CERVICAL CANCER

(A) rehabilitation of the self-care
To overcome cancer and the restoration of health, cervical cancer patients addition to regular inspection and treatment, should have self-care knowledge.

1. Be reasonable rest

A good living environment can bring happiness to patients feeling less sad. Regular cervical cancer patients after treatment than poor general health, if exhausted body quickly restored, we must ensure that adequate rest. But not all the bed rest, but according to their own actual conditions, and proper rest, such as walking, reading, playing chess or fishing, do light housework, the rest is conducive to the physical and mental health is conducive to rehabilitation.

The incidence of cervical cancer, is still not clear, the years of a great deal of information that the incidence of cervical cancer with the following factors.

(1) of early marriage, early childbearing and prolific early marriage, early childbirth, prolific, producing dense women, the cervix during childbirth has been stimulated and injuries, while the chances of infection by many, the incidence of cervical cancer than women up to the normal seven to 20 times.

Early cervical cancer more not obvious clinical manifestations, or only cervicitis similar symptoms, making it easy diagnosis; Once the symptoms have developed into more advanced. But if we usually more careful observation, can be found early symptoms of cervical cancer. Common early signs of the following three conditions:

(1) contact bleeding. This is the most prominent symptoms of cervical cancer, cervical cancer in about 70% to 80% of patients with vaginal bleeding. For more performance, or after sexual intercourse gynecological examination, or hard stool, vaginal secretions mixed with blood. Older women face if bleeding after sexual intercourse, is not due to the forced sexual intercourse from mishandling, and ignore the possible existence of cervical cancer. If each bleeding after sexual intercourse, more attention should be given timely treatment.

Women cervical cells may be due to chronic irritation or infection in a series of inflammatory response; Normal cervical cells would become dysplasia, and it may change for early cervical cancer. The cause of cervical cancer is found by HPV infection through sexual intercourse with the virus (HumanPapillomaVirus, or HPV) and cervical cancer for change. HPV infection with a higher chance of the female relative also easier to get cervical cancer. The identity partners, the frequency of their sexual life does not affect the incidence of cervical cancer risk.

Chemotherapy is epithelial ovarian cancer assisted the main method of treatment. Chemotherapy can significantly improve the control rate of ovarian extension of survival time without the role has been affirmed. Epithelial ovarian cancer Ⅰ A and B Phase I, if poor cell differentiation, adhesion obvious lesions, and epithelial ovarian cancer Phase 1 C, the need for post-surgical adjuvant treatment. Random The results showed that radionuclide 32P abdominal radiotherapy in the treatment of patients with survival rate after chemotherapy of cisplatin and the survival rates similar, but 32P abdominal radiotherapy complications higher. II adjuvant therapy after surgery, residual focus primarily on the basis of the size of a decision. Postoperative residual lesions <2 cm choice adjuvant therapy, chemotherapy commonly used programs: programs such as TP (Taxol cisplatin), CP program (cyclophosphamide cisplatin), CC program (cyclophosphamide carboplatin); If the gross residual disease without abdominal and pelvic lesions residues < 0.5 cm, with full and total abdominal pelvic radiotherapy. Postoperative residual lesions> 2 cm, the main choice of adjuvant therapy TP, CP, or combined with chemotherapy in the treatment of CC. Ⅲ eliminate ovarian cancer by surgery, to give the intraperitoneal cisplatin-based chemotherapy or systemic chemotherapy in patients with prolonged median survival time. Postoperative intraperitoneal adhesions obvious it is not appropriate for patients with intraperitoneal chemotherapy. GOG a randomized controlled study showed that, by not eliminate ideals of the Phase III and IV ovarian cancer to chemotherapy or TP CP chemotherapy, respectively 73% and 60%, surgery confirmed the complete remission rates were 26% and 20%, the median survival time was 38 months and 24 months, both the efficiency of chemotherapy and survival time difference was significant (P <0.001). Europe and Canada both chemotherapy-control study showed that, with the TP Taxol chemotherapy patients without relapse rate and overall survival rate was significantly better than non-CP Taxol chemotherapy group. Ongoing research includes Taxol intraperitoneal chemotherapy, autologous bone marrow transplantation high-dose chemotherapy.

Cervical cancer
Experience with
1. To understand the pathogenesis of cervical cancer, take corresponding measures to promote Late marriage, family planning, cervical Shanghai women actively control the disease, tumor uphold the census work, we will be able to reduce the incidence of cervical cancer. Due to the early detection of tumors census pre-cancerous lesions and carcinoma in situ, the cure rate significantly effective treatment to improve, thereby reducing cervical cancer invasion and has played a significant role.

2. Chinese medicine is better for cervical cancer, especially in the early stages of cervical cancer in Chinese medicine and the main local drug Syndrome Treatment of Oral medicine secondary treatment.

All that hard to prevent cervical cancer, the cancer cells can wanton act. But now God's gift of the people of the world, we have been super good news: cervical cancer virus has been found to prevent cervical cancer has become possible.
According to medical experts the long-term observation, a letter name appears under the microscope: Human papillomavirus (HPV). 99.8% of patients with cervical cancer can be detected HPV, and HPV-negative almost no cervical cancer. In addition, 98% of a disease in patients with cervical HPV exist.

In Milan, Italy a European Cancer Institute researchers After years of concentrated study, has successfully developed a vaccine to prevent cervical cancer and will shortly be put on the market.
According to Italian "Late Post" reported that the new cervical cancer worldwide each year about 450,000 patients each year suffering from the disease and deaths and 200,000. Cervical cancer has become the world's second largest women's epidemic of the disease in the majority of women around the age of 50. Reports said that the newly developed epidemic <BR> MILLER can effectively kill strains cause 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.