Interventions for Corpus uteri cancer

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Encourage exclusive breastfeeding in first 6 months and breastfeeding for a minimum of 1 year				Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle Promotion of manufacturing of prosthetics, post-Surgical treatment	Set up publicly owned-and-run hospices Promote private sector participation in setting up hospices and palliative care centres
Primary Care
				Provision of Clinical Psychology services as part of Primary Care for clients who have completed treatment cycles	Set up publicly run hospices to collaborate with Primary Care Centers
Referral Facility: General
			Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations
Referral Facility: Specialist
			Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
	Health Education on Endometrial Cancer – symptoms, risk factors, available treatment, need for prevention, early detection and early reporting for management			Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle Promotion of manufacturing of prosthetics, post-Surgical treatment	Set up publicly owned-and-run hospices Promote private sector participation in setting up hospices and palliative care centres
Primary Care
				Provision of Clinical Psychology services as part of Primary Care for clients who have completed treatment cycles	Set up publicly run hospices to collaborate with Primary Care Centers
Referral Facility: General
			Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations
Referral Facility: Specialist
			Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
				Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle Promotion of manufacturing of prosthetics, post-Surgical treatment	Set up publicly owned-and-run hospices Promote private sector participation in setting up hospices and palliative care centres
Primary Care
				Provision of Clinical Psychology services as part of Primary Care for clients who have completed treatment cycles	Set up publicly run hospices to collaborate with Primary Care Centres
Referral Facility: General
			Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations
Referral Facility: Specialist
			Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
				Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle Promotion of manufacturing of prosthetics, post-Surgical treatment	Set up publicly owned-and-run hospices Promote private sector participation in setting up hospices and palliative care centres
Primary Care
	Routine PAP Smears with referrals for hospital care of those with endometrial cells identified on smear		Early Detection through clinical awareness, colposcopy and endometrial biopsy. Prompt referral for hospital care for those with results positive for malignancies	Provision of Clinical Psychology services as part of Primary Care for clients who have completed treatment cycles	Set up publicly run hospices to collaborate with Primary Care Centres
Referral Facility: General
	Clinical Breast Examinations (CBE) during consultations and Physical Examinations Breast Ultrasound scans for pathologies elicited from CBE Advanced Imaging – Co Genetic screening to pick up mutations in Breast Cancer genes		Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations
Referral Facility: Specialist
	Breast Ultrasound scans for pathologies elicited from CBE Advanced Imaging – Co Clinical Breast Examinations (CBE) during consultations and Physical Examinations Genetic screening to pick up mutations in Breast Cancer genes		Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
				Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle Promotion of manufacturing of prosthetics, post-Surgical treatment	Set up publicly owned-and-run hospices Promote private sector participation in setting up hospices and palliative care centres
Primary Care
	Routine Endometrial sampling		Early Detection through clinical awareness, colposcopy and endometrial biopsy. Prompt referral for hospital care for those with results positive for malignancies	Provision of Clinical Psychology services as part of Primary Care for clients who have completed treatment cycles	Set up publicly run hospices to collaborate with Primary Care Centers
Referral Facility: General
	Clinical Breast Examinations (CBE) during consultations and Physical Examinations Breast Ultrasound scans for pathologies elicited from CBE Advanced Imaging – Co Genetic screening to pick up mutations in Breast Cancer genes		Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy. Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations	Institute Specialist teams to offer Multidisciplinary care in Clinical Psychology, Dietetics and Physiotherapy
Referral Facility: Specialist
	Breast Ultrasound scans for pathologies elicited from CBE Advanced Imaging – Co Clinical Breast Examinations (CBE) during consultations and Physical Examinations Genetic screening to pick up mutations in Breast Cancer genes		Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy. Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations	Institute Specialist teams to offer Multidisciplinary care in Clinical Psychology, Dietetics and Physiotherapy

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
				Social Marketing campaigns instituted towards generating empathy and promotion social inclusion of those who have completed a treatment cycle Promotion of manufacturing of prosthetics, post-Surgical treatment	Set up publicly owned-and-run hospices Promote private sector participation in setting up hospices and palliative care centres
Primary Care
			Early Detection through clinical awareness, colposcopy and endometrial biopsy Prompt referral for hospital care for those with results positive for malignancies	Provision of Clinical Psychology services as part of Primary Care for clients who have completed treatment cycles	Set up publicly run hospices to collaborate with Primary Care Centers
Referral Facility: General
	Clinical Breast Examinations (CBE) during consultations and Physical Examinations Breast Ultrasound scans for pathologies elicited from CBE Advanced Imaging – Co Genetic screening to pick up mutations in Breast Cancer genes		Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations	Institute Specialist teams to offer Multidisciplinary care in Clinical Psychology, Dietetics and Physiotherapy
Referral Facility: Specialist
	Breast Ultrasound scans for pathologies elicited from CBE Advanced Imaging – Co Clinical Breast Examinations (CBE) during consultations and Physical Examinations Genetic screening to pick up mutations in Breast Cancer genes		Stage I – Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) Stages II and III – Pelvic Radiation and Chemotherapy Surgery (Total Hysterectomy with Bilateral Salpingo-OOphrectomy and Pelvic and Para-aortic lymphadenectomy) may also be done Stage IV – Surgery, Chemotherapy, Radiotherapy and Hormonal Therapy may be used in various combinations	Institute Specialist teams to offer Multidisciplinary care in Clinical Psychology, Dietetics and Physiotherapy