Wu Zhenxuan, deputy convener of the women's cancer team of Kaohsiung Chang Gung Hospital, said that abnormal thickening of the endometrium (as shown on the right side of the picture) may lead to endometrial cancer.

(Photo by reporter Xu Lijuan)

[Reporter Xu Lijuan/Kaohsiung Report] In advanced countries such as Taiwan, Europe and the United States, the incidence of endometrial cancer ranks first among female reproductive tract cancers. More than 3,200 women in Taiwan are diagnosed with endometrial cancer every year.

55-year-old Ms. Wu had abnormal vaginal bleeding and lower abdominal pain after 2 years of menopause. After examination, she was found to be endometrial cancer. Wu Zhenxuan, deputy convener of the Gynecological Cancer Team of Kaohsiung Chang Gung Hospital, reminded that abnormal uterine bleeding and postmenopausal bleeding are endometrial cancer. A sign of cancer.

Ms. Wu said that she experienced backache and abdominal pain two years after menopause. She thought it was rejuvenation. Later, due to continuous bleeding for more than 2 weeks, it was only after gynecological examination that she found that the endometrium was abnormally thickened. The biopsy was diagnosed as stage 1 Endometrial cancer was referred to Kaohsiung Chang Gung Hospital Physician Wu Zhenxuan Outpatient Clinic. Due to the upcoming wedding of an important family member, after evaluation, he chose to use the Da Vinci robotic arm to assist in cancer staging surgery and perform sentinel lymph node detection and removal. The amount of bleeding was very small, no drainage tube was needed, and she was discharged from the hospital 3 days after the operation, and even attended a wedding the day after discharge.

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Physician Wu Zhenxuan pointed out that the purpose of staged surgery is not only to remove the tumor, but also to further determine the extent of tumor invasion and the stage of the cancer. If the diagnosis is early cancer and the uterus is not too large or accompanied by large uterine fibroids, the uterus can be completely removed from the vagina In some cases, minimally invasive surgery may be considered.

Compared with laparoscopy, the Da Vinci system has the function of magnifying 3D stereoscopic ultra-high-resolution visual images, and the single-axis opening and closing is more conducive to complicated and difficult tissue dissection and lymph node extraction, so it can reduce the damage to large organs during lymph node extraction. Risk of blood vessels, and accurate judgment of the location of the lesion for complete resection, while reducing damage to surrounding tissues and avoiding damage to important nerves and blood vessels.

Da Vinci surgery will first detect the location of the sentinel lymph nodes. During the operation, a contrast agent will be injected into the uterus. The fluoroscopy system will be used to locate the sentinel lymph nodes. Lymph node dissection, with more refined and accurate judgment, can greatly reduce the side effects of lower extremity lymphedema that may be caused by traditional complete dissection of pelvic lymph nodes.

Wu Zhenxuan said that when some women are diagnosed with endometrial cancer, they are often surprised to have regular Pap smears, but it must be emphasized that endometrial cancer cannot be detected by Pap smears. The most common sign is bleeding, including abnormal Bleeding during menstruation, the amount of bleeding is different from the amount during menstruation, or the bleeding after menopause, some women will mistakenly think it is rejuvenation, but bleeding after menopause is not normal, some people will experience abdominal pain or sexual intercourse pain or discharge brown color Or with blood streaks, should be further checked.

Wu Zhenxuan also reminded that the high-risk groups of endometrial cancer include those who are older than 50 years old, obese, diabetic, have a family history of colorectal cancer or gynecological cancer, infertile or never pregnant, polycystic ovary, menstruation before the age of 12 or 55 Menopause after the age of one, and inappropriate estrogen supplementation or breast cancer oral drug (Tamoxifen) treatment for more than 5 years, should be extra careful when symptoms appear.

Lin Zhizhe, vice president of Kaohsiung Chang Gung, said that endometrial cancer is more common in 50 to 65 years old, and nearly 70% of patients are diagnosed at an early stage. Complete surgical resection of the tumor is the first step in the treatment of endometrial cancer.

Kaohsiung Chang Gung Department of Obstetrics and Gynecology has performed Da Vinci surgery for 144 patients with gynecological cancer. The prognosis of endometrial cancer is better than other gynecological cancers. The minimally invasive endoscopic surgery (Da Vinci manipulator arm) can reduce side effects and complications were significantly reduced.

Kaohsiung Chang Gung Hospital's Department of Obstetrics and Gynecology has performed Da Vinci surgery on 144 patients with gynecological cancer. The team led by Vice President Lin Zhizhe (2nd from right), Professor Gong Fucai (middle) and physician Wu Zhenxuan (2nd from left) has brought more benefits to patients. Quality medical services.

(Photo by reporter Xu Lijuan)

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keywords

  • cancer

  • Infertility

  • endometrial cancer

  • Da Vinci Robotic Arm

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