How to determine lymph node metastasis in cervical cancer

Cervical cancer is a common gynecological malignancy in clinical practice. If you want to confirm whether there is lymph node metastasis, you can judge it through clinical symptoms, auxiliary examinations, etc. It is recommended that patients go to the hospital for treatment in time and choose appropriate treatment methods under the guidance of a doctor.

1. Clinical symptoms

1. Lower abdominal pain: Since cervical cancer is a malignant tumor, when the lesion gradually grows, it can compress the surrounding tissues and nerves, causing radiating abdominal pain, which worsens during activities or bowel movements. As the disease progresses, it may also cause increased fluid accumulation in the pelvic area, manifested as a feeling of heaviness in the lumbar sacral region and anus.

2. Abnormal vaginal bleeding: such as irregular vaginal bleeding or contact bleeding, which is mainly related to local damage. Because the lesions of cervical cancer are relatively large, local blood vessels will rupture after intercourse, so a small amount of bleeding will occur. In addition, it may also cause a significant increase in vaginal discharge, which is white or bloody, and accompanied by a foul odor.

2. Auxiliary examination

1. Laboratory examination: mainly includes human papillomavirus testing, routine leucorrhea examination, cervical cytology screening and other methods, which can effectively understand whether there is HPV infection and whether there are other complications, which is of great significance for the diagnosis of the disease.

2. Imaging examinations: such as B-ultrasound examination, CT examination, MRI examination, etc. Through these imaging examinations, it can be accurately determined whether cervical cancer has metastasized to distant organs, and the specific development situation can also be understood.

3. Pathological biopsy: This method is the standard for diagnosing cervical cancer. It mainly involves a cervical cone resection surgery to remove the diseased area for pathological testing, and determines whether cancer has occurred based on the pathological results.

4. Other aspects: including colposcopy, cervical iodine test, etc., which also have a certain suggestive effect on cervical cancer.

Once cervical cancer is diagnosed, you need to cooperate with the doctor for treatment in a timely manner. For example, for early-stage cervical cancer, you can choose total hysterectomy, modified radical hysterectomy, etc. For mid- and late-stage cervical cancer, you need to follow the doctor's advice to use chemotherapy drugs such as cisplatin and paclitaxel to control the progression of the disease.