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Endometrial Cancer A New Test Performed At Home Detects Nearly 100% Of Cases

Endometrial cancer: a new test performed at home detects almost 100% of cases

Thanks to its high sensitivity and specificity, a new rapid and non-invasive test that can be carried out at home or in an office can advance the diagnosis of endometrial cancer, one of the most common gynecological cancers in the world, by up to a year.

The first results of the published study en Journal of Clinical Oncology point out that the new test detects between 90-100% of cases, and could advance the diagnosis by a year of endometrial cancer, given its "high sensitivity and specificity", has indicated Dr. Laura Costas, director of the project and principal investigator of the Infections and Cancer Group of the Bellvitge Biomedical Research Institute (Idibell) and the Catalan Institute of Oncology (ICO).

The test "can be performed both on cervical cytology samples obtained in the doctor's office and on vaginal self-samples collected at home, through an easy application, similar to the use of tampons used by women during menstruation," he explained. Dr. Costas.

"It has worked well both in the samples taken by the medical staff in consultation and in vaginal self-samples taken by the patient at home," said Dr. Costas. "With this new system, we can reduce healthcare pressure and the need for initial referral to a specialist and therefore contribute to a faster diagnosis"

The groups that could benefit the most would be women considered a risk population: women with Lynch syndrome and postmenopausal women with abnormal gynecological bleeding.

Samples can be obtained in the office by gently scraping the cervix, or by using a tampon-like device that the patient can use at home.

“The greatest current utility would be for women with lynch syndrome, an inherited genetic disorder that predisposes to developing cancer» and the postmenopausal women with abnormal gynecological bleeding, the main symptom of endometrial cancer, and in which "the positivity of the test would lead to more exhaustive studies, since of these, only 10% will ultimately have endometrial cancer".

In the future, in addition to women considered to be at risk, the new self-detection test could also benefit the general population, since the test "has made it possible to identify this cancer a year before its diagnosis", indicated Dr. Costas .

DIAGNOSTIC TESTS

To reach a final diagnosis that allows a more precise assessment, in addition to the test, it is necessary to perform new tests that may include a diagnostic hysteroscopy, imaging tests and a biopsy uterine tissue.

  • Hysteroscopy: direct visual examination of the interior of the uterus by means of an endoscope (a very thin and flexible tube equipped with a camera) in consultation, on an outpatient basis and without anesthesia.
  • Vaginal gynecological ultrasound.
  • Biopsy: taking a small sample of uterine tissue for later analysis.

ENDOMETRIAL CANCER TREATMENTS

Uterine cancer refers to the different types of cancer that can start in different parts of the uterus. The most frequent are the endometrial cancer, cervical or cervical cancer and  uterine sarcoma.

El endometrial cancer It originates in the inner layer of the uterus and is the most common of cancers originating in the organs of the female reproductive system.

The treatments of endometrial cancer they can include surgery, radiation therapy, and chemotherapy.

SURGICAL TREATMENT

When uterine cancers are diagnosed in early stages, the most common treatment is usually surgery and, depending on the stage it is in, radiotherapy is often added to complete the treatment.

Surgical treatment can be done by laparoscopic surgery or by robot-assisted laparoscopic surgery.

Laparoscopic surgery

La laparoscopic surgery it's a technique minimally invasive surgery that allows the patient to be operated on by making small incisions (without having to open the abdomen), it does not cause pain and the scars are very small and almost imperceptible.

It is a safe therapeutic option as long as it is carried out by highly specialized medical professionals with the appropriate experience.

It is common for the patient to be discharged and can return home the same day that the intervention is performed. The postoperative period is less painful, requires less medication, the risk of infection is reduced, and the patient's recovery is much faster.

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