What are the methods to judge cervical cancer? How to treat cervical cancer?

Cervical cancer is the most common malignant tumor in gynecology. The incidence of carcinoma in situ is 30-35 years old, and the incidence of invasive carcinoma is 45-55 years old. In recent years, the incidence is younger. Let's take a look at the treatment of cervical cancer?

Early symptoms of cervical cancer

About 82.3% of patients have increased leucorrhea in different conditions and degrees, such as watery or rice-water-like, white, watery, rice-water-like, bloody or purulent, and fishy. When cancerous tissue ruptures and becomes infected, the secretions may be purulent, accompanied by a foul odor or fishy smell. In late-stage patients with concurrent infection, the discharge may be foul-smelling or purulent.

Vaginal bleeding: About 81.4% of cervical cancer patients have irregular vaginal bleeding symptoms, especially contact bleeding (ie bleeding after sexual intercourse or gynecological examination) and postmenopausal vaginal bleeding.

Symptoms of cervical cancer In addition to systemic symptoms such as secondary uremia, patients with cervical cancer often have clinical manifestations such as weight loss, anemia, fever, systemic exhaustion, and cachexia.

Treatment options for cervical cancer

Surgery

Surgery is mainly used for patients with early-stage cervical cancer.

Commonly used surgeries include: total hysterectomy, hysterectomy and pelvic lymph node cleaning, para-aortic lymph node removal or sampling. Young patients have normal ovaries. For young patients who need to preserve fertility, cervical cone resection or radical cervical resection is feasible in the early stage. Different surgeries are selected according to the different stages of the patient.

Radiation therapy

Radiotherapy is suitable for all stages of invasive cervical cancer, early cancer and carcinoma in situ in the elderly and those who are not suitable for surgery. Standardized radiotherapy for cervical cancer includes external radiotherapy and intracavitary radiotherapy to form a reasonable dose distribution in the tumor area. Except for a few early cancers, intracavitary and external radiotherapy generally need to be combined to achieve ideal therapeutic effects and radical cure. After more than 5 years of treatment for cervical cancer, the early survival rate reaches more than 90%, the mid-term survival rate is about 60% to 70%, and the late-stage survival rate reaches more than 90% (stage III and IV) is about 11% to 50%.

Chemotherapy

It is mainly used for patients with advanced or recurrent metastasis. In recent years, new adjuvant chemotherapy (intravenous or arterial infusion chemotherapy) before surgery has also been used to reduce tumor lesions, control subclinical metastasis, and enhance radiosensitivity. Commonly used chemotherapy drugs include cisplatin, carboplatin, paclitaxel, bleomycin, ifosfamide, fluorouracil, etc.

Comprehensive treatment

In order to increase the survival rate of patients and improve their quality of life, a variety of methods are used for comprehensive treatment. The treatment of cervical cancer is mainly surgery, radiotherapy or surgery supplemented by chemotherapy. Early patients are mainly treated with surgery, while middle and late stage patients are mainly treated with radiotherapy. Radiotherapy can also be used for early patients who are not suitable for surgery. In recent years, chemotherapy has been used as an adjuvant treatment for surgery or radiotherapy at home and abroad, and has achieved certain results.

What should we pay attention to during the treatment of cervical cancer?

First: promptly and clearly inform the patient and his family of the situation, as well as the preventive measures to help non-professional patients understand and cooperate, but let the patient empty his urine half an hour before treatment.

Second: measure blood pressure and body temperature in time. Blood pressure should not be lower than 13.33/9.33kpa. Do not do intrauterine radiotherapy if the body temperature is higher than 37.5℃, and do not do vaginal treatment if the body temperature is higher than 38℃. If some laboratory pathology reports show that the results are malignant tumors, do you check the blood routine?

Third: Preparation of operating room supplies: 1 disinfection bag, inside. In addition, you also need to prepare a dry gauze, gauze, cotton balls and source probe, vaginal mold, tape, etc.

Fourth: The patient's family or other medical staff need to help the patient sleep to prevent falling, take the lithotomy position, lay a perineum to disinfect the perineum, and use a dilator to fully expose the vagina and uterus.

Postoperative cervical cancer precautions:

1. After cervical cancer surgery, dietary adjustments should be made, such as yam, longan, mulberry, wolfberry, pork liver, turtle, sesame, donkey skin glue, etc.

2. Early cervical cancer generally has little effect on digestive tract function. It mainly improves the patient's disease resistance and immune function. Nutrition, protein, sugar, fat, vitamins, etc. should be supplemented as much as possible. When the patient has more vaginal bleeding, he should take lotus root, coix seed, hawthorn, black kernel, hawthorn, black fungus, black plum and other blood-tonifying, hemostatic and anti-cancer foods. When the patient has more watery leucorrhea, nourishing foods such as turtle, pigeon eggs, chicken, etc. should be taken. When the patient brings more sticky and smelly, light and wet products such as coix seed, red beans, white root, etc. should be eaten.

3. In the late stage of cervical cancer, high-protein, high-calorie foods should be chosen, such as milk, eggs, beef, turtle, red bean, mung bean, fresh lotus root, spinach, winter melon, apple, etc.