CERVICAL CANCER

Cervical cancer treatment with Chinese medicine is very close. If synergies detoxification, in medicine and surgery, radiotherapy and chemotherapy combination, to a certain extent, control and prevent cancer metastasis. After surgery for the patients, many of the principles used Fuzhengquxie Syndrome Treatment.
Fuzheng medicine and radiotherapy in combination: the period of cervical cancer radiotherapy can be, but anti-cancer radiotherapy in the meantime, can damage normal tissue, produce toxic side effects. Tie in medical treatment, reduce the toxicity of radiation therapy response, prevention of complications, and have certain radiation synergies.
Chinese medicine combined with chemotherapy:
Chemotherapy drugs often gastrointestinal reaction, bone marrow response to the combined treatment of traditional Chinese medicine Syndrome. If gastrointestinal reactions can be Xiangsha Liujunzi decoction; Leukopenia, taking astragalus, Angelica, Shouwu, Spatholobus suberectus, Ejiao, psoralen, pangolins and other drugs.
For advanced or recurrent transfer, has been unable to surgery and chemotherapy, the treatment of patients with conservative treatment used in Chinese medicine, ease suffering and prolong survival.

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.

As a cervical cancer, once diagnosed correctly, it should develop the most appropriate treatment programs, which are generally dominated early surgical treatment, advanced radiation therapy or by surgery and radiotherapy combination of comprehensive therapy can be combined with chemotherapy treatment and Chinese medicine. TCM treatment of cervical cancer have significant effects, especially in the early cervical cancer treatment, and advanced with surgery and radiotherapy and chemotherapy have better results.

(1) Radiation Therapy

Cervical cancer is moderately sensitive to radiation, applicable to all cervical carcinoma in situ and invasive cervical cancer treatment, especially in Phase Ib cervical lesions greater than 3 cm or II-IV patients.

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.

The latest research shows that with a new therapeutic means, hyperthermia, an increase of tumor temperature from 40 to 45 ° C to achieve more effective control of the bladder, cervix and rectum cancer metastasis. Radiotherapy plus hyperthermia in the treatment of pelvic tumors, particularly cervical cancer, the use of radiation therapy alone more than effective.

In this study, 3
58 suffering from bladder and cervical cancer in patients. Some patients only with radiation therapy, and some patients with hyperthermia combined with radiotherapy treatment. Once a week, for five weeks. For 90 minutes each hyperthermia and radiotherapy for 1-4 hours.

Surgical treatment of uterine sarcoma is the main method of treatment. Although prospective study has not yet sure adjuvant chemotherapy and radiotherapy, but due to uterine sarcoma high rate of recurrence (stage 5-year survival rate 50%, other phases only 0% to 20%), most scholars still advocate for adjuvant chemotherapy or radiotherapy. Collaboration Gynecologic Oncology Group (GOG) non-randomized study, in the uterus of MMMTs Ⅰ, Ⅱ patients with pelvic radiotherapy, radiotherapy can significantly reduce the recurrence, but the survival rate did not change significantly. Another non-randomized study results showed that mixed mullerian duct cancer in vitro after irradiation plus intracavitary irradiation can improve survival in patients with lower local failure rate. Radiotherapy for endometrial stromal sarcoma effective, Peters, a non-randomized controlled study results showed that doxorubicin and cisplatin combination chemotherapy effective program. GOG Phase II clinical trial results showed that uterine sarcoma Ⅲ chemotherapy with ifosfamide efficient: uterine sarcoma mesodermal to 32.2%, endometrial stromal sarcoma 33%, 17.2% of leiomyosarcoma. GOG randomized controlled study of ifosfamide, or plus cisplatin regimen can be used in the treatment of mixed mesodermal tumor recurrence in patients with advanced and the first line of chemotherapy drugs. High-dose progesterone cell differentiation good for uterine stromal sarcoma have some therapeutic effect.

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.

Early cervical cancer is the main method of treatment. Especially right conditions without radiotherapy is more applicable good effect. The majority of writers that, in accordance with lesions, extent and clinical stages in patients with systemic conditions and the choice of appropriate procedure, and to better effect in the same time to minimize trauma and surgery with postoperative complications, so neither blind nor unprincipled to expand the narrow scope of operation. Indications for surgery in principle, limited to a period of 0 ~ II, right next to cervical cancer significantly eroded, to the appropriate radiotherapy. Younger patients may consider ovarian reservations over the age of 65 elderly patients with physical infirmity or heart, liver, kidney and other organ diseases are not implemented <BR> surgery.

Cervical cancer is the most common of women genital tumors, but also the threat of an important women's health diseases, and radiation therapy of cervical cancer is the primary means of intracavitary radiation therapy after loading including radiotherapy and radiotherapy treatment. After loading radiotherapy is the first non-radioactive sources at the treatment site for containers, and then into containers for radioactive sources, such treatment can be avoided placing containers in the process of medical personnel from unnecessary exposure. Hospital miniature remote control using high-intensity installed after the Iridium-192 source, a computer treatment planning systems and machine control systems, the movement of computer-controlled stepper motor implementation of the 18 channels can be treated, can be intraluminal brachytherapy, treatment and pipeline Interstitial Brachytherapy irradiation, safe, it is within the locks, risks, and analog sources, the police, emergency retreat of UPS systems to machine safety performance and the safety of staff is guaranteed. According to the hospital after brachytherapy for Nursing described below.

Spain Martinez-Monge, physicians, a recent study showed that the limitations and advanced cervical cancer in patients with relapsed radical operation using electron beam radiation therapy (IOERT), is a safe and effective therapy.

Martinez-Monge, since from January 1986 to June 1999, 67 patients were IOER
T treatment (including 36 cases of relapse cases and 31 cases of newly diagnosed cases). Not for the past history of radiotherapy for patients with preoperative radiotherapy and chemotherapy, or 45Gy irradiation, given cisplatin and 5-fluorouracil 1000mg/m2 20mg/m2 of chemotherapy. The primary case IOERT median dose 12Gy (10-25Gy); For relapse cases IOERT the median Gy dose (10-20Gy).