Most patients have heard of “TCT and Pap smear” for cervical cancer screening. However, most patients have never heard of endometrial cancer screening. However, you should know that in developed countries such as the United States and Europe, and in developed cities such as Beijing and Guangzhou, the highest incidence of gynecological tumors has become endometrial cancer! Data from Beijing Tumor Registry Office shows that since 2001, the incidence of endometrial cancer is significantly higher than that of cervical cancer, and after 2008, endometrial cancer has become the malignant tumor of female reproductive tract with the highest incidence.
If you have irregular menstruation, difficulty getting pregnant, postmenopausal bleeding, diabetes, hypertension, obesity, hormone use, etc., you should be aware that these are all high risk factors for endometrial cancer. I hope you will pay as much attention to endometrial cancer as you do to cervical cancer screening to achieve early detection, early diagnosis and early treatment.
Screening methods for endometrial cancer are not only limited to transvaginal ultrasound and segmental scraping (commonly known as curettage), but also endometrial cytology, which is a screening method similar to cervical smear. Scraping is painful and a surgical procedure; transvaginal ultrasound is less painful, but often yields too many false-positive results to avoid scraping after all. Endometrial cytology, on the other hand, can be done on an outpatient basis, with less pain, less bleeding, faster and safer, and the entire procedure is equivalent to a gynecological examination.
Endometrial cytology sampling process
1.Insert the collector with the head end against the fundus of the uterus.
2.Release the annular part of the collection device.
3.Rotate the collecting ring to take endometrial cells and tissues.
4. Conceal the annular portion of the collector and withdraw the collector.
However, we do not recommend endometrial cytology screening for all people. We only recommend screening for the following high-risk groups, please note that
1. You have tumors of other organs (breast, GI tract, etc.) yourself.
2. long-term use of triamcinolone after breast cancer surgery.
3.Obesity.
4. diabetes.
5, hypertension.
6, infertility.
7, not having children.
8, menopause over 52 years of age.
9, polycystic ovary syndrome.
10, having taken estrogen.
11, history of pelvic radiotherapy.
12, age greater than 50 years.
13, ultrasound showing endometrial abnormalities, fluid in the uterine cavity, etc.
14.Irregular bleeding in the last six months.
Please check according to your situation. If you have the above high-risk factors, please pay attention to endometrial cytology screening when you do gynecological checkup. Pay attention to female reproductive health to achieve early detection, early diagnosis and early treatment of endometrial cancer.