Uterine cancer includes both cervical cancer and endometrial cancer (cancer of the lining of the uterus). Nearly 49,000 women in the United States are diagnosed with uterine cancer each year. The greatest risk factor for cervical cancer is infection with the human papilloma virus (HPV). Other risk factors include sexual intercourse before age 18, having many sexual partners, and cigarette smoking. The disease also seems to be more common in women of low socioeconomic status.
There are two main types of cancer of the cervix (the lower part of the uterus). Squamous cell carcinomas make up 85 to 90 percent of these cancers. The other 10 to 15 percent are adenocarcinomas. Cervical cancers commonly develop slowly and may not produce any noticeable symptoms at first.
Almost all endometrial cancers are adenocarcinomas. The risk of developing endometrial cancer is higher in women who take certain hormones during estrogen replacement therapy.
Other risk factors are early onset of menstruation and late menopause, probably because these factors increase the number of years during which the endometrium is exposed to estrogen and other steroid hormones.
Obesity also increases the risk of endometrial cancer, because excess fat can increase the level of estrogens in a woman’s body. Excess weight of 14 kg (30 lb) triples a woman's endometrial cancer risk.
If you have any suspicion at all, PLEASE see your doctor promptly. Prevention is always better than cure.
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