Imagine your body like a car. When a warning light flashes, you don’t keep driving. You check it out right away. Uterine cancer often sends early red flags, and acting fast can make all the difference.
What is uterine cancer?
Uterine cancer, also called endometrial cancer, begins in the lining of the uterus. It’s the fourth most common cancer and the 11th top contributor of female cancer deaths in Hong Kong (Hong Kong Cancer Registry). Hence, early detection is vital.
Spotting the signs
Early warning signs: Abnormal vaginal bleeding is the most common clue.
- Before menopause: unusually long, frequent, or heavy periods.
- After menopause: unexpected bleeding or unusual vaginal discharge.
If caught early, the uterine cancer can often be cured with immediate medical advice.
When late, symptoms may include pelvic or lower abdominal pain, pain during sex or urination, constipation or bowel changes, blood in vaginal discharge, unexplained weight loss, or even shortness of breath.
If any of these sound familiar, see your doctor right away.
How it’s diagnosed
- Pelvic exam and ultrasound to check for abnormalities
- Endometrial biopsy (a small tissue sample) to confirm diagnosis
- Imaging tests (CT/MRI) if spread is suspected
That’s why listening to your body’s warning signs is the first step to diagnosis.
Treatment: Early vs. late matters
- When caught early: Treatment is often straightforward- usually surgery to remove the uterus (hysterectomy). In younger women with very early-stage disease, fertility-sparing options like hormone therapy may be possible. Ten-year survival rates are above 90% at this stage (SEER).
- When diagnosed late: Treatment becomes more complex, often involving surgery plus radiation and chemotherapy. Survival rates drop significantly to only about 50% living after one year and less than 15% after ten years since diagnosis (SEER)
Precaution speaks volumes
You can’t vaccinate against uterine cancer, but you can lower your risk by maintaining a healthy weight, exercising regularly, and managing conditions like diabetes. Most importantly, don’t ignore abnormal bleeding or changes in your cycle.
Your next move
See a flickering warning light? Don’t wait. Stay alert to your body’s signals and see your doctor if something feels off. Early action makes treatment simpler, recovery easier, and survival far more likely.