CERVICAL CANCER

As a cervical cancer, once diagnosed correctly, it should develop the most appropriate treatment programs, which are generally dominated early surgical treatment, advanced radiation therapy or by surgery and radiotherapy combination of comprehensive therapy can be combined with chemotherapy treatment and Chinese medicine. TCM treatment of cervical cancer have significant effects, especially in the early cervical cancer treatment, and advanced with surgery and radiotherapy and chemotherapy have better results.

(1) Radiation Therapy

Cervical cancer is moderately sensitive to radiation, applicable to all cervical carcinoma in situ and invasive cervical cancer treatment, especially in Phase Ib cervical lesions greater than 3 cm or II-IV patients.

The latest research shows that with a new therapeutic means, hyperthermia, an increase of tumor temperature from 40 to 45 ° C to achieve more effective control of the bladder, cervix and rectum cancer metastasis. Radiotherapy plus hyperthermia in the treatment of pelvic tumors, particularly cervical cancer, the use of radiation therapy alone more than effective.

In this study, 3
58 suffering from bladder and cervical cancer in patients. Some patients only with radiation therapy, and some patients with hyperthermia combined with radiotherapy treatment. Once a week, for five weeks. For 90 minutes each hyperthermia and radiotherapy for 1-4 hours.

Surgical treatment of uterine sarcoma is the main method of treatment. Although prospective study has not yet sure adjuvant chemotherapy and radiotherapy, but due to uterine sarcoma high rate of recurrence (stage 5-year survival rate 50%, other phases only 0% to 20%), most scholars still advocate for adjuvant chemotherapy or radiotherapy. Collaboration Gynecologic Oncology Group (GOG) non-randomized study, in the uterus of MMMTs Ⅰ, Ⅱ patients with pelvic radiotherapy, radiotherapy can significantly reduce the recurrence, but the survival rate did not change significantly. Another non-randomized study results showed that mixed mullerian duct cancer in vitro after irradiation plus intracavitary irradiation can improve survival in patients with lower local failure rate. Radiotherapy for endometrial stromal sarcoma effective, Peters, a non-randomized controlled study results showed that doxorubicin and cisplatin combination chemotherapy effective program. GOG Phase II clinical trial results showed that uterine sarcoma Ⅲ chemotherapy with ifosfamide efficient: uterine sarcoma mesodermal to 32.2%, endometrial stromal sarcoma 33%, 17.2% of leiomyosarcoma. GOG randomized controlled study of ifosfamide, or plus cisplatin regimen can be used in the treatment of mixed mesodermal tumor recurrence in patients with advanced and the first line of chemotherapy drugs. High-dose progesterone cell differentiation good for uterine stromal sarcoma have some therapeutic effect.

Cervical cancer is the most common cancer, followed by glandular ulcers, adenocarcinoma and squamous cell carcinoma, the more rare. Scales type of cervical cancer that occur in epithelial carcinoma, a cancerous cervical intraepithelial neoplasia after breakthrough may ask violations of the basement membrane formed invasive carcinoma. Adenocarcinoma of columnar epithelial tumor cells with the characteristics of a glandular structure, interstitial infiltration.

Early cervical cancer often no obvious symptoms, and no special signs, and no significant difference between chronic cervicitis, particularly older women has shrunk the cervix. Some cervical cancer patients because of the lesion in the neck, the appearance of the vagina and cervix are still normal performance, and missed too often overlooked or misdiagnosed.

Early cervical cancer is the main method of treatment. Especially right conditions without radiotherapy is more applicable good effect. The majority of writers that, in accordance with lesions, extent and clinical stages in patients with systemic conditions and the choice of appropriate procedure, and to better effect in the same time to minimize trauma and surgery with postoperative complications, so neither blind nor unprincipled to expand the narrow scope of operation. Indications for surgery in principle, limited to a period of 0 ~ II, right next to cervical cancer significantly eroded, to the appropriate radiotherapy. Younger patients may consider ovarian reservations over the age of 65 elderly patients with physical infirmity or heart, liver, kidney and other organ diseases are not implemented <BR> surgery.

Cervical cancer was a defense to cure cancer, cervical cancer early intervention and treatment can often play a significant multiplier effect. However, the lack of an effective screening for early detection and treatment of awareness, patients often miss the best treatment period. This reporter recently interviewed a Chinese Academy of Medical Sciences, Beijing Union Medical University Cancer Research Institute of Epidemiology director, cervical expert Qiao You professor, he specifically told reporters: "Early cervical cancer - uterine carcinoma in situ (cancer confined to the skin or mucosa, it has not been adopted below the skin or mucosa of the basement membrane around the cancer) if found early, treatment <BR> governance in a timely manner, 100% curable - this is not an exaggeration. "

Spain Martinez-Monge, physicians, a recent study showed that the limitations and advanced cervical cancer in patients with relapsed radical operation using electron beam radiation therapy (IOERT), is a safe and effective therapy.

Martinez-Monge, since from January 1986 to June 1999, 67 patients were IOER
T treatment (including 36 cases of relapse cases and 31 cases of newly diagnosed cases). Not for the past history of radiotherapy for patients with preoperative radiotherapy and chemotherapy, or 45Gy irradiation, given cisplatin and 5-fluorouracil 1000mg/m2 20mg/m2 of chemotherapy. The primary case IOERT median dose 12Gy (10-25Gy); For relapse cases IOERT the median Gy dose (10-20Gy).

Cervical cancer is the most common malignancy of women, and women accounted for 50% of malignancies above. Incidence rates have decreased significantly, its etiology is not clear, fundamentally prevent the occurrence of cervical cancer is not possible. Currently achieve early detection and early treatment of cervical cancer prevention is the best way. Squamous cell carcinoma of the cervix in 90%. Its approach to the proliferation of local spread to pelvic lymph node metastasis and dominated.
[Diagnosis]
(1) Symptoms
1. Vaginal bleeding include: contact bleeding and irregular vaginal bleeding.
2. Abnormal Leucorrhea include: serous, mucous, water, vitamins and mestizo like Leucorrhea such.
3. Oppression symptoms: according to the tumor site expansion vary.
(2) Signs
1. Cervical cancer early diagnosis difficult to the naked eye observation. Turn cauliflower may be in the form of nodules or ulcers.
2. Adjacent to the tumor tissues and organs spread is the most common pregnancy and vaginal invasion.
3. Advanced will have lymph node metastasis or other parts of the transfer.
(3) auxiliary
1. Cervical Cytology smears check.
2. Histopathological examination: general biopsy can bite.
3. Vaginal examination: Early cancer in biopsy colposcopy to enhance positive rate.
4. Other inspections: If pyelography, and the radionuclide renography map needs to be done.
(4) clinical staging provided by FIGO 1994.
[Treatment]
A few early cases, surgery, radiotherapy is the most cases.
(1) cervical cancer radiotherapy
1. Endovascular irradiation: the former is mainly responsible for cervical cancer in the treatment, including cervical, vaginal, uterine corpus uteri and triangle. Cervical cancer is basically the current intracavitary irradiation using high dose rate intracavitary treatment after loading, though many programs, but so far no classic, now integrated treatment programs are as follows: a general weekly exposure, individual weekly or fortnightly 2-3, each "A" point dose 3 — spontaneous, "A" point in spontaneous weekly dose within the vagina and intrauterine exposure may or alternatively, uterine and vaginal supply "A" to point dose ratio of 1:1 for good, the whole course of intracavitary irradiation and irradiated in vitro "A" point in the 70-dose combined 80GY.
2. Pelvic irradiation in vitro: against pregnancy, and pelvic lymph node lesions.
(1) Ono pelvic irradiation include: lower abdomen and pelvic, before and after wearing a pair of field irradiation. Radiation field edge in the iliac crest level, the margin of the lower margin in the pubic symphysis, both in the anterior superior iliac spine near the irradiation field size in the 16-14-20cm x 15cm, each "B", 1.8-dose HRT, five times a week, Ono irradiation alone "B" point of volume can give to 50GY/5-6 weeks. As with intracavitary irradiation, the dose according to a design by row.
(2) pelvic irradiation night: cervical cancer radiotherapy with intracavitary irradiation with most of pelvic irradiation in vitro methods. Ono pelvic field in the former Central 4 x 15cm lead shielding, after the Wild 4-6 lead shielding x 15cm, which is to birds. Two wild rotation daily irradiation, each 1.8-HRT, five times a week, "B", 40-dose generally GY. If pelvic irradiation combined with Ono, according to plan, "B" at the same dose, but intracavitary irradiation dose to be adjusted. Due in part to be as narrow and shrinking tumors after radiation field to increase 5-spontaneous.
(2) cervical stump cancer radiotherapy <BR> cervical cancer refers to stump after total hysterectomy in residual cancer in the cervix. Its radiotherapy with the general principles and methods with cervical cancer. But because of the absence of the Palais, cervical irradiation supply of "A", the dose should not be too large, for good within the radiotherapy. In vitro exposure spacing appropriate to narrow the field to supplement the inadequate intracavitary irradiation.
(3) the treatment of cervical cancer with pregnancy, including cervical cancer and pregnancy <BR> two aspects: in addition to cervical cancer suitable for surgery, treatment may be surgery, radiotherapy in early pregnancy in spontaneous abortion, in late pregnancy should be post-classical Palace termination of a pregnancy; Postpartum radiation therapy as soon as possible , the same method and the general cervical cancer.
(4) repeat cervical cancer after treatment <BR> cervical cancer after treatment, except for radiation cancer, should repeat their treatment of cancer treatment. If it is cancer radiotherapy, radiotherapy should be non-preferred. If need radiation therapy, should consider the radiosensitivity of cancer and the surrounding tissue and organ again radiation tolerance, in taking measures to enhance radiotherapy radiosensitivity to protect normal tissues, in order to reduce complications.
[Follow-up]
1. Cervical wound healing after an inspection in March, 2, 3, a review of six months, after the annual inspections.
2. Insist vaginal washing, 2-3 times a week, adhere to two years.
3. Attention radiotherapy complications.

Cervical cancer and cervical cancer is the most common nutritional female genital cancer, multiple in 20 to 60 years. And like its etiology of early marriage, early motherhood, infertility and chronic cervicitis more relevant. Recent studies have found that malnutrition and its relationship to a certain extent.

(1) of vitamin malnutrition. Cervical cancer was observed in patients with B-carotene than the control group, B-carotene intake low risk factors for cervical cancer. In addition, vitamin C and also the incidence of cervical cancer, our survey shows that vitamin C intake increased, decreased risk of cervical cancer.

(1) Cruise therapy

Side 1: soil Poria of Solanum nigrum tree snake tongue pork soup

【Materials - Solanum nigrum 40g, 40g of Kwai tree, Hedyotis diffusa 40g, 40g soil Fuling, candied dates 2, 240g pork, stir a little.

[1] of the system will Solanum nigrum, Kwai tree seeds and soil Hedyotis diffusa Fuling were saturated with water, washing clean, spare.

② candied dates, pork water wash clean, spare.

③ Add to all the above material intact, adding suitable water by using water to rolling boil batter, and then switch to the fire burning about two hours to a little vinegar flavor.