional treatment. A simple hysterectomy involves the removal of the uterus, making the woman unable to have children. In a procedure known as bilateral salpingo-oophorectomy, both ovaries, the fallopian tubes and the uterus are removed. This may be necessary because Endometrial cancer often spreads to the ovaries first.
Radiation Therapy
Can be used. Sometimes radioactive pellets are placed inside the body near the tumor. This is called brachytherapy or internal radiation therapy. Fatigue, upset stomach, diarrhea and nausea are also common complaints of women having radiation therapy.
Chemotherapy
Uses anticancer drugs to kill the cancer cells. The drugs are given orally or intravenously. They enter the bloodstream and can travel to all parts of the body to kill cancer cells. Generally, a combination of drugs is given since it is more effective than a single drug in treating cancer. Side effects of this treatment include stomach upset, vomiting, appetite loss, hair loss, mouth or vaginal sores, fatigue, menstrual cycle changes and premature menopause.
Hormonal Therapy 
Uses drugs like progesterone that will slow the growth of Endometrial cells. These drugs are usually available as pills. This therapy is usually reserved for women with advanced or recurrent disease.
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