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Endometrial Cancer

Endometrial Cancer. This is a type of cancer that forms in the tissue lining the uterus. Affecting over 40,100 women each year Accounting for 7,470 deaths this year. Symptoms. Unusual vaginal bleeding or discharge Diffcult or painful urination Pain during intercourse

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Endometrial Cancer

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  1. Endometrial Cancer This is a type of cancer that forms in the tissue lining the uterus. Affecting over 40,100 women each year Accounting for 7,470 deaths this year.

  2. Symptoms • Unusual vaginal bleeding or discharge • Diffcult or painful urination • Pain during intercourse • Pain in the pelvic area- usally late in the process

  3. Risk Factors • Age- women over the age of 50 • History of endometrial hyperplasia • Hormone replacement therapy (used after menopause) • Obesity • History of smoking • Race- white women are more likely to get endometrial cancer • Women with the inherited form of colorectal cancer

  4. Diagnosing and Staging • Endometrial Biopsy • Transvaginal ultrasound • The most reliable way to stage is to remove the uterus • Stage I—The cancer is only in the body of the uterus • Stage II–Has spread from the body to the cervix • Stage III– Has spread outside the uterus but not out of pelvis. May be in the pelvis lymph nodes. • Stage IV– Has spread into the bladder or rectum or other body parts

  5. Treatments • Total hysterectomy with removal of lymph nodes • Radiation therapy (externally or intravaginally) • Chemotherapy (Adriamycin, Platinol, 5-FU, carboplatin, and Taxol) • Progesterone hormonal therapy (Megace is the treatment of choice) • Nolvadex (alone or with progesterone when caner is advance or recurrent)

  6. Nursing Care • Before • Educating client to continue with yearly screening even after menopause • Educating about risks factors • After • Teach common side effects of radiation, chemo and progesterone therapy • Educate on nutrition needs and keeping a healthy weight • Monitor for bleeding post-opt

  7. Nursing care continued • Assess pain level • Encourage Deep Breathing • Allow client to verbalized feeling over loss of body functioning • Identify support groups available to client

  8. Nursing Diagnoses • Anxiety • Acute pain • Disturbed body image • Ineffective sexuality pattern • Ineffective breathing pattern • Grieving

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