Learn About Endometrial Cancer

What is the definition of Endometrial Cancer?

Endometrial cancer is cancer that starts in the endometrium, the lining of the uterus (womb).

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What are the alternative names for Endometrial Cancer?

Endometrial adenocarcinoma; Uterine adenocarcinoma; Uterine cancer; Adenocarcinoma - endometrium; Adenocarcinoma - uterus; Cancer - uterine; Cancer - endometrial; Uterine corpus cancer

What are the causes of Endometrial Cancer?

Endometrial cancer is the most common type of uterine cancer. The exact cause of endometrial cancer is not known. An increased level of estrogen hormone may play a role. This stimulates the buildup of the lining of the uterus. This can lead to abnormal overgrowth of the endometrium and cancer.

Most cases of endometrial cancer occur between the ages of 60 and 70. A few cases may occur before age 40.

The following factors related to your hormones increase your risk for endometrial cancer:

  • Estrogen replacement therapy without the use of progesterone
  • History of endometrial polyps
  • Infrequent periods
  • Never being pregnant
  • Obesity
  • Diabetes
  • Polycystic ovary syndrome (PCOS)
  • Starting menstruation at an early age (before age 12)
  • Starting menopause after age 50
  • Tamoxifen, a drug used for breast cancer treatment

Women with the following conditions also seem to be at a higher risk for endometrial cancer:

  • Colon or breast cancer
  • Gallbladder disease
  • High blood pressure
What are the symptoms of Endometrial Cancer?

Symptoms of endometrial cancer include:

  • Abnormal bleeding from the vagina, including bleeding between periods or spotting/bleeding after menopause
  • Extremely long, heavy, or frequent episodes of vaginal bleeding after age 40
  • Lower abdominal pain or pelvic cramping
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What are the current treatments for Endometrial Cancer?

Treatment options include:

  • Surgery
  • Radiation therapy
  • Chemotherapy

Surgery to remove the uterus (hysterectomy) may be done in women with early stage 1 cancer. The doctor may also remove the tubes and ovaries.

Surgery combined with radiation therapy is another treatment option. It is often used for women with:

  • Stage 1 disease that has a high chance of returning, has spread to the lymph nodes, or is a grade 2 or 3
  • Stage 2 disease

Chemotherapy or hormonal therapy may be considered in some cases, most often for those with stage 3 and 4 disease.

Who are the top Endometrial Cancer Local Doctors?
Elite
Highly rated in
20
conditions
Gynecologic Oncology
Obstetrics and Gynecology

Duke Cancer Center

Durham, NC 

Laura Havrilesky is a Gynecologic Oncologist and an Obstetrics and Gynecologist in Durham, North Carolina. Dr. Havrilesky has been practicing medicine for over 27 years and is rated as an Elite doctor by MediFind in the treatment of Endometrial Cancer. She is also highly rated in 20 other conditions, according to our data. Her top areas of expertise are Ovarian Cancer, Endometrial Cancer, Hysterectomy, and Ovarian Cysts. She is board certified in Gynecological Oncology and Obstetrics/gynecology and licensed to treat patients in North Carolina. Dr. Havrilesky is currently accepting new patients.

Elite
Highly rated in
19
conditions
Gynecologic Oncology
Oncology

University Of Texas MD Anderson Cancer Center

Houston, TX 

Pamela Soliman is a Gynecologic Oncologist and an Oncologist in Houston, Texas. Dr. Soliman has been practicing medicine for over 23 years and is rated as an Elite doctor by MediFind in the treatment of Endometrial Cancer. She is also highly rated in 19 other conditions, according to our data. Her top areas of expertise are Endometrial Cancer, Ovarian Cancer, Hysterectomy, and Pseudomyxoma Peritonei. She is board certified in Gynecological Oncology and licensed to treat patients in Texas. Dr. Soliman is currently accepting new patients.

 
 
 
 
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Elite
Highly rated in
18
conditions
Gynecologic Oncology
Obstetrics and Gynecology

Emily Couric Clinical Cancer Center

Charlottesville, VA 

L Duska is a Gynecologic Oncologist and an Obstetrics and Gynecologist in Charlottesville, Virginia. Dr. Duska has been practicing medicine for over 31 years and is rated as an Elite doctor by MediFind in the treatment of Endometrial Cancer. She is also highly rated in 18 other conditions, according to our data. Her top areas of expertise are Ovarian Cancer, Endometrial Cancer, Cervical Cancer, and Endometrial Stromal Sarcoma. She is board certified in Gynecological Oncology and Obstetrics/gynecology and licensed to treat patients in Massachusetts and Virginia. Dr. Duska is currently accepting new patients.

What are the support groups for Endometrial Cancer?

You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone.

What is the outlook (prognosis) for Endometrial Cancer?

Endometrial cancer is usually diagnosed at an early stage.

If the cancer has not spread, 95% of women are alive after 5 years. If the cancer has spread to distant organs, about 25% of women are still alive after 5 years.

What are the possible complications of Endometrial Cancer?

Complications may include any of the following:

  • Anemia due to blood loss (before diagnosis)
  • Perforation (hole) of the uterus, which may occur during a D and C or endometrial biopsy
  • Problems from surgery, radiation, and chemotherapy
When should I contact a medical professional for Endometrial Cancer?

Call for an appointment with your provider if you have any of the following:

  • Any bleeding or spotting that occurs after the onset of menopause
  • Bleeding or spotting after intercourse or douching
  • Bleeding lasting longer than 7 days
  • Irregular menstrual cycles that occur twice per month
  • New discharge after menopause has begun
  • Pelvic pain or cramping that does not go away
How do I prevent Endometrial Cancer?

There is no effective screening test for endometrial (uterine) cancer.

Women with risk factors for endometrial cancer should be followed closely by their doctors. This includes women who are taking:

  • Estrogen replacement therapy without progesterone therapy
  • Tamoxifen for more than 2 years

Frequent pelvic exams, Pap smears, vaginal ultrasounds, and endometrial biopsy may be considered in some cases.

The risk for endometrial cancer is reduced by:

  • Maintaining a normal weight
  • Using birth control pills for over a year
Pelvic laparoscopy
Female reproductive anatomy
D and C
Endometrial biopsy
Hysterectomy
Uterus
Endometrial cancer
What are the latest Endometrial Cancer Clinical Trials?
A Newly Discovered Clinical Recurrence Predictor for High-risk Hormone Receptor-positive Breast Cancer: a Real Word Study
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A Phase 1/2 Study Exploring the Safety, Tolerability, and Efficacy of INCAGN01876 in Combination With Immune Therapies in Subjects With Advanced or Metastatic Malignancies
What are the Latest Advances for Endometrial Cancer?
Pembrolizumab as adjuvant therapy in a patient with Lynch syndrome with synchronous mixed clear cell carcinoma of ovarian origin and endometroid endometrial carcinoma.
Capacity of endometrial thickness measurement to diagnose endometrial carcinoma in asymptomatic postmenopausal women: a systematic review and meta-analysis.
Tired of the same old research?
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Efficacy of laparoscopic, pelvic and para-aortic lymphadenectomy in the treatment of endometrial carcinoma.
What are our references for Endometrial Cancer?

Armstrong DK. Gynecologic cancers. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 189.

Boggess JF, Kilgore JE, Tran A-Q. Uterine cancer. In: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 85.

Morice P, Leary A, Creutzberg C, Abu-Rustum N, Darai E. Endometrial cancer. Lancet. 2016;387(10023):1094-1108. PMID: 26354523 pubmed.ncbi.nlm.nih.gov/26354523/.

National Cancer Institute website. Endometrial cancer treatment treatment (PDQ)-health professional version. www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq. Updated December 17, 2019. Accessed March 24, 2020.

National Comprehensive Cancer Network website. NCCN clinical practice guidelines in oncology (NCCN guidelines): uterine neoplasms. Version 1.2020. www.nccn.org/professionals/physician_gls/pdf/uterine.pdf. Updated March 6, 2020. Accessed March 24, 2020.