SAY ni DOK | Ano ang sanhi, sintomas ng endometrial cancer?
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00:00According to studies, in 2020, endometrial cancer is the 6th most commonly diagnosed cancer in women worldwide.
00:11And because this month of June is considered as Endometrial Cancer Awareness Month,
00:16it is also called Uterine or Womb Cancer.
00:19This is what we are going to talk about this morning in this scene.
00:22And because this is the 2nd of June, Cancer Survivor Day,
00:26we are going to talk about what should and should not be done by cancer survivors
00:31to keep their bodies strong.
00:34And for that, we will be joined by Dr. Perdez Galbo, a Gynecologic Oncologist.
00:40Doc, good morning and welcome back to Rise and Shine Philippines.
00:45Good morning, magandang umaga, mayum buntag for all sa mga KRS-P natin.
00:51Okay, for our fellow countrymen who are watching this,
00:55can you please explain what is endometrial cancer and what are its symptoms?
01:02Okay, so usually, endometrial cancer is abnormality in the lining of the uterus.
01:07It can be thick or it can be tumor in the lining of the uterus.
01:12Usually, the most common reason for this is hormonal imbalance or genetics of the patient.
01:20The average age for endometrial cancer in women is about 30 to 60 years old.
01:25Usually, most of them are postmenopausal, that is after 50 years old.
01:30So, this presentation is about bleeding.
01:35So, we need to know if your bleeding is regular or abnormal.
01:40Okay.
01:41Doc, do the symptoms show up immediately?
01:45And what are the symptoms that should be monitored?
01:49Okay.
01:50So, the good thing about this presentation is that the bleeding is really abnormal.
01:55Okay, so the normal menses of a woman is about every 25 to 30 days.
02:01And the average bleeding is about 2 days to 7 days.
02:06Anything beyond that is abnormal.
02:08You need to consult a doctor to know the reason why your bleeding is abnormal.
02:14It's probably because of myoma, polyp, adenomyosis, or other abnormalities in the lining of the uterus.
02:21For example, it's a tumor in the lining of the uterus or endometrial cancer.
02:26You need to consult a doctor immediately.
02:28Don't delay the consultation.
02:32I have to emphasize to the viewers that it's menopausal bleeding.
02:37Okay.
02:37The average menopause is about 40 to 50 years old.
02:41Usually, by that time, the menopause will suddenly stop.
02:46Okay.
02:47But anything during that time, like an irregular menstruation,
02:52or one or two months of no menstruation,
02:55or your menstruation is supposed to be 3 days to 5 days,
02:59or it's heavy, or you need to wear a diaper,
03:03that's not normal.
03:05We need to ask for help.
03:06Because usually, the misconception is that
03:09some people will listen to the MRI test or something like that
03:13and say that it's just a menopause.
03:15You don't need to consult a doctor
03:18because that's one of the symptoms of endometrial cancer.
03:23It's the abnormal uterine bleeding or abnormal adenomyosis.
03:26Okay, doc.
03:28What are the conditions or who is more likely to have endometrial cancer?
03:35What are the risk factors?
03:38Okay.
03:38Usually, what's common is hormonal imbalance.
03:41That's the reason why menopause is thick.
03:45These are the patients who have risk factors like obesity.
03:49It's really obesity.
03:51Women have hormonal imbalance when they're obese.
03:55The second is related to picos.
03:59Who has picos?
04:00It's abnormal.
04:01Every 2 to 3 months?
04:03Yes, these are risk factors.
04:05You need to regulate your menstruation.
04:09It's a different relationship if you have high blood or diabetes
04:13because you have high cholesterol and body fat.
04:15Usually, these are the most common risk factors
04:19for developing endometrial cancer.
04:22Doc, is it still possible to get pregnant even if you have endometrial cancer?
04:28Yes, it's possible.
04:30So, especially for our patients who have picos,
04:33sometimes, if we can't get pregnant right away,
04:36they can develop endometrial cancer.
04:38But there are criteria for getting pregnant.
04:41There should be no invasion and as much as possible in the lining of the uterus.
04:47The tumor should be less than 2 cm.
04:50For those who don't have distant metastasis,
04:52it can still be done by medical management.
04:56They need to be consulted early to evaluate
05:00if the criteria is still valid for pregnancy, medical management, and fertility management.
05:08This is because multidisciplinary management is needed.
05:13Gynecologic oncologists and infertility specialists
05:17should be able to trace the patient's proper management.
05:24But there are criteria.
05:26Doc, what is the treatment for endometrial cancer?
05:30Is it possible to treat it through chemotherapy like other cancers?
05:37Yes, but usually, the primary mode of treatment for endometrial cancer
05:42depends on the stage and age of the patient,
05:46the reproductive function or the reproductive results.
05:50As we mentioned earlier,
05:51children with cancer, especially those who have picos,
05:55can be treated through medical management and high-dose progesterone.
05:58But if the patient's age is more than 40 years old,
06:05the treatment should be done through surgical management.
06:07They should be able to remove the mattress, tubular tissue, and the follicles
06:11that are called tub sew and complete surgical staging.
06:15But the basis of further treatment depends on the 5-series sew.
06:21So if there is a distant metastasis,
06:23it is necessary to undergo brachytherapy, radiation, or chemotherapy
06:27if the need arises depending on the 5-series sew.
06:30Okay, Doc, just this past Sunday, June 2,
06:33there was a celebration of Cancer Survivor Day.
06:36Since we're talking about cancer,
06:37what are the things that cancer survivors should do
06:41to take care of their bodies
06:44since there is still a possibility that the cancer will return
06:47even if you are cancer-free, Doc?
06:50Okay, so before that, I would just like to emphasize
06:53the A, B, and C of endometrial cancer.
06:55So again, A means awareness.
06:57You know the risk factors that we were talking about earlier.
07:00Obesity, high blood, PCOS, diabetes, and so on.
07:04B is what we need to know,
07:08what is the presentation of bleeding and abnormal bleeding.
07:10So if there is abnormal bleeding, you need to get consulted.
07:13C is to consult the doctor if there is abnormality.
07:17Of course, you need to consult the doctor if there is pain or whatsoever.
07:21So if you are a survivor of any type of cancer,
07:25usually in women,
07:27breast, cervix, endometrium, and ovary,
07:31we need to change our lifestyle.
07:34Because this is like a second life,
07:37literally, if it's of that type.
07:39So we have to go back to a healthy lifestyle,
07:42meaning what we followed up on.
07:45Carbohydrates, proteins, and all those things.
07:48We need to exercise.
07:51We need to do that so we don't get fat.
07:54Because as you can see, obesity is related to the recurrence of diseases,
07:58especially breast or endometrial cancer.
08:01And also, we need what we call psychology.
08:04We have to know that this is our second life.
08:07We have to want people to enjoy life.
08:09Let the days count, not count the days.
08:12But together, you need to follow up with the doctor.
08:16What are the recommendations?
08:18For breast, mammogram, CT scan, or X-ray.
08:21For endometrial, you need to get a pap smear or CT scan.
08:25You need to follow the doctor's instructions.
08:28But definitely, lifestyle changes.
08:31Lifestyle, less stress.
08:33They can also see that this has a connection to recurrence.
08:36So we need to know.
08:37And I just like to emphasize again,
08:39usually, the most common signs and symptoms of recurrence of cancer.
08:43Any type of cancer is anything that has changes in sneezing,
08:48in vomiting,
08:49always bloatedness,
08:52easily getting sick,
08:53or changes in weight,
08:55spotting, bleeding,
08:57difficulty in breathing,
09:01blisters on the neck,
09:07these are the signs and symptoms of recurrence of cancer.
09:10So you need to get a regular check-up from the doctor.
09:13Alright, thank you very much Dr. Ferdes Galbo
09:16for Libring Telemed, for our KRS-P.
09:19Again, thank you.
09:20And let's always be careful, Doc.
09:22Thank you.
09:23Thanks Doc.