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Understanding the Most Common Gynecologic Cancer in Canada
A recent report by the Canadian Cancer Society reveals a concerning trend: the incidence of women’s cancer has risen nearly 4% annually since 2015, marking the most significant increase in nearly 40 years. Notably, endometrial cancer (sometimes referred to as uterine cancer) stands out with a significant surge. Dr. Neesha Dhani, a distinguished medical oncologist at Princess Margaret Cancer Centre, sheds light on this pressing issue.
“There’s no denying the statistics,” states Dr. Dhani. “We’re seeing a global rise in endometrial cancer cases, influenced by various factors such as increasing obesity, metabolic syndromes, and an aging population.”
Prevalence and Risk Factors
Endometrial cancer, the most common gynecologic cancer in Canada, is expected to affect over 8,000 women this year. This figure is more than twice the number of ovarian cancer cases and far surpasses those of cervical cancer. Dr. Dhani attributes this high prevalence to risk factors including metabolic syndromes, particularly diabetes, and the aging population.
While the majority of women are diagnosed early and have a good chance of recovery, others have more advanced disease or aggressive histologies, leading to poorer outcomes. This trend underscores the importance of early detection and understanding the disease’s complexities.
Advancements in Understanding and Treatment
Dr. Dhani highlights significant advancements in the understanding of endometrial cancer at a molecular level. “We’ve identified four discrete molecular subtypes, allowing for more precise diagnosis and treatment,” she explains. This molecular categorization enables personalized treatments, ranging from hormone therapy to immunotherapy, resulting in better outcomes for patients.
Symptoms and Early Detection
Postmenopausal bleeding is the most common symptom of endometrial cancer. Dr. Dhani emphasizes the importance of recognizing even subtle symptoms. “Any postmenopausal bleeding should be a red flag. It doesn’t have to be significant – even intermittent spotting warrants medical attention.”
Other symptoms include abdominal discomfort, changes in bowel habits, and urinary frequency. Dr. Dhani advises women to track their symptoms and seek medical advice promptly to facilitate early diagnosis and treatment.
Addressing Cancer Care Needs
Despite advancements in treatments, Dr. Dhani points out significant gaps in patient support and education. “Unlike other cancers, endometrial cancer lacks strong advocacy groups to provide crucial support and resources,” she says. With the increase in available treatments, patient education is vital for managing treatment side effects and improving quality of life.
Hope for the Future
Dr. Dhani remains hopeful about the future of endometrial cancer care. “Our growing understanding of the disease’s biology and the development of new treatments offer great promise. Patients are more open to clinical trials, recognizing their role in advancing treatment and potentially benefiting others.”
Patient’s Journey: Lorraine’s Story
In the quiet corners of adversity, resilience blooms, and hope thrives. Meet Lorraine, a brave warrior who faced the challenge of endometrial cancer with unwavering determination and optimism.
Recognizing the Signs
At the age of 55, after experiencing what appeared to be a regular menstrual cycle post-menopause, Lorraine initially brushed it off as a natural fluctuation. “I was not concerned at all because I knew that women generally have stops and starts in menopause.” However, with encouragement from her sisters, she sought medical advice, embarking on a journey that would redefine her perspective on life and health.
Impacts on Daily Life
Endometrial cancer cast a shadow over Lorraine’s plans for the future. She said, “I was actually looking forward to getting back into the workforce when suddenly I received the unexpected diagnosis. I had to decline two job offers, as I didn’t know where this journey would take me both physically and emotionally.” Yet, amidst the uncertainty, she found solace in the slowed pace of life during the COVID-19 pandemic, allowing for a more gradual recovery post-surgery. “And because COVID-19 had slowed the world down, it was good for my recovery in a lot of ways.”
Navigating Challenges
Lorraine encountered a number of hurdles throughout her cancer journey, including remote appointments and the geographical distance from cancer care facilities. Through it all, she focused on the importance of communication and gratitude in fostering a sense of connection with her healthcare team.
Lessons Learned
Reflecting on her journey, Lorraine underscores the significance of hope and faith in navigating life’s trials. “I’ve always seen life as a gift. We all have difficulties. Things will come our way that will challenge us. The concept of hope has always played a significant role in shaping my perspective on life.”
Unexpected Sources of Support
During her battle, Lorraine found solace in unexpected places. From the wisdom of intergenerational friendships to the shared experiences of fellow survivors, their guidance and companionship served as beacons of light in her dark times.
Words of Encouragement
To those currently facing the daunting journey of endometrial cancer, Lorraine offers a message of hope and reassurance. “I am optimistic about life and have always embraced it. My healthcare team, my family and my friends gave me the support I needed and I couldn’t thank them enough for what they did for me during this time.”
Through adversity, Lorraine emerged not only as a survivor but as an example of hope for others facing similar challenges. “The word journey resonates with me as it signifies the importance of being well-informed and asking questions about your health, which looking back now, I could have done more of.”
