Endometrial Cancer
Dr. Ria Katwala Solanki is a gynaecologist and gynaecological oncosurgeon consulting in Andheri East and Vile Parle West, Mumbai, who diagnoses and treats endometrial cancer — a type of cancer that begins in the inner lining of the uterus (called the endometrium). It is one of the most common gynecological cancers and is usually detected early because it often causes abnormal bleeding.
Who is at Risk?
Obesity
Diabetes or high blood pressure
Family history of uterine or colon cancer
Hormonal imbalances
Common Symptoms :
Heavy or
irregular periods
Bleeding between periods
Abnormal uterine bleeding (especially after menopause)
Pelvic pain or discomfort
Watery/ white or blood
stained discharge
Diagnosis
Hysteroscopic Biopsy is done to confirm the tumor.
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Advantages:
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Targeted biopsy
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Higher precision
Treatment options :
Depends on:
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Stage of the disease
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Spread of the tumor
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Other patient-specific factors
If operable:
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Surgery (Laparoscopic, Robotic, or Open — chosen based on disease spread and patient needs)
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Radical hysterectomy + lymph node excision
If extensive disease:
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Chemotherapy
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Radiotherapy
Adjuvant Treatment:
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Extra therapy given after surgery to lower the risk of cancer returning.
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Even after tumor removal, small cancer cells may remain. Adjuvant therapy helps destroy these hidden cells.
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Chemotherapy
Radiation therapy
Hormonal therapy
Immunotherapy
Prognosis :
When detected early, endometrial cancer is highly treatable.
Many women achieve excellent long-term outcomes with timely treatment.
Frequently Asked Questions
Q: What are the warning signs of endometrial cancer?
Abnormal bleeding — especially after menopause, or heavy/irregular bleeding before it — is the most common early sign, which is why it's usually caught early.
Q: Is surgery always the first step?
In most operable cases, yes — a hysterectomy is the primary treatment, with chemotherapy or radiotherapy added if the disease has spread.
Q: Is robotic or laparoscopic surgery an option for endometrial cancer?
Yes. Surgery is often performed via laparoscopy or robotic surgery, both of which are minimally invasive, chosen based on how far the disease has spread and your individual needs.
Q: How is endometrial cancer diagnosed?
An ultrasound and endometrial biopsy are used to confirm the diagnosis, with MRI/CT sometimes used to assess spread.
Q: Does endometrial cancer run in families?
A family history of endometrial, ovarian, or colon cancer can increase risk, and genetic counselling may be recommended in select cases.
Q: What is the outlook after treatment?
When detected early, endometrial cancer is highly treatable, and regular follow-up helps ensure long-term good outcomes.
