Uterine Cancer Treatment Options
Specific treatment for uterine cancer will be determined by your physician based on:
- your overall health and medical history
- extent of the disease
- your tolerance for specific medications, procedures, or therapies
- expectations for the course of the disease
- your opinion or preference
Treatment may include:
- surgery, including:
- hysterectomy - surgery to remove the uterus
- salpingo-oophorectomy - surgery to remove the fallopian tubes and ovaries
- radiation therapy
The use of high-energy radiation to kill cancer cells and to shrink tumors. There are two ways to deliver radiation therapy, including the following:- external radiation (external beam therapy) - a treatment that precisely sends high levels of radiation directly to the cancer cells. The machine is controlled by the radiation therapist. Since radiation is used to kill cancer cells and to shrink tumors, special shields may be used to protect the tissue surrounding the treatment area. Radiation treatments are painless and usually last a few minutes.
- internal radiation (brachytherapy, implant radiation) -radiation is given inside the body as close to the cancer as possible. Tiny tubes that contain substances that produce radiation, called radioisotopes, are inserted through the vagina and left in place for a few days. Internal radiation involves giving a higher dose of radiation in a shorter time span than with external radiation. Hospitalization is required when an internal implant is in place. In some cases, both internal and external radiation therapies are used.
- chemotherapy - the use of anticancer drugs to treat cancerous cells. In most cases, chemotherapy works by interfering with the cancer cell's ability to grow or reproduce. Different groups of drugs work in different ways to fight cancer cells. The oncologist will recommend a treatment plan for each individual.
- hormone therapy
In some cases, hormones can kill cancer cells, slow the growth of cancer cells, or stop cancer cells from growing. Hormone therapy as a cancer treatment involves taking substances to interfere with the activity of hormones or to stop the production of hormones. Hormone therapy may be used to treat endometrial stromal sarcomas and is rarely used for other types of uterine sarcoma. Progesterone may be given as hormonal therapy for uterine cancer.

