CERVICAL CANCER

In radiation therapy of cervical cancer, cervical we can have different degrees of hemorrhage, necrosis, edema and tissue reaction. Vaginal may have edema, hyperemia, narrow, and adhesion. Shortly after the end of radiotherapy, radiotherapy response will still exist. If a husband and wife in this period of life, not only for patients with a certain pain, but also increase the impact of radiotherapy treatment response. Decades of experience has proved that cervical cancer radiotherapy after 2 to 3 months of life began to resume suitable.

In radiation therapy of cervical cancer, cervical we can have different degrees of hemorrhage, necrosis, edema and tissue reaction. Vaginal may have edema, hyperemia, narrow, and adhesion.

Shortly after the end of radiotherapy, radiotherapy response will still exist. If a husband and wife in this period of life, not only for patients with a certain pain, but also increase the impact of radiotherapy treatment response.

Decades of experience has proved that cervical cancer radiotherapy after 2 to 3 months of life began to resume suitable.

Cervical cancer is the most common tumors of women, female genital cancer in the first or more of the 40 to 49-year-old, 20-year-old following rare. The incidence and causes of early marriage, early childbearing, prolific, viruses, and cervical erosion cervical chronic diseases. The development process is: precancerous lesions - atypical hyperplasia - carcinoma in situ - invasive carcinoma. The atypical hyperplasia and carcinoma in situ early cervical cancer-free general, can contact hemorrhage; The future irregular bleeding, sometimes massive hemorrhage; Pai thin serous bloody secretions, the smell; Cancer tissue necrosis, infection, a large number of pyogenic or soup-like odor of Leucorrhea. Late invasive cervical cancer adjacent tissue, involving the lumbosacral nerve, causing serious thigh and waist deep drilling or persistent pain along the sciatic nerve distribution of the radiation, with a pelvic infection, pain. Since late anemia and infection, there are phenomena such as fever and weight loss, said cachexia, transfer directly to the spread of lymph node metastasis and have less blood metastasis see.

Zero Stage: refers to cancer (carcinoma in situ, CIS) still limited in cervical epithelial region.

First period: only limited to the cervical cancer site. From the beginning of the first period, the cancer has already begun with violations of the phenomenon, according to the degree of violation and IA and IB-2.
Second period: cancer had infringed on two-thirds of the vagina or uterus next to the connective tissue.
Third period: cancer of the vagina has been under the third, or to have violated the pelvis.
Phase 4: genital cancer had some breakthroughs, or has exceeded the scope of the pelvis, and a direct violation of the rectum or bladder, or even a long-distance transfers.

Surgery and radiotherapy for cervical cancer is the main treatment, in recent years, increasing attention to the comprehensive treatment of means.

1. Surgical treatment
In principle for early cervical cancer (0 ~ la period), according to the depth of invasion, tumor size, stage, pathologic type, age and general condition and other factors determine the scope of surgery, choose a different procedure.

A, a prescription worst therapy <BR>: soil Poria of Solanum nigrum tree snake tongue pork soup

【Materials - Solanum nigrum 40g, 40g of Kwai tree, Hedyotis diffusa 40g, 40g soil Fuling, candied dates 2, 240g pork, stir a little.

[Method of]
① Solanum nigrum, Kwai tree seeds and soil Hedyotis diffusa Fuling were saturated with water, washing clean, spare.
② candied dates, pork water wash clean, spare.

③ Add to all the above material intact, adding suitable water by using water to rolling boil batter, and then switch to the fire burning about two hours to a little vinegar flavor.

(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.

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.

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.