What is uterine fibroids? Fibroids, also known as uterine smooth muscle tumors, are the most common type of benign tumor in women’s reproductive organs and one of the most common tumors in the human body, with an incidence rate of 20%. Number: single, multiple Location: subplasma, intermural, submucosal, broad ligament, cervical fibroids Why do fibroids grow? It is related to high estrogen or imbalance of sex hormones in the body. Uterine fibroids mostly occur in women between 30 and 50 years old, with the highest incidence in women between 40 and 50 years old, accounting for 51.2%-60%. After menopause, the original fibroids will gradually shrink and become smaller, or even disappear. Can fibroids become malignant? Yes! The chance of a fibroid becoming malignant and becoming a uterine sarcoma is 0.5%. If the fibroids grow rapidly within a short period of time or are accompanied by irregular vaginal bleeding or vague pain in the lower abdomen during regular review, you should seek medical attention. What are the symptoms of uterine fibroids? Most people have no symptoms Some people may have the following symptoms: change in menstruation, abdominal mass, increased leucorrhea, abdominal pain, back pain, feeling of falling, pressure symptoms, anemia, etc. What should I do if I have fibroids? Uterine fibroids are benign lesions, most of which grow slowly and gradually shrink and recede after menopause, so according to this rule, fibroids do not necessarily need to be removed surgically. Depending on the case, follow-up observation, medication and surgery are possible. What are the surgical options for fibroids? Surgery is the most common method of treating fibroids. Commonly used surgical methods are as follows: (1) Uterine fibroid excision, which involves removing the fibroids from the uterus one by one. This is indicated for patients who are young and require preservation of reproductive function. If you become pregnant after the surgery, you should be especially careful because the scar of the uterus may rupture in the middle and late stages of pregnancy, especially after the delivery, so you should strengthen prenatal care and spend the pregnancy and delivery period under the supervision of the doctor. (2) Hysterectomy: multiple uterine fibroids, no requirement for childbirth, cervicitis, >40 years old. (3) Hysterectomy: multiple uterine fibroids, no fertility requirements, smooth cervix, 40 years old. The above three procedures can be done transabdominally, transvaginally, or laparoscopically. (4) Radiation vascular intervention (5) Ultrasonic focused knife procedure What is endometrial cancer? Endometrial cancer is a malignant tumor occurring in the endometrial epithelium, also known as uterine body cancer. It is one of the three common malignant tumors of female genitalia. It is mostly found in older women, with more than 80% of cases occurring in women over 50 years old, and accounts for 20% to 30% of malignant tumors of the female genital tract. Endometrial cancer What is endometrial cancer? Endometrial cancer is a malignant tumor that occurs in the endometrial epithelium, also known as uterine body cancer. It is one of the three common malignant tumors of female genitalia. It is mostly found in older women, with more than 80% of cases occurring in women over 50 years old, and accounts for 20% to 30% of malignant tumors of female genital tract. What are the manifestations of endometrial cancer? (1) Vaginal bleeding is the main symptom because the cancerous tissue is brittle and easy to bleed, so the patients show symptoms earlier. (2) Vaginal discharge, about 30% of patients have increased vaginal discharge, which is plasma or blood-like. If combined with infection, the vaginal discharge will be purulent or purulent, accompanied by odor. (3) Advanced cancer infiltrates the surrounding tissues or compresses the nerves, causing pain in lower abdomen and waist and hip. Patients with advanced cancer often have systemic symptoms, such as anemia, emaciation, cachexia, fever and general exhaustion. How to treat endometrial cancer? Endometrial cancer is a kind of female genital malignant tumor with relatively slow development, late metastasis and good therapeutic effect. If it can be detected in time and treated appropriately, its prognosis is better and its 5-year survival rate can reach about 60% on average in all stages. The treatment methods of endometrial cancer mainly include surgery, radiotherapy, chemotherapy including hormone therapy, etc. Surgical treatment is an important treatment for endometrial cancer at present, and many early stage patients can get good results through surgical treatment, which includes extensive hysterectomy, pelvic lymph node dissection and subextensive hysterectomy. The main objective is to remove the diseased uterus and estrogen-producing ovaries and as much of the pelvic connective tissue as possible including metastatic lesions. Radiation therapy is currently used for patients who are too old and frail or in poor general condition for surgery (e.g. with severe hypertension, diabetes, heart disease, etc.) and for patients with more advanced endometrial cancer. Ovarian tumors Occult risk killer Pelvic mass >6CM at childbearing age, cystic or cystic solid Menopause >5CM alert, solid ovarian cyst Ovarian chocolate cyst