What are the methods for checking cervical cancer?

No one wants cervical cancer to happen to them, but cervical cancer is seriously threatening the lives of many female friends. Cervical cancer is relatively easy to treat in the early stages, so female friends should pay attention to actively go to the hospital for examination. For patients with suspected or clinically identifiable cervical cancer, a careful gynecological examination and necessary full-body examination should be performed to make an early diagnosis and find out the type and range of cancer growth. So what are the examination methods for cervical cancer? The following experts will introduce this issue in detail.

1. Gynecological examination

1. Vaginal digital examination: Use the index finger to touch the entire vaginal wall, cervical surface and cervical canal from the vaginal opening inward, paying attention to the texture, the extent of the tumor and whether there is blood on the finger cot.

2. Speculum examination: For patients with recurrent vaginal bleeding, it is best to perform a digital examination first to gain a preliminary understanding of the extent of the lesion and then gently insert the speculum for examination to avoid damaging the cancerous tissue and causing heavy bleeding.

The main purpose of the inspection is to understand the morphology of the cervix. If cancer is suspected, its type, size, and the extent of the cervix and vagina involvement will be understood. If necessary, 3% compound iodine solution can be applied locally for auxiliary inspection.

What are the methods for checking cervical cancer? In the early stage of cervical cancer, local changes are not obvious, and cervical scraping cytology should be performed. Some people have proposed two test methods for auxiliary examination:

①. Tissue elasticity test: Since the elasticity of cancerous tissue decreases or disappears, when a tongue depressor or the inverted end of a long forceps is used to gently press the surface of the cervix, if it is cancerous tissue, it will feel hard, brittle and easy to bleed. Normal tissue has good elasticity and will quickly return to its original shape and color after pressure.

② Tissue fragility test: Use a 2mm diameter probe to gently press the suspicious area of ​​the cervix and slowly slide it on the surface of the cervix. If the cervical tissue can be inserted with light pressure, it means that the tissue here is brittle and may be cancerous tissue. Take a biopsy to confirm it.

3. Bimanual examination: In addition to understanding the lesions of the cervix, it can also understand the size, texture, mobility of the uterus, and whether there are lumps, thickening, and tenderness in the adnexa and paracervix on both sides.

4. Vulvar inspection: Pay attention to whether there is cancer in the vulva. Late-stage patients may occasionally have vulvar metastasis. In addition, cervical cancer and vulvar cancer may also exist at the same time.

5. The triple diagnosis should pay attention to whether the anterior wall of the rectum is smooth, the elasticity of the posterior wall of the vagina, the thickness and hardness of the cervical canal, whether the paracervical main ligament and sacral ligament are thickened, hardened, elastic and nodular, and whether there is cancer infiltration in the pelvic wall, metastatic and swollen lymph nodes, etc. The triple diagnosis is an indispensable step in determining the clinical stage of cervical cancer.

2. Full body examination: It is necessary to conduct a full body examination on patients with cervical cancer, which can not only understand whether there are distant metastatic lesions, but also provide a basis for formulating treatment plans. When examining patients in the advanced stage, attention should be paid to whether the iliac fossa, inguinal and supraclavicular lymph nodes are enlarged, whether the kidneys can be touched, and whether there is percussion pain in the kidney area.

3. Other auxiliary examinations: In order to further understand the location and range of cancer spread and metastasis, some necessary auxiliary examinations should be carried out according to the specific situation, such as chest fluoroscopy or radiography, cystoscopy, colonoscopy, intravenous pyelography, lymphangiography and isotope renal examination. Biopsy is the most reliable basis for diagnosing cervical cancer. Whether the cancer is early or late, a biopsy must be performed to confirm the diagnosis. Because some cervical lesions are very similar to amoebic cervicitis, it is difficult to confirm the diagnosis without a biopsy. In addition, tissue section examination can also obtain the type of cancer and its degree of differentiation.

The above is some introduction about "What are the examination methods for cervical cancer" that we have prepared for you today. We hope it can be helpful to you. If you have any other needs, you can also consult our online consulting experts. We are always ready to answer your questions and give you more detailed guidance.

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