Cervical cancer clinical staging and performance
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The global incidence rate is the highest in South Africa, followed by Asia, the annual incidence of new onset of over 130,000, or female reproductive system cancer incidence rate of 73-93%. In developed countries, the incidence rate decreased significantly, to a large extent attributable to the right cervical precancerous lesions in the early diagnosis and treatment. In developing countries, cervical screening is imperfect, women on cervical disease neglected, resulting in the incidence of cervical cancer in developed countries is six times.
Worldwide every year, 500,000 new cases, China accounted for 1 / 4. Particularly noteworthy is that due to environmental pollution coupled with the adverse life health habits, many of the original 50-year-old female cervical cancer, but also targeting the young females.
Clinical stage
0: carcinoma in situ, cancer and cervical intraepithelial neoplasia is limited to no local invasiveness.
Phase I: only cervical cancer (not to consider whether the involvement of the Palais)
Phase II: excess cervical cancer, but the pre-invasion pelvic wall, has been involved vaginal cancer, but did not reach the next third.
Stage III: Cancer has pelvic wall infiltration, rectum and pelvic examination without clearance; Under the third involving vaginal cancer; There are no hydronephrosis or renal function, it is an Ⅲ, or for other reasons, except for the cause of hydronephrosis or renal function.
IV: cancer has spread beyond the true pelvis, bladder or clinical violations or Rectal
The clinical manifestations of cervical cancer
In developed countries, the incidence of cervical cancer has declined significantly, largely due to the pair of precancerous lesions in the early diagnosis and treatment. In developing countries, cervical screening is not perfect, the incidence of cervical cancer in developed countries is six times. According to the Beijing Friendship Hospital experts on 10,000 cases of patients with cervical screening results showed that abnormalities found 607 cases, the last confirmed 345 cases of cervical precancerous lesions, nine cases of cervical cancer. The youngest cervical precancerous lesions were 23 years old, the age distribution in cervical cancer patients aged 34-48, persons under the age of 40 accounted for 33.3%, 40-48 years of age accounted for 66.6%, cervical cancer has been a serious threat to the health of young and middle-aged women and their lives.
There is no early symptoms of cervical cancer, with the disease progress, there will be patients with abnormal vaginal bleeding. Because young women are sexually active, estrogen levels and higher frequency of intercourse, sexual intercourse is easier to hemorrhage as the first symptom. In addition, increased Leucorrhea also common symptoms of cervical cancer, about 80% of the patients with cervical cancer have this symptom.
The clinical follow-up observation that the general development of cervical precancerous lesions need for cervical cancer about 10 years. From this perspective, cervical cancer is not terrible, it is a preventable and curable disease. Prevention is the key: regular gynecological examinations, timely detection and treatment of cervical precancerous lesions, to end its development of cervical cancer. If the implementation of preventive measures, the high rate of cervical cancer.
Early more asymptomatic, with no significant differences between chronic cervicitis, and sometimes even see cervical smooth, especially older women has shrunk the cervix.
The main symptoms are manifested as follows:
Vaginal bleeding: usually young patients with bleeding, in the sexual life, gynecological examinations and then after bleeding. Bleeding may be more less, the general size of the lesion, and the invasion of vascular conditions. Early less bleeding, more advanced lesions showed massive bleeding, once more erosion of blood vessels may lead to fatal bleeding. Younger patients also may be in the extended menstrual cycle shortened, and the volume increased. Elderly patients often complained of irregular vaginal bleeding after menopause.
Vaginal discharge: Patients often v. increased vaginal discharge, or white blood, such as water - or thin porridge-like, fishy taste. Rupture of advanced cancer, tissue necrosis, secondary infection, a large number of pyogenic or porridge-like stench from Leucorrhea.
The symptoms of advanced cancer: the scope of violations lesions secondary symptoms. Connective tissue affected pelvic lesions, pelvic wall, oppression ureter or rectum, sciatic nerve, often v. frequency, urgency, anal detectors, constipation big knot Norwalk, limb pain and swelling, lead to serious ureteral obstruction, hydronephrosis, and the final cause uremia. By the end of the disease, patients can cause weight loss, anemia, fever and systemic failure.
Cervical cancer diagnosis largely on the basis of medical history and clinical performance, especially with bleeding, the need to do a detailed body check and triple attending gynecologic examination and scratch using cervical cytology screening, iodine test, nitrogen laser fluorescence inherent tumor diagnosis, colposcopy and biopsy of the cervix and cervical and Cervical Conization of such inspection. After the diagnosis of cervical cancer, according to the specific situation, to do chest X-ray, lymph angiography, cystoscopy, rectal examination, to determine its clinical stages.
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Tags: bleeding, carcinoma, early, erosion, examination, gynecological, incidence, infection, lesions, lymph, pain, patient, patients, prevention, screening, sexual, spread, symptoms, treatment, vaginal, water, women