Pathology Project:Endometrial Carcinoma by

Pathology Project:Endometrial Carcinoma by https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid en-us 2023-02-23 22:22:13 UTC 2024-03-30 11:05:48 UTC hello@padlet.com MRI wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493191713 MRI is best suited to detect and evaluate endometrial cancer within the endometrial cavity; tumor infiltration into the myometrium, endocervix, and gross extension into the parametria; and other pelvic tumor deposits. On T2-weighted images, endometrial cancer usually appears of intermediate signal intensity.

]]> 2023-02-23 22:24:43 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493191713 Ultra Sound wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493191998 Endometrial carcinoma usually appears as a thickening of the endometrium though may appear as a polypoid mass. A transvaginal ultrasound would be the first imaging procedure performed on a patient with endometrioid adenocarcinoma. This procedure examines the vagina, uterus, fallopian tubes, and bladder. An ultrasound transducer (probe) is inserted into the vagina and used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. The doctor can identify tumors by looking at the sonogram.]]> 2023-02-23 22:25:15 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493191998 References wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493202205 https://www.youtube.com/watch?v=bat0uVxNUJ4

https://www.youtube.com/watch?v=BSaBgb2niOo

https://www.youtube.com/watch?v=V7gPi8-i7lQ

https://www.cancer.org/cancer/endometrial-cancer/about/what-is-endometrial-cancer.html

https://www.cancer.org/cancer/uterine-sarcoma/about/what-is-uterine-sarcoma.html

https://www.youtube.com/watch?v=RrIX3y5htWY

https://www.youtube.com/watch?v=VCvDes_AZm4

https://www.youtube.com/watch?v=npQ2fcxZ6jU

]]> 2023-02-23 22:43:05 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493202205 Treatment Options wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493205146 Surgery for Endometrial Cancer

Usually done for cancer that has not spread.
The most common treatment route.
Hysterectomy along with salpingo-oophorectomy (removal of uterus, fallopian tubes, and ovaries), and removal of lymph nodes. This surgery can be done either through the abdomen or the vagina. Laparoscopic surgery is another newer, more minimally-invasive option.
The hospital stay for an abdominal hysterectomy is usually 3 to 7 days. The average hospital stay after an abdominal radical hysterectomy is about 5 to 7 days. Complete recovery can take up to 4 to 6 weeks. A laparoscopic procedure and vaginal hysterectomy usually require a hospital stay of 1 or 2 days and 2 to 3 weeks for recovery. Complications of these surgeries are not common and depend on the surgical approach. They include nerve or vessel damage, excessive bleeding, wound infection, blood clots, and damage to nearby tissues (the urinary and intestinal systems).
All surgery will cause infertility. For premenopausal women, they will experience menopause right away.
Lymphedema can result from the removal of lymph nodes.
Sex life can be affected. Hysterectomy will shorten the vagina and may cause numbness.
For a woman who still wants to get pregnant, surgery may be able to be put off and other treatments tried first.

Radiation Therapy for Endometrial Cancer

Done if cancer has spread beyond the deep uterine muscle layer. It is often used after surgery.
Two types: Brachytherapy and external beam radiation therapy
Common side effects of radiation therapy include tiredness, upset stomach, or loose stools. Severe fatigue, which may not start until about 2 weeks after treatment begins, is also common. Diarrhea is common, but usually can be controlled with over-the-counter medicines. Nausea and vomiting may occur, but can be treated with medicine. These side effects are more common with external beam radiation than with brachytherapy.
Side effects tend to be worse when chemotherapy is given with radiation.
Sex life can be affected. During treatment, tissues can get irritated and vagina might feel tender. Because radiation can damage the lining of the vagina, light bleeding might occur during and after sex. Rarely, ulcers might develop. When treatment ends, there might be scarring, which can make the vagina feel leathery and tough. Vagina might narrow or shorten.

Chemotherapy for Endometrial Cancer

Done if cancer has spread beyond the deep uterine muscle layer. Not used for stage I or stage II cancers. Used for high grade cancers that spread quickly and cancer that comes back after treatment.
Chemotherapy is the use of drugs that kill cancer cells. Combination of drugs is often used. Chemo is given in cycles. Drugs include Carboplatin, Paclitaxel, and Cisplatin.
Side effects: nausea and vomiting, loss of appetite, mouth sores, vaginal sores, and hair loss. Also low white blood cell count, low platelet count, and low red blood cell count. Most side effects go away when treatment ends.
Different drugs can cause different side effects.
Sandwich therapy is when chemo is given for a few cycles, followed by radiation therapy.
Chemoradiation is when chemotherapy is given at the same time as radiation therapy.

Hormone Therapy for Endometrial Cancer

Uses hormones or hormone-blocking drugs to treat cancer.
Most often used to treat endometrial cancer that's advanced (stage III or IV) or has come back after treatment. Often used along with chemotherapy.
Hormones include Progestins, Tamoxifen, Luteinizing hormone-releasing hormone agonists, and Aromatase inhibitors
Progestins are most common and they slow the growth of endometrial cancer cells. Useful for women who might want to get pregnant in the future.
Side effects include hot flashes, night sweats, weight gain, worsening of depression, increased blood sugar levels, and (rarely) serious blood clots.

Targeted Therapy for Endometrial Cancer

Uses drugs to identify and attack certain types of cancer cells.
Still fairly new and still being studied.
These drugs are mostly used to treat high-risk endometrial cancers and those that have spread (metastasized) or come back (recurred) after treatment.

]]> 2023-02-23 22:48:47 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493205146 Stages wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493206042

Stage I: in the uterus only

IA: endometrium only OR less than halfway through the myometrium
IB: has spread halfway or more through the myometrium

Stage II: has spread into the connective tissue of the cervix but has not spread outside the uterus

Stage III: has spread beyond the uterus and the cervix but has not spread beyond the pelvis

IIIA: has spread to the outer layer of the uterus and/or to the fallopian tubes, ovaries, and ligaments of the uterus
IIIB: has spread to the vagina and/or to the parametrium (connective tissue and fat around the uterus).
IIIC: has spread to lymph nodes in the pelvis and/or around the aorta

Stage IV: has spread beyond the pelvis

IVA: has spread to the bladder and/or bowel wall
IVB: has spread to the other parts of the body beyond the pelvis, including the abdomen and/or lymph nodes in the groin

]]> 2023-02-23 22:50:24 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493206042 Where in the body is endometrial cancer? wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493360590 Endometrial cancer begins in the lining (endometrium) of the uterus. Endometrial cancer is a type of cancer that begins in the uterus. ]]> 2023-02-24 02:23:26 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493360590 References wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493361991 https://www.cancer.gov/types/uterine/patient/endometrial-treatment-pdq
https://youtu.be/JdtnR04mSZU
https://radiopaedia.org/cases/deep-pelvic-endometriosis-mri-1?lang=us
https://bodymri.stanford.edu/clinical-services/endometrial-carcinoma
https://www.sciencedirect.com/science/article/pii/S0378603X13000259]]> 2023-02-24 02:25:08 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493361991 Transvaginal Ultrasound wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493374354 In a normal transvaginal ultrasound, the endometrial lining appears as a thin transverse white color line. In an ultrasound with a patient that has endometrial carcinoma the patient's endometrial lining appears thicker. ]]> 2023-02-24 02:41:42 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2493374354 Patient journey https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2501706899 I had Stage 2 endometrial cancer, which means it had spread all the way to the uterus and cervix. Seeing my bereaved face my doctor consoled me and gave me different treatment options and then I agreed to go for surgery on my uterus which is called a hysterectomy with bilateral salpingo-oophorectomy.

I have been visiting my doctor regularly for follow-ups every 6 months and blood tests, CT scans are done as needed. I have undergone 25 radiation therapy sessions to lower the risk of recurrence. Luckily my diagnosis was made earlier stage and the carcinoma had not spread to another part of the body. However, after surgery, the most common short-term side effects I encountered were abdominal pain and tiredness. My ovaries were removed as a part of treatment which ends the body's production of estrogen, resulting in early menopausal symptoms like hot flashes, night sweating, vaginal dryness. I heard that natural menopause doesn’t suffer in that level. I am having pelvic floor disorder problems like UTI and constipation.
I had side effects from radiation therapy also that includes mostly fatigue, nausea, diarrhea also need to empty bladder and bowel more frequently as well as discomfort with urination. Most of them gone after few weeks of treatment. I was fine for couple of months. But I had more chronic problems after few months of treatment; increased frequency of urination, irregular bowel movement, narrowing, scarring and dryness of vagina.

]]> 2023-03-02 20:39:58 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2501706899 Forever Changed https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2501726700 Cancer has changed the quality of my life in both good and bad ways. Although my productivity in my work had declined due to lack of energy. I have become mentally strong. I disregard little stuff and try to build deeper relationships with the people I value most.
My outlook toward life has changed. I value my life, my family, and my friends more than before. Now I think everyday of my life is blessing and meaningful. I have learn to enjoy today and not worry about tomorrow. I have joined a cancer survivor group and I want to be an inspiration to those who are undergoing suffering and become a source of hope and inspiration to them. I am actively participating in the activities organized by the society. I have been visiting my friends and relatives more often since then and we have been researching together better options to improve my physical and mental well-being. I have been taking advantage of nutritional and naturopathic therapies as my husband is quite supportive and knowledgeable about them.

I do have moderate anxiety and hard to believe that cancer will not comeback, but I believe I will have a positive outcome.

I believe that if the recurrence occurs the most common site is the vaginal vault within 3 years.

]]> 2023-03-02 21:03:28 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2501726700 References: https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2501733754 Morice, P., Leary, A., Creutzberg, C., Abu-Rustum, N., & Darai, E. (2016). Endometrial cancer. The Lancet, 387(10023), 1094–1108. https://doi.org/10.1016/s0140-6736(15)00130-0

Endometrial carcinoma. (n.d.). Encyclopedia of Cancer, 973–973. https://doi.org/10.1007/978-3-540-47648-1_1882

William T Creasman, M. D. (2022, April 14). Endometrial carcinoma guidelines. Guidelines Summary, Prevention, Diagnosis. Retrieved March 2, 2023, from https://emedicine.medscape.com/article/254083-guidelines

Uterine cancer - types of treatment. Cancer.Net. (2022, April 29). Retrieved March 2, 2023, from https://www.cancer.net/cancer-types/uterine-cancer/types-treatment#surgery

]]> 2023-03-02 21:12:55 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2501733754 References jenniferhernandez131 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504113042 https://www.cancer.org/cancer/endometrial-cancer/treating/surgery.html

https://www.cancer.gov/types/uterine/patient/endometrial-treatment-pdq

https://www.cancer.org/cancer/endometrial-cancer/treating/by-stage.html

]]> 2023-03-05 18:51:42 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504113042 Radiation Therapy alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504155003

External beam radiation therapy (beams radiation to the primary tumor) and brachytherapy (insertion of radioactive material inside the body)

Both can be used in some cases depending on the severity (stage) with external beam therapy administered first followed by brachytherapy

Radiation is given after surgery killing any remaining cancer cells in the area. Usually, the patient is given 4-6 weeks to heal after surgery before starting radiation therapy

It can also be given before surgery to help reduce the size of the tumor
Dependent on health status as well

External Beam Therapy

Given 5 days a week from 4-6 weeks
Special immobilization devices like customized vacklock is made to ensure the patient is in the same position every day to avoid unnecessary radiation other than the primary tumor target
Treatment take about 15-20 min daily
At time chemo can be given in combination of radiation therapy

Stage IB or higher/ Grade 3 disease

Theres an increased risk of pelvic noval involvement + of pelvic rad therapy
40-50 Gy recommended w boosting up to 65 Gy for group involvement
The endometrial cavity can be take up to 75-90 Gy w/EBT & LDR brachytherapy (tx fields →
- Bladder & rectum must be kept at 65-70 Gy or less
- Small bowel kept at 45-40 Gy or less

]]> 2023-03-05 20:14:08 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504155003 Brachytherapy alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504156452

Vaginal brachytherapy → radioactive material put into a cylinder called an applicator is then inserted into the vagina sort of resembles a tampon (size and amount dependent on pt stage/grade)

Helps reduce irradiation to the bladder and rectum

The upper part of the vagina is always treated (near the uterus)

For stages 1 + 2, grade 2

LDR Brachytherapy (not commonly used in the US)

The applicator is left inside for about 1-4 days typically a hospital stay with pateint staying immobile carries risk of blood clots in the legs
- Called deep venous thrombosis
Low-dose rate brachytherapy doses + 60-70 cGy surface dose in 2 fx sessions

HDR Brachytherapy

Radiation is only inside the patient for about 10-20 minutes each treatment with the patient able to go home after one tx is done
May be given weekly or daily for 3 doses
High-dose-rate brachytherapy of 7 Gy to 0.5 cm depth 3 fx

]]> 2023-03-05 20:16:58 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504156452 Acute Side Effects of Radiation Therapy alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504159532 down below are some acute side effect that are caused by radiation therapy that usually occur within 1-2 weeks after treatment has begun ↓

Skin changes: from mild redness → peeling & blistering
- Skin can release fluid leading to infection
- Proper care and cleaning to help protect the exposed area and as it heals skin gets darker and harder
Acute cystitis (30 Gy → whole bladder) (75-80 Gy to part of bladder)
- irritation of the bladder causing problems with urinating resulting in discomfort, blood in urine, & urge to urinate often
- Bleeding & urgency begin at 30-40 Gy
Radiation proctitis: irritation in the intestine causing rectal irritation/bleeding can be treated with enemas contains a steroid (hydrocortisone) that have anti-inflammatories
Radiation vaginitis: irritation of the vagina → discomfort & discharge
- Dr can recommend douching the area w/dilute solution of hydrogen peroxide
- Severe irritation leads to open sore in the vagina → estrogen cream
Low blood counts: causing anemia and leukopenia & return back to normal once radiation is complete after a couple of a weeks

]]> 2023-03-05 20:22:48 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504159532 Chronic Side Effects of Radiation Therapy alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504162292 down below are some chronic side effects that are caused by radiation therapy that usually begin within 2 weeks after treatment has begun and can be long-term ↓

Vaginal stenosis:
- More common in vaginal brachytherapy with scar tissue forming in the vagina causing it to become shorter/more narrow → vaginal stenosis
- Makes sex painful
- Prevent by stretching walls of vagina with sex 3-4 times a week or a vaginal dilator
- Vaginal dryness & pain w/sex can be long-term (physical therapists who specializes in pelvic floor therapy help treat these symptoms & improve sexual function)
Premature menopause (4-5 Gy)
- Radiation causes damage to ovaries most of time not issue with women who are being treated for endometrial cancer since they have already gone through it naturally or as a result of surgery (hysterectomy)
- Can also talk about fertility preservation if one has not hit menopause yet
Lymphedema:
- Blockages keeping fluid from draining out of the leg → severe swelling
- This doesn’t go away after radiation is done typically star after several months or years after treatment is completed
- Common if pelvic lymph nodes were removed during surgery
Weakening of the bones:
- Radiation to pelvis → fractures of hips/pelvic bones
- Important to contact dr if feeling pain
Blockage:
- An obstruction for an abnormal connection to form between the bowel and vagina → fistula can be treated with surgery

]]> 2023-03-05 20:27:15 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504162292 Recommendation for patients undergoing treatment & ways to avoid them if possible alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504164317

Be sure to talk to the doctor about what it is your going through as far as side effects including us & the nurses

Get proper rest/sleep

Adequate nutrition

Make sure to take any prescribed medication to help combat some pain or side effects that can help with treatment tolerability for patient

Maintain a low-residue diet to help with the increased bowl movements due to radiation

Communicate with us therapists with any concerns

]]> 2023-03-05 20:30:53 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2504164317 Signs and Symptoms gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546862312

pain in the pelvic region

abnormal uterine bleeding or spotting- heavy or irregular menstruation

Anemia

Fatigue

Unusual vaginal discharge

Some patients aren’t diagnosed until after an abnormal Pap smear; can be the first presenting sign

Elevated estrogen levels, no or low progesterone

Pain during sexual intercourse

Unintentional weight loss

Difficult or painful urination

Early menstruation - before age of 12

]]> 2023-04-07 03:11:02 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546862312 Overview of Pathology gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546866312 Type 1, Grade 2 endometrioid adenocarcinoma

Typically estrogen responsive
Diagnosed in obese women at younger ages
Perimenopause or early in menopause
Preceded by endometrial hyperplasia
Low grade and good prognosis
atypical endometrial hyperplasia/ endometrioid intraepithelial neoplasia is a precursor lesion
Gene alterations are common: PTEN, ARID1A, PIK3CA, KRAS, CTNNB1
account for 75 to 80% of endometrial cancers

]]> 2023-04-07 03:15:31 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546866312 Patient/Family Perspective gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546868068 Like any cancer scare brought into a family, endometrial cancers often leave feelings of stress, panic, high anxiety, restlessness, impatience, scared, overwhelmed, frustration, and loss of control.
However, many resources are available to provide assistance to the patient and their families such as support groups, financial assistance programs, educational workshops, podcasts from other survivors and families, meal delivery services, transportation to and from treatments, resource navigation, counseling and therapy.
Having a positive support system makes for better recovery! ]]> 2023-04-07 03:17:35 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546868068 Patient Narrative gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546869543 Carolina Smith]]> 2023-04-07 03:19:10 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546869543 Therapist Narrative alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546883561 Glancing at our schedule for today & noticing we only have one new start, Caroline Smith. I log in Mosaiq to double-check she has been approved to begin treatment. The time has come, 1:30 P.M. our new patient has arrived and has been queued in. I go grab her from the waiting room & introduce myself as one of her therapists that will be treating her throughout her radiation treatment. We make our way to the room & explain to her how she’ll come every day for her treatment, get changed into a gown & sit down in the waiting area until we call her back. I briefly stop at the console & explain to her this is where we deliver the treatment from outside the room where we can see & hear her at all times. I ask her to verify her name, date of birth & what we are treating for safety protocols & let her know we will ask for those things every time she comes in. I give a brief description of the gantry, imagers & how the radiation is delivered for her reassurance & knowledge. I instruct her to lay down on the table that has her immobilization devices & that she will lay in the same position everyday & we will adjust her to her marks that were made in CT as it assures we are treating & imaging the correct area everyday. Once we get her aligned to her marks I then explain how the gantry will rotate around her & will get close but she shouldn’t worry about it coming too close, how the imagers on the side come out when we perform her daily imaging. As well as the gantry shouldn’t make any noise but maybe some beeping throughout her treatment, she shouldn’t feel anything nor see anything but the gantry move around her. I ask her to remain still throughout the treatment & that today will take a bit longer since it is her first day & the physician needs to come & approve her images once we image her so we can then proceed to treat her. I reassure her we can see & hear her so if she needs anything to just call out for us. I step outside the room & being driving on the patient starting with taking her CBCT, image matching & calling the physician for approval, then treat her, once its done I go in & mark her new isocenter's.
I lower her down & explain to her some side effects she should expect to see soon including skin changes that can be treated with some cream that can be provided by the nurse, discomfort of the vagina, fatigue, urgency to urinate as we advance in her treatment. Some of the acute side effects & remind her that we are here to support & comfort her throughout her journey. ]]> 2023-04-07 03:37:35 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546883561 References alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546894179
Endometrial cancer treatment (PDQ®)–patient version. National Cancer Institute. (n.d.). Retrieved April 6, 2023, from https://www.cancer.gov/types/uterine/patient/endometrial-treatment-pdq#:~:text=Endometrial%20cancer%20is%20a%20disease,the%20risk%20of%20endometrial%20cancer.

Radiation therapy for endometrial cancer. American Cancer Society. (n.d.). Retrieved April 6, 2023, from https://www.cancer.org/cancer/endometrial-cancer/treating/radiation.html

Radiation therapy for endometrial cancer. Patient Care at NYU Langone Health. (n.d.). Retrieved April 6, 2023, from https://nyulangone.org/conditions/endometrial-cancer/treatments/radiation-therapy-for-endometrial-cancer

Vann, A. M., & Dasher, B. G. (2013). Portal design in radiation therapy. Phoenix Printing.

Washington, C. M., Leaver, D. T., & Trad, M. (2021). Washington and Leaver's Principles and Practice of Radiation Therapy, 5th Edition . Elsevier.

]]> 2023-04-07 03:54:19 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2546894179 Narrative https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547462115 I was diagnosed with stage 2 endometrial cancer in March 2020. After discussing it with my doctor, I decided to have a hysterectomy, followed by several sessions of radiation therapies. After the hysterectomy, I have been experiencing lots of physical and mental changes in my life. I have lifelong pelvic floor disorder problems like frequent UTI, constipation, and urinary incontinence. Whenever I cough, sneeze, or laugh, I have been experiencing urine leaks. It makes my daily life a little bit uncomfortable. But this cancer journey has brought positive changes simultaneously. Now my thinking about life has changed. I feel life is valuable; I want to make it inspiring and meaningful. I have realized that life is uncertain and transient. Unexpected things can happen anytime. So, I enjoy every second of it. I want to share deep love with family, friends, and relatives. My principle in life is to accept whatever comes and try my best to make it better.

]]> 2023-04-08 03:02:23 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547462115 Radical Hysterectomy jenniferhernandez131 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547710268 2023-04-08 19:20:13 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547710268 Physician Narrative Part 2 jenniferhernandez131 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547715476 2023-04-08 19:40:06 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547715476 Abdominal Hysterectomy jenniferhernandez131 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547716286 2023-04-08 19:43:11 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547716286 Pathology Report and Conclusions kylerocha https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547795439 2023-04-09 01:56:27 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547795439 Introduction kylerocha https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547796902 2023-04-09 02:03:09 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547796902 Preparing the sample for analysis kylerocha https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547798897 2023-04-09 02:10:52 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547798897 Type and Stage Diagnosis kylerocha https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547804331 2023-04-09 02:28:43 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547804331 Knowing the different types kylerocha https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547806802 2023-04-09 02:39:30 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547806802 Hyperplasia and malignancy kylerocha https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547809571 2023-04-09 02:51:36 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2547809571 AP/PA Fields for Radiation Therapy alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548423262 2023-04-10 04:16:32 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548423262 Lateral Field for Radiation Therapy alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548424182 2023-04-10 04:18:01 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548424182 What to Expect from Brachytherapy if it is an option: alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548433023 2023-04-10 04:29:31 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548433023 How to Cope with Cancer gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548439915 2023-04-10 04:38:35 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548439915 Family Resources gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548440813 2023-04-10 04:39:44 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548440813 Resources gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548442547 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8198052/
https://www.merckmanuals.com/professional/gynecology-and-obstetrics/gynecologic-tumors/endometrial-cancer
https://connect.mayoclinic.org/discussion/adenocarcinoma-of-the-endometrium/
https://www.cancer.org/support-programs-and-services.html
http://www.cancercare.org/diagnosis/uterine_cancer]]> 2023-04-10 04:41:40 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548442547 What to Expect- First Radiation Treatment gaddisval https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548443740 2023-04-10 04:43:08 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548443740 Physician Narrative Part 1 jenniferhernandez131 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548461331 Patient Carolina Smith is a 47-year-old woman who is post-menopausal. She came in last week with complaints of abnormal and painful vaginal bleeding, as well as lower abdominal pain. I initially ordered a transvaginal ultrasound, which was performed on the same day. The transvaginal ultrasound results showed an endometrial lining of thickness exceeding 4 mm. Additional testing needed to be done, so I ordered a biopsy and an MRI.

Today, the results came back from the pathologist and the radiologist. Based on the tissue samples, he has concluded that Ms. Smith has Type 1 Endometrial Adenocarcinoma. According to the radiologist, the tumor has invaded the myometrium and has extended into the cervical canal. This means the cancer is at stage II.

I will be calling in the patient to come in for an appointment, where I will explain to her the results. I will also explain the treatment options and what I suggest we do going forward. ]]> 2023-04-10 05:01:50 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2548461331 Words from the Radiologist wsfrr6b6nx https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2549261464 2023-04-10 21:31:21 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2549261464 What patient should expect when coming in for radiation treatment --> alexandrasan75729 https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2549329514

Wear comfortable clothes that way radiation therapist can align to marks without the struggle of the patient lowering their bottoms, or lifting their shirts

Come in with full bladder & empty rectum

Required to help limit dose to the rectum & small intestine that could cause other unnecessary side-effects

]]> 2023-04-10 23:45:02 UTC https://padlet.com/wsfrr6b6nx/u6xwdomlmcouozid/wish/2549329514