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ENDOMETRIAL
㖬ぼ㗁㽳⤈ㅠㄪ≗"
C NCER
㽳⤈ㅠㄪ≗㗁㱱㽳⤈ㅠㄪㅠ⒬☨㥨⊩␤㔶ᮣ㱸㮥㨗㽳
⤈ㅠㄪ≗㗁㯜㢜ㇲ㩂⧣✝ゑ╬⬺㚐⥙✂✚㵒⒱☨ᮣ
㽳⤈ㅠㄪ≗
㮾㍰ᱨ㮧㫓ⰻ☨㫼ⳑ㦄㖸㸆㱸⶙ㅢ㲓⒌㋜ⶪ⟞╬⬺㚐
(Hormone Replacement Therapy)㱸⤴ᱷ☏㑥ⱅ㚜㐹⌴Ⱓ
㔕⡜ㇲ⒌㋜ⶪ⟞╬⬺㚐ᱨ㽳⤈ㅠㄪ≗☨⏋➂⿔㐲㱸㵜㣐
⮋ᱨ㮧㫓ⰻⳟ㟠㑌㸆㗁㯜㢜⡜ㇲ㱸➪㈚☨㎷㗀ᱨ☠㺤✂
㲈☨╬⬺㚐㱱㔩㝛⹽☨㱵㺎㚱␤㔶ᮣ㐹✚ᱨ➪㈚ⳟ⒱㢜
㽳⤈ㅠㄪ≗☨⟇㦅㯜㚐ᮣ
What is Endometrial Cancer?
Endometrial Cancer is a cancer that starts in the endometrium,
the inner lining of the uterus (womb).
It is predominantly due to prolonged exposure to an excess of
the female hormone called oestrogen. In the past, this was often
a result of oral intake of oestrogen only hormone replacement
therapy, the practice which has been stopped by most physicians.
Nowadays, the excess oestrogen is usually due to our body’s own
production. Certain conditions tend to lead to excess oestrogen
production and hence will put one at increased risks.
㱸㖬ぼ㸛㷻㲓㺄㽔ᱻ
ⓝ㋜㽳⤈ㅠㄪ≗▙✂㗷⪹ⓞ㦆㯖⒋ⓞ㫖㺄㽔ᮣ㟗ⲿ⨍ⓞ
㫖㗁㾎㋗⍕☨㺄㽔ᮣ✂㗷⏋⺈➂㔶㵀㟗㯙⨍☨⡜ㇲᮣ
Singapore Cancer Society Multi-Service Centre
Fallopian tube
9 Bishan Place, Junction 8 Office Tower #06-05, Singapore 579837
6499 9133
6499 9140
■
■
■
Location ☼♇
Bus Numbers ≻㖹⧟⿵
Bishan Bus Interchange
52, 53, 54, 55, 56, 57, 58, 59, 410
In front of Bishan MRT Station
13, 52, 54, 55, 58, 88, 128, 156
Along Bishan St 11
52, 54, 55, 56, 57, 58, 59, 410
Take Exit A at Bishan MRT Station.
Walk through Junction 8 Shopping Centre in the direction of the Bus
Interchange.
Without crossing to the bus interchange at the traffic light, turn right
and walk along the walkway to locate the Junction 8 Office Tower lobby.
■㟜⥙⌸㓹☾≹㷢⤖㣡㺲㨲㠭≻㖹㽊⪓㷢➝㦢㨾㽿ᮣ
■㵀⨆⿖☪⿁ⶪ㺐㍰㱺㽊ᱨ㬄㽥㽿☤㦢㍰㽿ᱨⳟㅢ☡▕⌸㓹☾≹㷢
⊚⤇▙⾯▙㝲ᮣ
Singapore Cancer Society
15 Enggor Street, Realty Centre #04-01, Singapore 079716
6221 9578
6221 9575
www.singaporecancersociety.org.sg
[email protected]
Follow us on Facebook
Cervix
What are the Signs and Symptoms?
Most of the cancer of the endometrium presents early with some
form of abnormal bleeding. Majority of the cases occur in post
menopausal women.
■㵀⌸㓹☼㝰㷢㽿㦢Aⓞⶪᮣ
The information provided is for your
general knowledge only. You should seek medical advice
or treatment for your specific condition.
Endometrium
Endometrial
Cancer
Ovary
Uterus
Myometrium
1K102015
Ⱓ⒌⮑☨㺄㽔㑥㥲
■ ⴊⲿ⨍ⓞ㫖
■ 㴨ⲿ⏥⥂㵘ᱨ⽃⼋▙
■ ⲿ㋜⭺ⓞ㫖
■ Ⓘ㩦ⓞ㫖
■ ➻⨆ᱨ㙦㬥⫊⊅㓧㯟☤➶⍄㣡
■ ㈬㍻㝑㟨
■ 㩂Ⰿ㖫㝑㟨
■ 㝛㺺⮋㎡
What you need to know about
preventing, detecting and
treating Endometrial Cancer
Some common symptoms are:
■ Post menopausal bleeding
■ Irregular heavy menses
■ Intermenstrual spotting
■ Prolonged spotting
■ Pink, watery or white discharge
from vagina
■ Pelvic pain
■ Pain during intercourse
■ Weight loss
Are You at Risk?
How is Endometrial Cancer Diagnosed?
ㅩ㱸➂⏋㯜㚐⿺ᱻ
㑥⧨㴊➠㽳⤈ㅠㄪ≗"
Risk factors include:
■
Endometrial biopsy is done to get a sample of cells from inside
the womb.
➂⏋㯜㚐⊪⸶ᱶ
■ ⌏Ⓘ⯵ⶅ㝛㺺
■
■ ➪㈚
■ ⯵ⶅ㯥㖭㲓㴱⛑
Dilation and curettage is a procedure done to scrape tissue
from the womb lining to be examined for cancer cells.
■ 㜽ㅸ⏋ᱨ⡽㫖㫥
■ ⶨ㺨⧝㜽ㅸ⏋⶙Ⰹ☱⟇㦅
■ ╹㢦㔶㲥ᱨ㔶㲥Ⱓ㔕✛ㇲ⧧⏥㲥☨ㇲ㩂ᮣ
■ 㖳㱫〆㴨⹤>㽳⤈ㅠ⍈㴶
■
Obesity
■
Diabetes mellitus,
hypertension
■
Women who have never given
birth, women who have few
children and also infertile
■
Early menarche and late menopause
■
Women with Polycystic Ovarian Syndrome
■
Irregular infrequent menses i.e. less than 4 menses per year –
failure to ovulate
How is it Treated?
■
■ Ⱓ㵍ⓝⲿ⧧Ⓛ㟗ⲿᮣ
Surgery is the most common treatment for this cancer, either
surgical removal of the uterus alone, hysterectomy, hysterectomy
with bilateral salpingo-oophorectomy or removal of the uterus,
fallopian tubes and ovaries.
■
Radiation involves the use of high-dose x-rays to kill cancer cells.
Ovarian tumours that secrete oestrogen e.g. Granulosa Cell
tumours (Rare)
■
Hormone therapy using high dose of progestine to stop the
growth of tumour.
■
Oestrogen-only Replacement Therapy (ERT) stimulates the
lining of the womb and increases risk of endometrial cancer
■
■
Women with Hereditary Non Polyposis Colorectal Cancer
(HNPCC) or family history suggestive of HNPCC
■
■
Personal history of breast or ovarian cancer have an increased
risk of developing endometrial cancer
■
Female breast cancer patients who are on Tamoxifen therapy
■ ⪔㱸✂ㅘ⿛⒚㽻⧩㺄☨ㇲ㩂ᮣ
■ 㴨ⲿ⏥㨛♛ᱨょㅰ㔕⥙4╴㴨ⲿ☨⡜ㇲḶ⏥ㅢ㈉⿛ᮣ
■ ╬⬺㚐Ḷ㝜■⼒➈╲⬺㽳⤈ㅠㄪᱨ㵜⭩⪔㔋㽳⤈ㅠㄪ
⏋㖱ᮣ
≗☨⟇㦅ᮣ
Radical
Hysterectomy
Fallopian
tube
Nearby
tissue
Cervix
Maintain a healthy body weight
■
Healthy diet and exercise
■
Good control of diabetes can
reduce the risk
■
Use of oral contraceptive pill
■
Use mirena [Medicated Intrauterine Contraceptive Device
(IUCD)]
Do You
Know?
1
The latest Singapore Cancer Registry Annual
Registry Report (2010-2014) indicates that
Endometrial Cancer is the 4th most common
cancer diagnosed in Singaporean women.
and curettage)㮾⮂㬕㗁⟑㱸
≗㥨⊩ᮣ
㑥⧨㺰⼒㽳⤈ㅠㄪ≗ᱻ
㔶⶙ㅢ㺝㎐ⓥ㽳⤈⫊⯿⿛
⒚ᱨ㗞⿛⤸⧧㽳⤈㐩⏩㎐
ⓥᮣ
■ ➥㔠㺰⼒㗁㮾⡽⭗⼋☨X
㔠㦏㦫ジ≗㥨⊩ᮣ
How to Prevent?
■
■ 㽳⤈ㅠㄪ⫆㾉㺑⮂␓(ⓑ㐟㽳⤈ㅠㄪ㥨⊩㬥〉)ᮣ
■ 㗐㗯㗁㾎⒋⮑☨㺰⼒➈ᮣ㮧
■ ⟞㱫㚳㄰㣦➲☨ㇲ㩂㑧≗⪔㸃ᮣ
Ovary
Uterus
㑥⧨㸓⛱㽳⤈ㅠㄪ≗"
■ ⸷㷩㽳⤈ㅠㄪ(dilatation
≗⟇㦅ᮣ
■ 㱸㑧≗⫊⿛⒚≗⢔㑉⏋㖱☨ㇲ㩂㱸Ⱓ⡽⪔㔋㽳⤈ㅠㄪ
Total
Hysterectomy
■ 㖳㱫ⶪ⟞⍈㴶㮓
■ ➶ア╬⬺㚐☨⿛⒚㺹⽂ᮣ⺋ᱶ⧋⮑ⶕ⻯㥨⊩⽂ᮣ
■ 㱸㮯║㩂➧㥒㑠㩂▙⒎≗(HNPCC)⫊⭨㾅⪔HNPCC
Chemotherapy uses drugs to kill cancer cells.
㋹(IUCD)]
■ ⬺㚐㺰⼒㖳㱫⡽⭗⼋☨㴶
⬺㚐ᱨ㮾㾈㺛㺹⽂☨㔶⒌ᮣ
Total Hysterectomy with
Salpingo-oophorectomy
A
Hysterectomy plus Bilateral
Salpingo-oophorectomy
OR
■ ⪇⼒㱫㮓㣡⹂㦫ジ≗㥨⊩ᮣ
B
ㅩ㺌
☤⿺"
1
⢗⳯㨰⭩㋄≗㺄㽂␋⳨ㅰ⛪㽂␋⌔⢄(2010-2014)
㽳⤈ㅠㄪ≗㗁㨰⭩㋄⡜ㇲ☾㙼㾎⒋⮑☨≗㺄ᮣ