Diagnosis and treatment of cervical cancer

Cervical cancer accounts for the top female genital malignancies. After the 40-year-old a good hair growth in the incidence increased significantly with age. About 90% to 95% of squamous cell carcinoma, adenocarcinoma accounted for only 5% ~ 10%. Squamous cell carcinoma and adenocarcinoma no special difference in appearance between the two may occur in the cervix and vagina or neck tube.

[Diagnosis]

1, a history of early sexual intercourse, early marriage, sexual disorders; more education; long treatment of chronic cervicitis.

2, symptoms

(1) vaginal bleeding as an early manifestation of contact bleeding (sexual intercourse or pairs of co-patient examination) and, thereafter, intermittent irregular bleeding. Advanced cancer can cause erosion of large vessels with heavy bleeding. Generally exogenous carcinoma bleeding early and late bleeding endogenous carcinoma.

(2) an increase in vaginal discharge early due to the presence of cancer, stimulate the cervical glands secrete hyperthyroidism, resulting in mucus-like leucorrhea. The late cancer tissue necrosis, secondary infection, leucorrhea become turbid, showing rice soup-like or pus-like, bloody, with foul-smelling.

(3) pain as a late symptom. Cancer infiltration Gongpang organization, involving the pelvis, obturator nerve, sacral nerve, can cause severe persistent lumbosacral and sciatica. A wide range of pelvic lesions, veins and lymphatic flow by obstruction, can lead to lower limb swelling and pain.

3, signs

(1) medical check-up about whether distant metastasis; attention iliac fossa, inguinal, and supraclavicular lymph node enlargement; kidneys are swollen, whether the call-in pain kidney area.

(2) Note that obstruct the way gynecological check whether the infiltrating wall. In the development of invasive carcinoma, the cervix may have different manifestations of the following:

① erosive cervical outside the mouth is surrounded by thick granular erosion areas, dull, crisp, touch of easy bleeding, or ulceration.

② cauliflower type (exogenous type) outward growth of cancer, initially showed polypoid or papillary ridges, and then developed into a cauliflower-like, broke into the vagina, crisp, easy bleeding.

③ infiltration type (endogenous) tumor to the deep cervical invasion, cervical hypertrophy and the quality hardware, and even showed barrel, the surface may be smooth or only superficial ulcers.

④ ulcerative type, whether outward or inward development, and cancer tissue necrosis can be formed after the pitting ulcers, and even the entire cervix to become hollow, shaped like a volcano. Note that the size of Palace is in line with age, Gongpang whether infiltration, infiltration and extent.

4, auxiliary examination

(1), cervix and cervical biopsy, if necessary, cervical cone resection, pathological examination is the most reliable basis for diagnosis of cervical cancer.

(2) To further understanding of cancer spread, transfer the location and extent of situation should be based on the specific perspective, or chest radiography, cystoscopy and rectal endoscopy, intravenous pyelography, lymphatic imaging and radionuclide renography inspection.

[Therapeutic measures]

1, carcinoma in situ OK hysterectomy among patients, young patients may retain both ovaries, but also advocates the removal of 1 ~ 2cm top of the vagina.

2, microscope for the expansion of early invasive hysterectomy, or removal of the uterus and vagina 1 ~ 2cm long top.

3, invasive carcinoma according to clinical stage, patient age and general condition, specific techniques and equipment conditions, select the radiation, surgery or surgery plus radiotherapy.

(1) radiation therapy for Ib phase and subsequent phases of cervical cancer, combination of internal and external radiation therapy. Inside the cavity using radioactive radium or 137Cs, aimed at the primary cervical lesion, the general dose of about 6000mg / h. External sources using 60Co, linear accelerator or a microtron, mainly aimed at metastases, including pelvic lymph node drainage area, the dose usually 60GY. Early stage cervical cancer, first irradiation; advanced cervical cancer, in particular the large tumor, bleeding, or associated with infection, the first irradiation.

(2) The surgical treatment of extensive line of hysterectomy and pelvic lymph node dissection. Applicable Ⅰ b ~ Ⅱ a period, especially the young who need to retain ovarian function (due to transfer to ovarian cancer the slightest chance); with pregnancy, poor cavity block or ovarian cancer should not be inflammatory radiotherapy; or radiotherapy is not the third cervical adenocarcinoma. Where the obese, elderly and the infirm as well as cardiovascular, pulmonary and other chronic illnesses in patients with contraindications.

(3) The comprehensive treatment of surgery and radiotherapy after surgery for cervical carcinoma, confirmed lymph node metastasis, especially cancer patients.

4, anti-cancer traditional Chinese medicine can be used as a comprehensive treatment of one of the measures applicable in some not suitable for surgery and radiotherapy and chemotherapy or relapse after surgery patients. Fu Shan, Hebei Tumor Hospital, Chinese high-tech achievements developed by the use of cellular and molecular regulators of tumor suppressor Chinese medicine "Fu Shan God" series of agents (Shuiwan, capsules, oral solution, etc.) and tumor suppressor injection, breaking the "poisonous cancer, kill cancer, anti - cancer, "the" traditional mindset, "there is no toxicity of the drugs themselves, nor does it have a direct positive stimulus carcinoma, which is the cell gene therapy in clinical application.

Its principle is g cancer: carcinoid tumor angiogenesis inhibiting the formation of networks, blocking nutrient supply to cancer cells, cutting cancer cell metabolism, causing the carcinoid tumor is not source of nutrition and gradually wither, waste can not be discharged gradually degeneration and necrosis, and does not harm normal cells. In enhancing the body's own immune functions and promote the body's regeneration of anti-cancer immune monitoring system to activate all kinds of killing cancer cells, while regulating the cell cycle engine, molecular and cell power, so out of control cancer cells to restore the normal circadian rhythm, so that cancer cells reversed. The drug with radiotherapy and chemotherapy, can significantly reduce the radiotherapy, chemotherapy side effects, increase the number of white blood cells. Even if the lost surgery, radiotherapy and chemotherapy in patients with advanced opportunities, but also can control the transfer, less pain, improve syndrome and improve the quality of life and prolong survival time with cancer.