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Monday, May 27, 2013

Does Uterine Cancer Mandate a Hysterectomy?

Uterine cancer is curable by hysterectomy in most cases. But is there an alternative to hysterectomy in women who have been diagnosed with uterine cancer? It is one of the most common cancer s in women. If you exclude Breast Cancer as a female cancer, it is the most common cancer of the female reproductive organs. And first off, most women will need hysterectomy as part of their treatment. Uterine cancer is often found in the early stage, when it is very curable. Hysterectomy, although not typically a surgery that is too risky to perform, for most women, can be a risky procedure to women with complex medical problems that make them at high risk for surgery. WE know that precancerous conditions of the uterine lining, before formal diagnosis of endometrial uterine cancer, have been successful with progesterone medication. It turns out that the Mirena IUD can be the delivery mechanism for uterine lining progesterone treatment. And for women at most high risk for the surgery, or for a very young woman who wants to keep her ovaries. In the Journal Obstetrics and Gynecology in 2012 Brown and coworkers described a landmark case of a adolescent with uterine cancer successfully treated with Mirena. So this is not necessarily a standard treatment for uterine cancer, but perhaps a treatment that can be an alternative for a small subset of women!

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