Exogenous estrogens may contribute to the development of endometrial cancer. Obesity, diabetes , hypertension, family history, and upper socioeconomic levels are also associated with a higher incidence of these slow growing tumors. Endometrial cancer spreads first to the cervix and myometrium followed by the vagina , pelvis and lungs. Abnormal uterine bleeding is often the first sign. Other signs include cramping, bleeding after intercourse, or swollen lymph nodes.
Diagnosis is by dialation of the cervix and scraping the endometrial lining for microscopic study.
Early stages of endometrial cancer are curable by hysterectomy and radiation . Cervical Cancer Early onset of sexual intercourse, low socioeconomic status, race, promiscuity, and multiparity are all risk factors for the development of cervical cancer. Cervical cancer is seen most frequently in the 30-50 year old woman who began intercourse prior to the age of 20. Race and age are risk factors that obviously cannot be controlled. The age of onset of sexual relations and promiscuity are, however, matters of personal choice.