How to check for cervical precancerous lesions and how to treat cervical precancerous lesions

The examination and treatment of cervical precancerous lesions are very important. Cervical precancerous lesions are a very serious type of gynecological cancer. Therefore, whether it is the treatment or examination of cervical precancerous lesions, we should know more to avoid cognitive misunderstandings. Next, we will introduce the examination and treatment of cervical precancerous lesions.

Cervical precancerous lesions examination instructions

Pay attention to family history of cancer, history of endometrial hyperplasia, anovulation in young women (infertility, polycystic ovary syndrome), ovarian cord-stromal tumors (granulosa cell carcinoma, theca cell tumor), external estrogen or long-term hormone replacement therapy, and history of long-term use of moxifen for breast cancer. Be highly vigilant about cervical precancerous lesions and conduct further examinations.

Typical microscopic hyperplasia is characterized by proliferation of the underlying cells. The underlying cells not only proliferate, but also have disordered cell arrangement, enlarged and darkly stained nuclei, and uneven chromatin distribution. Atypical hyperplasia can be divided into mild, moderate, and severe.

The diagnosis and clinical staging are determined based on medical history, clinical examination, pathological examination and various auxiliary examination results.

Iodine test: Normal cervical and vaginal squamous epithelium is rich in glycogen and can be stained brown by iodine solution, while cervical erosion and abnormal squamous epithelial areas (including atypical hyperplasia, carcinoma in situ and invasive carcinoma) do not have glycogen and will not be stained.

Cervical smear cytology examination: Cervical precancerous lesions examination items can detect cervical precancerous lesions and early cervical precancerous lesions. Due to the false negative rate, patients should be checked regularly.

At the same time, how to treat cervical precancerous lesions?

Key points for the treatment of cervical precancerous lesions

The formulation of the treatment plan for cervical precancerous lesions depends on the patient's age, incidence, range of lesions, presence of combined symptoms and their nature. Therefore, before treating cervical precancerous lesions, the patient must undergo a full-body examination, and a treatment plan must be formulated after comprehensively considering the results of various organ and system function examinations and clinical installments.

The surgical treatment of cervical precancerous lesions is extensive hysterectomy and pelvic lymph node removal. The scope of resection includes the entire uterus, bilateral adnexa, upper vagina, paravaginal tissue, and pelvic lymph nodes. The surgery needs to be thorough, safe, and strictly indicated to prevent complications.

For the comprehensive treatment of mid- to late-stage cervical precancerous lesions, the combined radiotherapy and chemotherapy + traditional Chinese medicine treatment model is often used clinically. If the patient's physical function can withstand surgery, local resection should be performed as soon as possible, and radiotherapy and chemotherapy + traditional Chinese medicine treatment should be used after surgery. If the course of the disease is late, the cervical precancerous lesions are late, and surgical resection cannot be tolerated, radiotherapy and chemotherapy + traditional Chinese medicine can be feasible. On the one hand, traditional Chinese medicine can combine the treatment advantages of traditional Chinese and Western medicine, and on the other hand, traditional Chinese medicine can reduce the harm of radiotherapy and chemotherapy to the human body and accelerate the recovery of the patient's physical function. If the physical condition is very weak and it is difficult to tolerate Western medicine treatment, or Western medicine treatment methods no longer work, you can simply use traditional Chinese medicine conservative treatment, which can prolong survival and improve the quality of life to a certain extent.

There are many examinations and treatments for cervical precancerous lesions. The above is for your reference only.