Cervical cancer C5-3, 900 refers to cervical squamous intraepithelial lesions C5, that is, high-grade squamous intraepithelial neoplasia, including CIN II and CIN III. High-grade squamous intraepithelial neoplasia may be malignant, but usually does not metastasize. Patients often have no obvious symptoms, and some may experience contact bleeding or irregular vaginal bleeding. Generally, the prognosis is good, and clinical cure can be achieved in most cases. 1. Reasons 1. Human papillomavirus infection: such as HPV16 and HPV18 infection causing cervical squamous intraepithelial lesions grade C5. Long-term persistent high-risk HPV infection is the main pathogenic factor for cervical precancerous lesions and cervical cancer. 2. Multiple sexual partners: Those who have had multiple sexual partners in the past have an increased risk of cervical cancer compared to those who have had a single sexual partner. II. Treatment 1. Follow-up observation: For young women who wish to retain their fertility, close follow-up can be carried out, with cytology examinations repeated every 3 months and HPV testing performed at the same time. Biopsies can also be taken through colposcopy and sent for pathological examination. If the results are benign, follow-up will continue. If suspicious areas are found, local excision can be performed to confirm the diagnosis and treatment. 2. Drug treatment: If combined with other microbial infections, you need to use antiviral drugs as prescribed by your doctor, such as acyclovir, ganciclovir, etc. 3. Physical therapy: including cryotherapy, laser therapy and electrocautery therapy, etc., suitable for patients with smaller areas and mild inflammatory reactions. 4. Surgical treatment: including extrafascial hysterectomy, modified extensive extrafascial hysterectomy, radical hysterectomy, etc., among which radical hysterectomy is divided into two types: extrafascial hysterectomy, bilateral oophorectomy, partial omentectomy and pelvic lymph node dissection, and modified extensive extrafascial hysterectomy plus bilateral oophorectomy, partial omentectomy and common iliac lymph node dissection. 3. Daily care Since this type of disease has a certain recurrence rate, it is recommended to rest in bed after surgery and avoid strenuous exercise to avoid affecting wound healing. It is also necessary to keep the vulva clean and dry, change and wash underwear frequently, and wash them with warm water. If the body allows, you can also exercise appropriately to strengthen your physical fitness. In addition, you need to go to the hospital for regular follow-up visits to keep abreast of changes in the condition. |
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