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Endometrial cancer is being diagnosed with increasing frequency. Patients are not always informed of all available treatments

MedExpress Team

Piotr Wójcik

Published June 23, 2023 11:55

Endometrial cancer is being diagnosed with increasing frequency. Patients are not always informed of all available treatments - Header image
Fot. Getty Images/iStockphoto
Endometrial cancer is the most common cancer of the female system. It is detected in several thousand women each year. Clear cell carcinoma is a subtype that occurs in 1-6 percent of patients and has an unfavorable prognosis. An opportunity for about a third of patients could be the inclusion of immunotherapy, but this option is not available in Poland as part of the basket of guaranteed services, and it is only possible to obtain funding through rescue access to drug technologies. The story of Magdalena Mówinska, whose mother died of endometrial cancer, also shows that patients often do not get the knowledge of all the treatment options that modern medicine provides.

FIGHT FOR DIAGNOSIS

- Mom was 56 years old. She took great care of her health and examined herself regularly. At some point, her abdomen started to hurt, so her natural reflex was that she went to get checked. A vaginal ultrasound revealed that her ovaries, especially one of them, were enlarged. Suspicious lesions were also visible on them. An abdominal ultrasound brought the same findings. A CT scan of the abdomen of the small pelvis visualized distant metastases, including those to the liver," Magdalena Mówinska recalls.

Doctors who diagnosed the woman suspected malignant cancer of the ovaries. Based on the imaging results obtained, they qualified her for surgery to remove the reproductive organs. As Magdalena Mówinska emphasizes, no tests for microsatellite instability, MMR or ProMisE were performed before the operation. Nor were MRI or PET scans ordered.

- When I read the description of the histopathological examination carefully after some time, it turned out that everything pointed to clear cell carcinoma of the endometrium with metastasis to the ovaries. At the end of the description there was also a statement that the exit of this cancer could not be clearly deter...

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