What is the best treatment for cervical cancer? What are the common treatments for cervical cancer?

What is the best treatment for cervical cancer? The treatment of cervical cancer is mainly surgery and radiotherapy. Squamous carcinoma, in particular, is more sensitive to radiotherapy. In recent years, with the rapid development of anti-cancer chemicals, chemotherapy, which was previously considered ineffective for cervical cancer, has become a common method of adjuvant treatment, especially in the late or recurrent stages. Chemotherapy can be used before surgery or radiotherapy, chemotherapy can be performed after the cancer has shrunk or partially shrunk, or chemotherapy can be used after surgery or chemotherapy. According to global treatment experience, interventional surgery - bilateral uterine artery angiography embolization chemotherapy - 10-14 days before surgery for stage I and II cervical cancer can reduce intraoperative bleeding and improve long-term survival rates. What is the best treatment for cervical cancer?

Cervical cancer treatment

1. Surgical treatment

Wide hysterectomy and pelvic lymph node removal are used. The removal range includes the entire uterus, bilateral adnexa, upper vagina and paravaginal tissues, and pelvic lymph nodes (paracervical, obturator, internal iliac, external iliac, and lower common iliac lymph nodes). The operation needs to be thorough, safe, with strict indications and prevention of complications.

Complications and surgical treatment

1. Complications such as intraoperative bleeding, postoperative pelvic infection, lymphocele, retention, urinary tract infection, ureterovaginal fistula, etc.

2. In recent years, the incidence of the above complications has been significantly reduced due to improvements in surgical methods and anesthesia techniques, the use of preventive antibiotics, and the use of postoperative extraperitoneal negative pressure drainage.

2. Radiotherapy

Radiotherapy is the first choice for cervical cancer treatment and can be applied to all stages of cervical cancer, including the cervix and adjacent vagina, uterine body, parauterine tissue and pelvic lymph nodes. The irradiation method generally adopts a combination of internal and external irradiation, mainly targeting the primary cervical lesions and adjacent parts, including the uterine body, upper vagina and adjacent parauterine tissue (point "A"). External irradiation is mainly aimed at the area where pelvic lymph nodes are distributed (point "B"). The internal radiation source uses intracavitary laser (Ra) or 137 cesium (137Cs), which is mainly aimed at primary cervical lesions. The external radiation source is 60 cobalt (60 cobalt) Co), which is mainly used for metastatic lesions outside the primary lesion, including the pelvic lymph node drainage area. The dose is generally 60Gy. At present, early cervical cancer is mainly advocated to be irradiated internally first. For advanced cancer, especially those with huge local tumors, active bleeding, or accompanied by infection, external irradiation should be used first.

3. Chemotherapy

So far, cervical cancer is not sensitive to most anticancer drugs, and the effective rate of chemotherapy does not exceed 15%. Advanced patients can be treated with comprehensive treatments such as chemotherapy and radiotherapy. Chemotherapy drugs can be intravenously or locally injected with 5-fluorouracil and doxorubicin.

IV. Traditional Chinese Medicine Treatment

According to traditional Chinese medicine, cervical cancer is caused by spleen dampness, liver depression, kidney deficiency, loss of organ function, Chong and Ren disorders, and regulatory failure. The Neijing mentioned: "If the Ren channel is sick, women will have lumps"; "If the Chong and Ren channels are out of balance, the Du channel is out of control, and the Dai channel is not solid."

This disease can be caused by liver depression and qi stagnation, spleen deficiency and dampness, or kidney deficiency and instability. Since the Chong and Ren meridians are connected to the liver and kidneys and rush into the sea of ​​blood, it is necessary to distinguish the deficiency and excess, distinguish the internal organs, or soothe the liver and regulate qi, or strengthen the spleen and eliminate dampness, or tonify the kidney and consolidate the body. It is closely related to the liver, spleen, and kidney.

Traditional Chinese medicine uses local medication and vaginal medication in the early stages of cervical cancer to cause the cervical cancer lesions to coagulate, necrotize, and fall off; in the late stages of cancer, syndromic differentiation treatment is needed to correct the evil, supplement, symptoms and root causes, which can alleviate the symptoms of cervical cancer patients and prolong their life. Commonly used drugs include Eshu, Arisaema, Brucea, Lithospermum officinale, etc.

Radiotherapy is the main treatment method for cervical cancer. During radiotherapy, Chinese medicine is used in combination to reduce side effects. For example, symptoms such as yellow and white, fishy smell, vaginal pain, dry mouth, thirst, and hard stools caused by radiotherapy can be treated with raw rehmannia, adenophora, ophiopogon, radix trichosanthis, sophora flavescens, honeysuckle, and dandelion.

Effective folk remedies for treating cervical cancer

1. Shu Yang Jia 18g, red dates 5g, Ming Codonopsis pilosula 5g, red madder 3g. Decoction one dose a day, take in the morning and evening.

2. 1 sea dragon, 3 white flower snakes, 6 grams of leeches, worms, human nails, coptis root, frankincense, and no medicine, 9 grams of scorpion, honey, phellodendron, 12 grams of moutan bark, and 15 grams of gentian. Use honeysuckle to make pills, 6-9 grams a day, swallow 2-3 times.

3. 100 grams of zeqi and 3 eggs. Add appropriate amount of water, cook the zeqi and eggs together, eat the eggs and drink the soup after they are cooked, 1 dose per day.

4. Astragalus 45g, Angelica 15g, Cyperus rotundus 12g, Trillium, Atractylodes, Anemarrhena 15g, Leech 30g, Chicken's gizzard 15g, Sophora flavescens 60g, Peach kernel, Codonopsis pilosula, Panax pangolin 15g, Fleas 60g. Make the drugs into tablets or pills, take 2-4 times a day, 3-6g each time. This Chinese medicine recipe for cervical cancer is suitable for cervical cancer of Qi stagnation and blood stasis type.

5. 3 centipedes, 6g scorpion, 24g kelp, seaweed, angelica, Dipsacus asper, Scutellaria barbata, Hedyotis diffusa, 15g white peony root, Cyperus rotundus, Poria, 9g bupleurum. Decoction, 1 dose per day, 2g Yunnan Baiyao.

Precautions for TCM treatment

1. Have a strong holistic concept. Although the tumor grows in a certain part of the body, it is actually a systemic disease. For most tumor patients, local treatment cannot solve the problem of radical cure. Since Chinese medicine starts from the holistic concept and implements syndrome differentiation and treatment, it not only considers local treatment, but also adopts the whole body, which plays an important role in improving the patient's local symptoms and systemic condition.

2. It can make up for the deficiencies of surgical treatment, radiotherapy, and chemotherapy. Although surgery can remove cancerous swelling, there may be residual cancer, regional lymph node metastasis, or vascular cancer thrombosis. Long-term treatment can prevent recurrence and metastasis. Radiotherapy and chemotherapy have considerable side effects on the digestive tract and hematopoietic system. The use of Chinese medicine can reduce the side effects of radiotherapy and chemotherapy and enhance the effects of radiotherapy and chemotherapy. Chinese medicine can be used for patients with advanced cancer or those who cannot undergo surgery, radiotherapy, or chemotherapy.

3. No impact on labor force. When the local condition of cancer patients improves, their overall condition also improves.

Small side effects.