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.

Cervical cancer after treatment for the tumor has not disappeared not control, the treatment of tumors disappeared for a period of time after the original lesion in the region for a relapse. Two identification difficult, it called EC recurrence. Cervical cancer radiotherapy failure patients, nearly 60% of pelvic recurrence, 40% distant metastasis. In pelvic recurrence within 1 / 2 above pregnancy and pelvic recurrence.
[Diagnosis]
(1) Symptoms
1. Vaginal bleeding and vaginal discharge: This is the cervix, vagina and the Palace of recurrence common symptoms.
2. Pain and edema: This is the most common pelvic recurrence of the symptoms, the most affected is the lower extremity pain and edema.
(2) Signs
1. Recurrent cervical and vaginal: in the cervical or vaginal local stiffen, were nodular or even ulcers.
2. Palace of recurrence: sometimes can be increased and scheduling of the uterus.
3. Recurrent pregnancy: early pregnancy diagnosis of recurrence is extremely difficult, late pregnancy can usually nodular thickening or nodular lesions, the late, there will be frozen pelvis.
(3) auxiliary
1. Cervical, vaginal and the Palace of relapse may biopsy confirmed by histology.
2. Recurrent pregnancy can be pyelography, isotope kidney map, MRI and CT scans to assist diagnosis.
[Treatment]
Recurrence of treatment is very difficult. Right suspicious recurrence after treatment, in the absence confirmed, we must not lightly again radiotherapy, this will be the resumption of radiation injury. Recurrence is already diagnosed, the treatment should be based on the first, with the location and time of recurrence seriously consider re-treatment approach. If the first treatment for radiation therapy, in the Palace of recurrence, cervix, vagina or pregnancy (isolated nodules), surgical sites, treatment with the appropriate choice. Those deemed unsuitable for treatment, according to the tumor, treatment and the length of time between general factors such as patients decide to do radiation therapy or drug treatment. The case of a possible recurrence after surgery or radiation therapy medication, a few cases can be further surgery.
Cervical cancer recurrence radiotherapy for specific design, according to the recurrence of the location, extent determined. The case of the vagina, cervix, or Palace of the limitations of recurrence, can be considered purely intracavitary irradiation; If local recurrence of a broader scope, or associated with pregnancy and pelvic recurrence, should meet in vitro irradiation; The case of simple pregnancy or pelvic recurrence of the tumor can be located under the Wild, whose in vitro irradiation; If recurrence, according to the first radiotherapy treatment. Radiation therapy and relapse again after radiotherapy, the dose of irradiation difficult to grasp. Right from the first radiotherapy 2-3 years are to be considered under specific circumstances of giving full exposure. But first shorter recurrence after radiotherapy, the dose should be carefully decided to prevent indiscriminate irradiation, it is not a cure for cancer, the radiation would cause serious complications. The recurrence after radiotherapy for patients, tissue fibrosis, radiation sensitivity reduced through normal tissue and organ damage after a radiation exposure significantly increased complications.
[Follow-up]
1. Close follow-up after treatment, the treatment of attention to the original tumor, must also pay attention to whether a new lesions.
2. We should pay attention to the emergence of radiotherapy complications, early treatment.

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

Long-term scientific research and medical practice has been recognized, cervical cancer is transmitted through sexual life of a disease. Its incidence of the following four factors are closely related:

(1) women's cervix recurring inflammation, erosion, leukoplakia, polyps and vaginal trichomoniasis, mold and other factors;
(2) male genitalia have long foreskin and the existence 20/48;
3. Male or female sexual partners over the life history;
(4) female reproductive system infection history, in particular the high-risk HPV infection are continuing.

The incidence of cervical cancer model: D cervical erosion of low D squamous intraepithelial lesions moderate squamous intraepithelial lesions D highly squamous intraepithelial lesions → minimal invasive carcinoma DCIS → → invasive carcinoma

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.

With chronic cervicitis, cervical erosion and cervical laceration is the precancerous cervical lesions. According to the survey, women with cervical erosion of pure breast cancer women, the high incidence of cervical cancer seven times. So positive control chronic cervicitis and cervical erosion, which can greatly reduce the incidence of cervical cancer. The development of cervical laceration also easy for cervical cancer.
Researchers study that the incidence of cervical cancer and early marriage, early motherhood, and more pregnant, the prolific and dense production. Some statistics, in cervical cancer patients, 18 were under the age of marriage as much as 51%; Married persons over the age of 26 accounted for only 3.3%, which indicates that the later marriage and childbirth in later years, fewer <BR> help prevent cervical cancer.

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.

The survey data shows that China's young age at sexual maturity widespread than the'70s ahead by 4 ~ 5-year-old, 21-year-old youth, 79% have had premarital sex, in rural areas more than 80%, premarital sex showing a younger age trends. Chinese Academy of Medical Sciences Institute of Cancer Epidemiology Research Director Dr Lam Qiao You have three years before proposing any more sex or over the age of 21 have sex with women should start regular screening for cervical cancer, 65-year-old felt very low risk of cervical cancer, is generally not in favor of women over the age of 65 into the OK cervical cancer screening.

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.