Uterine Cancer | Cancer of Uterus | Nclex | Symptoms | Medical & Nursing Management | oncology
Best medical/nursing lecture explaining
Description
1. Endometrial cancer is a slow-growing tumor arising
from the endometrial mucosa of the uterus,
associated with the menopausal years.
2. Metastasis occurs through the lymphatic system
to the ovaries and pelvis; via the blood to the
lungs, liver, and bone; or intraabdominally to
the peritoneal cavity.
B. Risk factors
1. Use of estrogen replacement therapy (ERT)
2. Nulliparity
C. Assessment
1. Abnormal bleeding, especially in postmenopausal
women
2. Vaginal discharge
3. Low back, pelvic, or abdominal pain (pain
occurs late in the disease process)
4. Enlarged uterus (in advanced stages)
D. Nonsurgical interventions
1. External or internal radiation is used alone or in
combination with surgery, depending on the
stage of cancer.
2. Chemotherapy is used to treat advanced or recurrent
disease.
3. Progesterone therapy with medication may be
prescribed for estrogen-dependent tumors.
4. Tamoxifen, an antiestrogen medication, also
may be prescribed.
E. Surgical interventions: Total abdominal hysterectomy
and bilateral salpingo-oophorectomy
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