CERVICAL CANCER

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.

Endometrial cancer also known as cancer of the uterus, is common gynecologic malignancy, after cervical cancer. Most patients with early symptoms, so regular gynecological census is absolutely must not miss, it can help you the first time will strangle in the cradle of cancer.

A lie: the bleeding and menstrual disorders
Irregular vaginal bleeding right, we can not simply that menstrual Because of this, especially young women and women approaching menopause. Because, like cervical cancer, almost all the gynecological cancers, the disease has on <BR> of this performance, and endometrial cancer usually less bleeding, generally no contact bleeding, not arouse your vigilance

Cervical cancer is the highest incidence of gynecological cancers. How can we stay away from it, not to let it bother healthy life? Reporters interviewed the ramps on the maternity hospital, expert advice that: an annual gynecological examination, especially for an anti-cancer smears done, we will be able this year to women's health "insurance."
Recently, doctors in maternity hospitals some companies, door to the staff gynecological examinations. Chao said: examination is a good thing, not many people queuing to jump hesitated a long time, forms have been front, the end of the slip quietly. With our colleagues in other medical Fortunately said, but her gynecological examinations are embarrassed. The company rents office building, because space constraints, the only check on the activities room, while her 32-year-old has been married three years, the need for gynecological examinations groups, but think of other colleagues on the screen outside, the women did not know who the doctors to check somewhat embarrassing, and they have to think she is not shy uncomfortable physical examination before her time, the most fearful thing is digital rectal examination, say, she has always feel physical health. So she repeatedly or to consider this a gynecological abandoned. But in fact, this is a guarantee for women to abandon the health of a very important part.

The beginning of the end, the investigation unit of the season, some female compatriots that little Zha Zha not, this kind of thinking is very wrong. Gynecologic experts believe that regular gynecological examinations, essential for the effective prevention of cervical cancer.

Cervical cancer is the most common cancer among women of all malignancies in women is the largest to see. According to the survey indicates that China's cervical cancer mortality of the total mortality in the fourth, accounting for the second female cancer. The age of onset of 40 - to 50-year-old has the most, 20-year-old previously relatively rare. But with women now living habits change, the incidence of cervical cancer early age trends.

Hope for the future fertility of women, the biggest wish is to be retained, if not with the uterus. On this point, there is laser therapy for the treatment of choice. But we must discuss with the doctor with the appropriate choice of therapy lesions removed, because it has all kinds of therapy and application conditions.

If pre-menopausal women will be in charge of the female hormone secretion vital organs - ovariectomy. There may be premature menopause obstacles. As to whether ovary removal should be based on the degree of development of cancer and age, a comprehensive analysis of careful consideration, the final decision. This is also carefully and doctors decided after discussion.

According to history and clinical performance, especially with bleeding, should first think of a possible cervical cancer, should do a detailed body check and gynecological examinations, and the following examinations:

(1) scratch cervical cytology screening is found early cervical lesions and early cervical cancer main methods. But attention to the correct location and examination material carefully, 5% ~ 10% false negative rate, it should be combined with clinical, and periodic examinations, screening for this method.

(1) tumor marker

An outline
Cervical cancer occurs in the cervical cancer in women.
Women in the abdominal hysterectomy is a range between the bladder and rectum, hollow organs. The uterine cervix in the second half which is a narrow part of the cervix, cervical openings on the female vagina. Its function is to menstrual outflow channel is vaginal microorganisms and air to enter the uterus of a female barrier, and also subject to sexual intercourse can withstand the induced inflammatory response.

(1) tumor marker
1. Cervical cancer associated antigen (TA-4) and squamous cell carcinoma-related surprise move (SCC) by RIA of the patients with serum values TA-4, found 61% of the patients with positive TA-4, level 5 μ g / L or more. TA-4 SCC is the Asian ingredients, cervical cancer is the special markings. Early cervical cancer TA-4 with a marked increase in SCC can be used to predict the therapeutic effect in patients with cervical cancer and whether there are any recurrence.
2. Serum tumor-associated antigen (CA-125) in patients with cervical cancer serum CA-125 may be increased. Determination of patients with SCC and CA-125; Rose found SCC, squamous cell carcinoma of 67%, adenocarcinoma of 2.5 per thousand; CA-125 increase, squamous cell carcinoma was 26%, 75% adenocarcinoma. Therefore CA-125 can be used as a sign of cervical cancer.
3. Urine promote clips of gonadotropin (UGF) not normal mmmol / L, early cervical cancer patients positive rate of 26 per 1,000, Advanced positive rate was 67%. UGF during treatment of patients with SCC and the disease can be as dynamic observation of the signs.
4. Antigen (CEA) in patients with gynecologic malignancies 60% positive results (≥ 5 μ g / L), which was 38% of cervical carcinoma in situ and invasive carcinoma of cervical cancer was 57%. CEA and tumor stage of a certain relationship, but also of surgery and chemotherapy this effect. As surgery thorough, two weeks after the CEA to negative, as surgery is not completely or relapse, or continuing high level of CEA increased; If chemotherapy effective, CEA rapidly decreased to normal, on the contrary it increased or did not change.
(2), gynecological examinations <BR> Unless general gynecological examination requirements like genital examination, overcast gleaned for a check-up and inspection, the inspection must do triple up. Checks should pay attention to the latter part of pelvic examination and pelvic conditions.
(3), histopathological examination
1. Colposcopy exfoliated cells smears early diagnosis of cervical cancer screening rate was about 90%. To enhance the positive rate, cervical cancer should be a good site, with the squamous epithelium of the junction of epithelial biopsy smears, older women scales, column skin junction to the extension of the neck when the shift, in addition to the cervical, vaginal smears from the Department should take from cervical smears, to avoid misdiagnosis. Cervical blowing tablets of small feet or small biopsy of the tongue.
Jiang abnormal vaginal shedding non-cells are abnormal cervical cancer caused many factors, in addition to parts of the female genital cancer, inflammation of the vagina can cause. Therefore, if found abnormal Pap smear cells, for further examination.
2. Cervical living tissues of the cervix and curettage of cervical screening by cervical biopsy is the biopsy forceps on the folder from the cervix organizations sent pathological examination, the diagnosis of cervical cancer is the most reliable method. The above results can be positive or Ying cases, or cervical lesions and cervical cancer identification difficult, as should cervical biopsy.
(4) iodine test <BR> iodine solution will be manufactured in cervical smear and vaginal mucosa, Iodine staining of the situation. Coloring were not as positive in the biopsy site. When cells cervical smear abnormalities or clinical cancer can Ying colposcopy, and without the help of iodine can be found in abnormal positions. The iodine solution used two First Schiller solution, the other is Lugol solution, the solution concentration is 10 times greater than the former, fast staining.
(5) fluorescence inspection <BR> luciferase tumor and the role of parents, to patients with oral or intravenous injection, cancer tissue than in normal tissue absorb more often, cervical cancer can be diagnosed early.
1. UV fluorescence excitation of oral examination showed normal cervical purple, cervical erosion performance for the Purple brown, cancer or precancerous lesions showed yellow (positive).
2. Helium - Cd laser fluorescence spectroscopy cervical cancer and cervicitis spectral curve with the shape of the difference between the peak wavelength, half-width and area ratio is different. Early diagnosis rate of about 90%.

Cervical cancer is one of the common gynecologic malignancies, the incidence of cancer in women ranked second only to breast cancer. Worldwide annual new cases of cervical cancer are 466,000. According to statistics, China's annual new cases of cervical cancer a few more than 130,000 annual deaths from cervical cancer of about 50,000 people, or women, a cancer mortality. As the current threats to the health of women, "Hongyan killers," one of cervical cancer in recent years more and more medical experts and patients concerns
. Reporters interviewed on the issue of kids Geng, director of obstetrics and gynecology physicians.