Tuesday, April 22, 2008
Endometrial cancer diagnosis
Endometrial cancer and the need for identification of the following diseases. 1. Menopausal transition period dysfunctional uterine bleeding (DUB menopausal transition period) is mainly expressed in menstrual disorders, such as the volume increased, menstrual extended, or bleeding between periods, such as irregular bleeding. Gynaecological examinations found no abnormalities, and endometrial cancer similar to the signs and symptoms. Clinical difficult to identify. Should in the first subparagraph curettage, confirmed after symptomatic treatment. 2. Senile vaginitis mainly to bloody Leucorrhea, to distinguish with endometrial carcinoma. The former see vaginal mucosa, or under the wall congestive scattered hemorrhage, the latter see normal vaginal wall, the liquid discharge from the cervix. Older women have to pay attention to the coexistence of two circumstances may be. 3. Submucosal uterine myoma or endometrial polyps more performance for menorrhagia and menstrual extended to differentiate with endometrial carcinoma. Timely to subparagraph curettage, uterine examination and B-type ultrasonic examination, diagnosis is not difficult. 4. Primary fallopian tube cancer mainly as vaginal discharge fluid, vaginal bleeding and abdominal pain. Subparagraph curettage negative, and the block of Gongpeng palpable, and endometrial cancer curettage positive Gongpeng no block of palpable. B-mode ultrasonography to check identification. 5. Elderly uterine mucositis often combined intrauterine empyema of increased vaginal discharge performance, size, or Nongxue of purulent. Uterine normal or increased soft, and the expansion of the cervix can be clearly scraping up diagnosis. Expansion of the cervix after see wound pus outflow see scraps of inflammatory cells, no cancer cells. Endometrial cancer combined intrauterine empyema, in addition to a wound pus outflow, but also scraps cancer, which can be pathological examination confirmed. However, attention should be paid to the possibility of the two co-exist. 6. Cervical cancer, uterine sarcomas appeared as irregular vaginal bleeding and fluid increased. Cervical cancer lesions in the cervix, cervical expand a barrel cervix. Uterine sarcomas in general more uterus and uterine cavity increases. Sub-curettage and cervical biopsy that is able to identify.
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