Endometrial cancer metastasized to the cervix is usually treated by surgery, followed by radiation therapy and chemotherapy.
Endometrial cancer metastasized to the cervix, which means that endometrial cancer has invaded the interstitium of the cervix, and this situation is considered as stage II endometrial cancer. To treat endometrial cancer, surgery is the mainstay, and after surgery, adjuvant treatment, such as radiation therapy or chemotherapy, is chosen according to high-risk factors.
1. Surgery. Surgery is the first choice of treatment for endometrial cancer, which can carry out pathological staging, determine the scope of lesions and prognosis, and remove the diseased uterus and other possible metastatic lesions. The way of surgery can be transabdominal surgery or laparoscopic surgery.
2. Radiotherapy. Radiotherapy is one of the effective methods to treat endometrial cancer, which is divided into two kinds: brachytherapy and extracorporeal irradiation. If endometrial cancer metastasizes to cervical cancer, combining with radiotherapy after surgery can improve the therapeutic effect and reduce the chance of local recurrence.
3. Chemotherapy. After surgery, if there are high risk factors for recurrence, chemotherapy can be used, such as cisplatin, doxorubicin, paclitaxel and other drugs, to reduce distant metastasis outside the pelvis.
After surgery, endometrial cancer patients should go to the hospital regularly for review. Generally, in 2~3 years after surgery, it is enough to have a recheck every 3 months, after 3 years, every 6 months, and after 5 years, once a year.