CERVICAL CANCER

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.

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

(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.

Cervicitis, cervical erosion, cervical cancer is in the end what? The inflammation is not necessarily develop into cervical cancer?

The fact is: the cervicitis was diagnosed with cervical cancer is not directly related; Often, some of cervical erosion caused by erosion is not inflammatory, but some precancerous lesions did not make this clear, people with the feeling cervical erosion of cervical cancer are related.

Two common understanding of cervical disease errors are:
    许多患者对宫颈疾病存在一些认识误区：一种认为，结了婚的女性都会有宫颈炎，它既不影响工作又不影响生活，无足轻重，治疗与不治疗都一样。 Another that will lead to cervical cancer cervicitis serious cervical erosion in particular, the mere mention of cancer, have a "fear of cancer" and affected the daily life and personal emotions.

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.

Cervical cancer killer of women 4th

Cervical cancer, as its name suggests, is the site of the cervical cancer. Cervical locations in the depths of the vagina, uterus and vagina is the body through the cervix to connect.

Cervical cancer is a common cancer in women, according to statistics show that the incidence of cancer for women ranked No. 1, across all age groups of women may happen cervical cancer, but 25 to 45-year-old women are the most common. The mortality rate ranking female cancer compared with the fourth place, it was described as "the fourth killer."