Uterine Cancer Detection
Any abnormal vaginal bleeding in a women over the age of 30 can be a potential sign of cancer of the uterus. This cancer occurs mostly in women over the age of 50, but early precancerous conditions can occur in women 30 to 50 years of age. If you have abnormal bleeding and you are over 30 years old, you deserve an evaluation to determine the cause of this bleeding.
One of the best methods to evaluate uterine bleeding is through a test called a hysterosonogram and endometrial biopsy. Here, we anesthetize the cervix with a local anesthetic, similar to what you receive in a dentist’s office. Next, a very thin tube is inserted into the cavity of the uterus. A sonogram is then performed while fluid is injected into the uterus through the thin tube. Many abnormalities can be visualized and detected this way. Finally, as the tube is withdrawn, a small amount of tissue is obtained for pathologic evaluation. The procedure is an office based procedure and one returns to normal activities immediately.
Once the diagnosis for the abnormal bleeding is obtained, further therapy can be considered. If a precancerous lesion is detected or other growths or tumors seen, options on the appropriate therapy for each individual person is discussed. These may include no treatment, endometrial ablation therapy, or a hysterectomy. We always discuss options because the patient’s concerns should always be considered with any therapy. Through this thorough analysis, precancerous and cancerous lesions of the uterus can be detected and treated early for better survival.
| Uterine Cancer Detection/Treatment at a Glance | |
|---|---|
| Annual Pelvic Exam | Picks up potential uterine abnormalities from a pelvic exam |
| Symptomatic History | Her description of the bleeding problems can help evaluate cause |
| Ultrasound | Can evaluate the uterine size and possible presence of tumors |
| Hysterosonogram | Detects lesions growing within the uterine cavity |
| Endometrial Biopsy | Evaluates the pathology of the tissue within the uterine cavity |
| D & C | Further evaluates uterine tissue |
| Endometrial Ablation | If no precancer is present, can decrease excessive vaginal bleeding |
| Hysterectomy | If precancer is present, removal of uterus is recommended |
Dr. Robert True is an advocate for regular annual exams, including yearly pelvic exams to help detect uterine growths at a very early stage. His early detection has helped many women live longer and with better quality of life. He has provided uterine tumor and uterine cancer screens for thousands of women in the Dallas Fort Worth Metroplex area of Texas for over 23 years. Located in Colleyville, his office is centrally located and easy to find. If you would like to set up an appointment, call him at 817-399-8783.