Endometrial cancer forms in the tissue lining the uterus. Most endometrial cancers are adenocarcinomas, malignancies that begin in cells that make and release mucus and other fluids.
Three types of standard treatment are used: surgery, radiation therapy and chemotherapy.
Surgery for Endometrial Cancer
Surgery for endometrial cancer may involve:
- Total hysterectomy to remove the uterus and cervix, either a vaginal hysterectomy or a total abdominal hysterectomy. The uterus and cervix may also be removed through a small incision in the abdomen using a laparoscope, which is called a total laparoscopic hysterectomy.
- Bilateral salpingo-oophorectomy to remove both ovaries and both fallopian tubes.
- Radical hysterectomy to remove the uterus, cervix, part of the vagina and a wide area of ligaments and tissues around these organs. The ovaries, fallopian tubes or nearby lymph nodes may also be removed.
Even if the surgeon removes all the cancer visible at the time of surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any remaining cancer cells.