How to treat cervical cancer? What are the common misunderstandings about cervical cancer treatment?

In recent years, more and more women have been diagnosed with cervical cancer. The uterus is an important reproductive organ for female friends, but there have been some misunderstandings for a long time. What are the common methods for treating cervical cancer?

What is cervical cancer?

Cervical cancer is one of the most common gynecological malignancies and refers to malignant tumors occurring in the vagina and cervical canal.

2. The metastasis of cervical cancer can spread directly to adjacent tissues and organs, from the bottom to the vaginal vault and vaginal wall, from the top to invade the uterus, from the sides to the pelvic tissues, from the front to the bladder, and from the back to the rectum.

Common treatments for cervical cancer include:

1. Surgical treatment:

At present, there is a relatively consistent opinion that most stage I and II endometrial cancers can be cured by surgery. Stage Ia G complete hysterectomy plus bilateral salpingo-oophorectomy can cure cancer. Stage I poorly differentiated cancer (G2 and G3) complete hysterectomy plus bilateral salpingo-oophorectomy combined with radiotherapy is better than simple surgery. This combination of treatment is appropriate when the diameter of the uterine cavity is >10cm.

2. Radiotherapy:

The effect and application method of radiotherapy are still controversial. However, it is generally believed that for stage I grade I, without myometrial invasion, simple surgery is sufficient. At present, patients with stage I poorly differentiated cancer (grade II and III), myometrial invasion >1/2 with lymph node metastasis, and stage II endometrial cancer are mostly treated with preoperative intracavitary laser therapy, followed by excision of the entire uterus and bilateral adnexa, and postoperative assisted external radiotherapy.

Common misunderstandings in treating cervical cancer:

Myth 1: Cervical erosion will turn into cervical cancer

1. "Cervical erosion" is a problem that troubles many women.

2. Now obstetrics and gynecology have abandoned the term "cervical erosion" and replaced it with "cervical columnar epithelial ectopia (columnarectopy)", believing that it is not a pathological change but a physiological change of the cervix.

3. However, due to the long-term habit that has become natural, many doctors' thoughts have not changed, and it is still called "cervical erosion". What's more, some medical institutions and commercial advertisements consider economic interests and make a fuss, making people treat it as "cervical erosion" more panic. Gynecological examination found that "cervical erosion", don't panic, follow the regular cervical disease screening.

Myth 2: Cervical erosion is considered an early stage of cervical cancer

1. For a long time, clinicians have regarded chronic cervicitis and cervical erosion as synonyms, and have actively used various physical treatments such as laser, freezing, microwave, and even Leep's knife to treat cervical diseases.

These incorrect treatments not only bring physical pain and financial losses to healthy women, but also bring quite serious side effects.

3. If young women are overtreated with Leep, it will lead to the double risk of "miscarriage or premature birth" in future pregnancies! "Cervical erosion" is a physiological phenomenon of cervical columnar epithelium ectopy, not a disease, and does not require treatment.

Myth 3: A positive HPV test or abnormal cervical smear indicates cancer

1. This is not the case. You may need further testing, a colposcopy or a biopsy of cancer cells.

Although the human papillomavirus (HpV) virus is the culprit of cervical cancer, in most cases the body clears it and everyone will be infected with it throughout their lives. HpV may be 75%-90%, and 50%-75% of people worldwide now carry the HpV virus. HpV is divided into low-risk and high-risk, with more than 100 classifications in total, and different classifications can cause different diseases. Only a small number of virus carriers will develop cervical cancer.

3. Other infected people have no clinical symptoms due to different virus types or different immunity.

4. HPV is not as scary as you think, let alone too stressful.