CERVICAL CANCER

Five years ago, an elderly (aged 33) of female infertility patients to the hospital for gynecological examinations found severe cervical erosion, in cervical intraepithelial neoplasia - severe dysplasia, a precancerous lesion. The woman was very tense, with a pathological biopsy everywhere consultation, and some doctors believe that the pathology of atypical hyperplasia Ⅲ, some that DCIS. In the end is a Hysterectomy or loop electrosurgical excision? Experienced pathology professor consultation, that the reproductive age women, cervical epithelial hyperplasia of atypical combination of age must be judged.

Points suggested that
1) prevention. Now that HPV and cervical cancer pathogenesis. So to sexual health, the prevention and treatment of sexually transmitted diseases could reduce the incidence of cervical cancer.
2) This is the cause of the disease is imaginary subscript, the treatment is based on combining the severity of the times, be a temporary solution, Fuzheng inhibition, and the illness can be. Even early cervical cancer have surgery, radiotherapy,
Treatment must also meet to enhance long-term effect. Advanced cervical cancer in ascites fluid or bad quality, not easily give up treatment, use of Chinese medicine "zero chemotherapy" or a certain therapeutic effect.
Prevention and Rehabilitation guidance <BR> points】 【prevention
1. The importance of early symptoms of cervical cancer, such as contact with abnormal vaginal bleeding and fluid, especially in postmenopausal women before and after the above symptoms should pay attention to.
2. Late marriage advocates family planning.
3. Regular gynecological examinations. Do early diagnosis and treatment, reducing cervical cancer mortality.
4. Aggressive treatment "of cervical epithelial dysplasia," "cervical erosion," "cervical polyp" and cervical cancer-related diseases, thereby reducing the incidence of cervical cancer.
【Rehabilitation points —
A regular inspection <BR> the first year after treatment at a monthly check; Every three months after an inspection of survival after three to five years, every six months to a year at a check.
2, systemic review of the contents <BR> superficial lymph nodes, whether abdominal mass; Attention vaginal stump gynecological examinations, pelvic whether anomaly; Stump blowing vaginal cytology examination, pelvic ultrasound examination, tumor marker, SA have some significance.
3, and pay attention to the follow-up period of rehabilitation treatment <BR> overall five-year survival rate of cervical cancer is 59.8%, and after treatment the longer recovery time, the smaller the chance relapse, most patients relapse within three years, it attaches importance to the follow-up treatment on the extended rehabilitation period to improve the cure rate is very heavy want.

How can early detection of cervical cancer?
Cervical cancer is the cervical epithelium and glandular epithelium lining the tumor. By the epithelial lining is squamous cell carcinoma, squamous cell carcinoma short; By the epithelium is adenocarcinoma. Cervical cancer is 95% of squamous cell carcinoma, and in almost all married prolific women. Cervical cancer in the 5% to unmarried women occurred frequently for cervical adenocarcinoma. Cervical cancer is the most common gynecologic malignancy, cancer of the female reproductive system more than half of its cancer mortality rate for women first. The incidence of cervical cancer around age vary, the general age 35-55 for cervical carcinoma in situ and invasive carcinoma of 40-70 years old. Statistics show that the incidence of older, and after the extension of a trend. Onset before age 20 less. The rural than urban, mountain plain above. The causes of cervical cancer has not yet entirely clear, the last few decades of research and investigation, the incidence of cervical cancer and early marriage, early childbearing, prolific, producing dense, multiple marriage, sex life or premature anti-husband foreskin is too long, estrogen secretion or metabolism disorders, certain viruses such as herpes simplex two of the virus and human papilloma virus infection, chronic cervicitis, cervical erosion and certain sexually transmitted diseases. In addition, patients with low immune function, and adverse factors such as the spirit.

Endometrial cancer and cervical cancer are the two most common uterine cancer. According to statistics show that: the incidence of cervical cancer ranked No. 1 cancer for women, women of all ages are possible cervical cancer, but 25-year-old to 45-year-old women are the most common. The female mortality rate ranks fourth in cancer, the death toll of all cancer deaths of 4%. Endometrial cancer, also known as cancer of the uterus, after the incidence of cervical cancer, women accounted for 7% of the total cancer, cancer of the female reproductive tract for 20% to 30%, its high for the age 58 to 61 years old, 80% occurred in women over 50 years old, with an average age 60-year-old.

Cervical cancer development process in recent years, by a large number of studies have clearly precancerous lesion is atypical hyperplasia, dysplasia, carcinoma in situ and invasive cervical cancer as a group of diseases continuity; Early lesions from the surface of atypical hyperplasia, causes continue to exist, it will gradually progress to invasive carcinoma.

The study also proved that the vast majority of cervical cancer is gradual rather than sudden, a precancerous lesion often for a very long time is reversible, then entered the surface "carcinoma in situ" stage, this period is sustainable for many years, in this period of no clinical symptoms, the availability of the cervical carotid cells scratch-ray examinations found, and the needle biopsy method that diagnosis.

The incidence of cervical cancer in female cancer worldwide Habitat's second-in some developing countries and regions remained No. 1. According to statistics, the world's annual 450,000 to 500,000 new cases of cervical cancer, 80% of them in developing countries, China has 130,000 people annually, or about 1 / 3. Research found that more than 99% of cervical cancer have HPV infection. Certain high-risk HPV infection strongly suggested that cervical intraepithelial neoplasia the existence of cervical cancer could eventually change. From cervical precancerous lesions develop into cervical cancer in about 10 years, it is cervical cancer can be prevented. Five patients with early cervical cancer cure rate as high as 90%. HPV infection prevalence is likely to signal its determination of cytology at the border or uncertainty, degradation or sustainable development in the diagnosis, follow-up, control countermeasures determine significance, but also cost-effective diagnosis and screening methods.
The current survey methodology should also advanced cytology smear (TCT), when necessary colposcopy and Hybrid Capture II of HVP, suspicious patients with pathological examination. (Only HPV infection with cervical erosion, precancerous lesions clinical manifestations, recommendations or follow-up drug treatment.)
It is learned Hybrid Capture II in Beijing only a hospital can do, costs about 400 yuan, was not universal.

Clinical symptoms】 【
No obvious symptoms of early cervical cancer, a common symptom is irregular vaginal bleeding or contact (sexual intercourse) bleeding and Leucorrhea increased; Advanced symptoms appeared oppression and pain, often for invading tumor and surrounding tissue caused by pelvic, Leucorrhea with evil smell, and that cervical erosion, ulcers, nodules or cauliflower-like, touch the easy bleeding. Development of advanced patients frequently have lower abdomen, buttocks, sacral pain and urinary tract, gastrointestinal discomfort realistic models, resulting in systemic symptoms, such as fever, weight loss, swelling and body.

[Method]
1, colposcopy;
2, cervical scratch-staining;
3, biopsy;
4, B-;
5, pathological examination;
6, cervical cytology screening.

Cervical cancer prevention, mainly through the census to achieve early detection, early diagnosis and early treatment of patients. The other is directed at the elimination of the risk factors and take preventive measures to reduce the incidence of cervical cancer.

A strengthening public education, universal health care at all levels in tumor prevention knowledge, carry out a variety of public education, universal knowledge of cervical cancer, the age of women actively participated in anti-cancer screenings, symptoms found early treatment. While lifting psychological fear cancer, and establish the confidence to overcome cancer. To improve the medical personnel in the early stages of cervical cancer awareness and vigilance; To strengthen accountability and avoid misdiagnosis, misdiagnosis and delay in treatment of patients.

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Cervical cancer is a common malignancy of the female, or female genital cancer in the first. The disease in early marriage, early motherhood, and more pregnant, and living in the chaos of the high incidence of women.

Data show that the age of marriage in the past 17 years than the age of 18 after a high incidence of cervical cancer were 3.9 times; Early middle age of 18 after the 18-year-old former than 3.2 times; Maternity more than four times less than the three-two times. Early cervical cancer cure rate is the key to timely discovery. Where any of the following women, it is timely to the hospital for an examination.