There is no valid evidence for endometrial cancer screening
The other day, I was asked, "I have an optional" endometrial cancer screening "at my company's cancer screening. Should I take it?" To be honest, I was surprised that such an option still remains.
First of all, when it comes to "screening" for endometrial cancer, there is no evidence (scientific basis) that it is "effective" for people who do not have symptoms such as irregular bleeding in the first place, that is, it reduces the mortality rate. There is not much difference in cure rate and survival rate between those who have cancer found by examination and those who have gotten a gynecological examination after symptoms such as abnormal bleeding and have cancer found by "examination". It is.
Strong pain and risk of infection
Since the endometrial cancer test involves inserting an instrument into the uterus and collecting cells by fumbling, there is a risk of causing an infection with considerable pain during the test. The accuracy is low, and it is not uncommon for people who do not have endometrial cancer to be judged as "positive" or "false positive", or conversely, who have endometrial cancer but are judged as "negative".
If you already have subjective symptoms, it makes sense to have an endometrial cancer test and collect data for diagnosis, but for asymptomatic people, it is not possible to perform a test that may hurt your mind and body. It is an act that goes against the general principle of medical care, "do not hurt the patient in a meaningful way."
So why is wasteful screening an option?
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