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Endometrial Cancer
  Cancer, Endometrial
 Conditions that suggest it
 Contributing risk factors
 Conditions suggested by it
 It can lead to...
 Treatment recommendations
 Prevention
 


Cancer of the lining of the uterus (or womb) is called endometrial cancer. You can increase the chances that endometrial cancer will be found early by having any unusual bleeding checked by your doctor right away. Endometrial cancer can almost always be treated successfully if it's caught early. Risk Factors


Certain things may put you at greater risk for getting endometrial cancer, one being age. Endometrial cancer is most common in women who are over 50 years old. Women who have never been pregnant and women who use a medicine called tamoxifen may also be at greater risk.

Diagnosis & Tests
Endometrial cancer can be diagnosed by using endometrial biopsy or by dilatation and curettage (D&C) of the uterus. Both procedures can be effective.





Conditions that suggest Endometrial Cancer:
Tumors, Malignant  Cancer, General

Uro-Genital

  Metrorrhagia

Risk factors for Endometrial Cancer:
Childhood  Early puberty onset

Counter-indicators:
  Delayed/late puberty onset

Hormones

  Progesterone Low or Estrogen Dominance
 High levels of estrogen without opposing progesterone can increase the risk of endometrial cancer. Using estrogen replacement therapy without taking progesterone or progestins is also related to a greater risk for endometrial cancer.

  Low Melatonin Level
 A 1998 study found an extraordinarily strong correlation between melatonin level and endometrial cancer. Women were selected who appeared that they might have endometrial cancer. The women who in fact did not have endometrial cancer had an average melatonin level of 33. The women who had endometrial cancer had an average melatonin level of 6. There was little overlap between groups - by using melatonin levels alone, 94% of the patients could have been correctly categorized. A 1992 report proposed that decreased melatonin levels could contribute to endometrial cancer.

Medical Procedures

Counter-indicators:
  Total/radical/partial hysterectomy or hysterectomy with both ovaries or hysterectomy with one ovary (confirmed)

Metabolic

  Problems Caused By Being Overweight

Supplements and Medications

  (Discontinued) non-human estrogen use
 In 1975, The New England Journal of Medicine examined the rates of endometrial cancer for estrogen consumers, concluding that the risk was seven and a half times greater for estrogen users. Women who had used estrogen for seven years or longer were 14 times more likely to develop cancer. [Coney, Sandra, The Menopause Industry, Spinifex Press Pty Ltd., Australia, 1991, pp.164-5]

Symptoms - Reproductive - Female Cycle

  Late menopause

Symptoms - Reproductive - General

  Unusual vaginal bleeding
 The most common sign of endometrial cancer is unusual bleeding from the vagina, especially bleeding that occurs after passing through menopause.

Uro-Genital

  Endometrial Hyperplasia

Endometrial Cancer suggests the following may be present:
Hormones  Low Melatonin Level
 A 1998 study found an extraordinarily strong correlation between melatonin level and endometrial cancer. Women were selected who appeared that they might have endometrial cancer. The women who in fact did not have endometrial cancer had an average melatonin level of 33. The women who had endometrial cancer had an average melatonin level of 6. There was little overlap between groups - by using melatonin levels alone, 94% of the patients could have been correctly categorized. A 1992 report proposed that decreased melatonin levels could contribute to endometrial cancer.

Endometrial Cancer can lead to:
Uro-Genital  Metrorrhagia

Recommendations and treatments for Endometrial Cancer:
BotanicalNot recommended:
  Maca
 Women with a history or risk of hormone-related cancers, such as endometrial cancer, should avoid this herb because of possible negative hormonal influences.

Preventive measures against Endometrial Cancer:
Diet  Increased Fish Consumption
 Study subjects who ate two or more servings of fish weekly had a much lower risk for esophageal, stomach, colon, rectum, and pancreatic cancers than those who avoided fish. In fact, the rates of these types of cancer were 30-50% lower among fish eaters. High fish consumption was also associated with lower risks for cancers of the larynx (30% lower risk), endometrial cancer (20% lower risk), and ovarian cancer (30% lower risk).


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
Weakly counter-indicative
Very strongly or absolutely counter-indicative
May do some good
Reasonably likely to cause problems


GLOSSARY

Biopsy
Removal of a sample of tissue from a living being for diagnosis. A pathologist later uses a microscope to look for certain features, such as cancer cells, in the sample. A fine-needle aspiration biopsy involves inserting a thin needle to remove a small amount of tissue, sometimes using CT or ultrasound to guide the needle. A core biopsy involves obtaining a sample of tissue with a thick needle or by inserting a thin, lighted tube (laparoscope) into a small incision in the abdomen. Another biopsy method is to remove tissue during an operation.

Cancer
Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.

Colon (Colonic)
The part of the large intestine that extends to the rectum. The colon takes the contents of the small intestine, moving them to the rectum by contracting.

Dilatation
Normal increase in the size of a body opening, blood vessel, or tube.

Dilation and Curettage (D&C)
The scraping of the lining of the uterus (the endometrium). There are two main reasons for performing a D&C: to remove tissue remaining in the womb in a recently pregnant woman, and as part of the investigation of a woman who is experiencing heavy or irregular periods or vaginal bleeding after menopause.

Esophagus (Esophageal)
Commonly called the "food pipe", it is a narrow muscular tube, about nine and a half inches long, that begins below the tongue and ends at the stomach. It consists of an outer layer of fibrous tissue, a middle layer containing smoother muscle, and an inner membrane, which contains numerous tiny glands. It has muscular sphincters at both its upper and lower ends. The upper sphincter relaxes to allow passage of swallowed food that is then propelled down the esophagus into the stomach by the wave-like peristaltic contractions of the esophageal muscles. There is no protective mucosal layer, so problems can arise when digestive acids reflux into the esophagus from the stomach.

Estrogen (Oestrogen)
One of the female sex hormones produced by the ovaries.

Herbs (Herb, Herbal)
Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with one teaspoon herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Tinctures may be used singly or in combination as noted. The high doses of single herbs suggested may be best taken as dried extracts (in capsules), although tinctures (60 drops four times per day) and teas (4 to 6 cups per day) may also be used.

Larynx (Laryngeal, Voice Box)
The short passageway shaped like a triangle that is just below the pharyx in the neck.

Melatonin
The only hormone secreted into the bloodstream by the pineal gland. The hormone appears to inhibit numerous endocrine functions, including the gonadotropic hormones. Research exists on the efficacy of melatonin in treating jet lag and certain sleep disorders. Dosages greater than l milligram have been associated with drowsiness, headaches, disturbances in sleep/wake cycles and is contraindicated in those who are on antidepressive medication. It also negatively influences insulin utilization.

Menopause (Menopausal)
The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.

Pancreas (Pancreatic)
Opposite the liver and behind the stomach, the pancreas has two main functions - to manufacture various enzymes for digestion, and to release hormones to help control the body's use of carbohydrates. It releases insulin to help each cell absorb glucose to burn as energy. In this way, insulin controls the amount of sugar (glucose) in the blood. Proper pancreatic function is very important: too much, too little, or no insulin production can be life-threatening. Some of the chemicals released by the pancreas are not hormones, but stimulate other glands to make hormones. Once again, balance is necessary. Nutritional requirements for the pancreas are many. Research indicates that chromium vitamins C, E, B-complex, calcium, magnesium and potassium are especially important.

Progesterone
This is the hormone secreted after ovulation by the corpus luteum. It is a steroid (similar to a cholesterol), enters receptive cells to stimulate their growth, and acts as an anabolic agent. Estrogen should be viewed as the primary coat underneath all the cycles during a woman's reproductive years, with progesterone, its antagonist, surging for ten or twelve days in ovulatory months. Most of the actions of progesterone cannot occur without estrogen having previously induced the growth of progesterone-receptive binding sites.

Stomach
A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.

Uterus (Uterine)
The part of the female reproductive system specialized to allow the implantation, growth and nourishment of a fetus during pregnancy.




Last updated: Apr 13, 2008


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