How to treat cervical cancer? What are the treatments for cervical cancer?

How to choose the treatment of cervical cancer? The mortality rate of cervical cancer in my country is getting higher and higher. Because its early symptoms are not obvious, it is easy to be ignored. When it is discovered, it is often in the middle and late stages. Due to the difficulty in treatment, many patients and their families are very concerned about the treatment of cervical cancer. How to choose the treatment of cervical cancer?

How to choose the treatment for cervical cancer?

1. Treatment principles

1. Atypical hyperplasia: If the biopsy is mild atypical hyperplasia, it is temporarily treated as inflammation, and the scraping is followed up for half a year, and biopsy is performed if necessary. Those whose lesions remain unchanged can continue to be observed. The diagnosis of moderate atypical hyperplasia should be applicable to laser, freezing and electric ironing. For severe atypical hyperplasia, total hysterectomy is generally advocated. If fertility is urgently needed, regular close follow-up can also be performed after cone resection.

2. Carcinoma in situ: It is generally recommended to perform a total hysterectomy and retain both ovaries; it is also recommended to remove 1~2cm of the vagina at the same time. Laser treatment has been useful in recent years at home and abroad, but close follow-up is required after treatment.

3. Microscopic early invasive cancer: generally, extended total hysterectomy and 1-2 cm vaginal tissue are recommended. Pelvic lymphatic tissue does not need to be eliminated because the possibility of lymphatic metastasis of microscopic early invasive cancer is very small.

4. Invasive cancer: Treatment is based on clinical stage, age, physical condition and equipment conditions. Common treatment methods include radiotherapy, surgery and chemotherapy. Generally speaking, radiotherapy is suitable for patients at all stages; the efficacy of surgery for stage Ib to IIa is similar to that of radiotherapy; cervical adenocarcinoma is slightly less sensitive to radiotherapy and should be treated with a combination of surgical resection and radiotherapy.

2. 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.

3. 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 adoption of postoperative extraperitoneal negative pressure drainage.

4. Radiation therapy

The first-line treatment for cervical cancer can be applied to all stages of cervical cancer, including the cervix and affected vagina, uterine body, parauterine tissue and pelvic lymph nodes. The irradiation method generally adopts a combination of internal and external irradiation. Internal irradiation is mainly aimed at the primary adjacent parts of the cervix, including the uterine body, upper part of the vagina and its adjacent parauterine tissue ("A") point. External irradiation is mainly aimed at the pelvic lymph node distribution area ("B") point. The internal radiation source uses intracavitary laser (Ra) or 137 cesium (137Cs), which is mainly aimed at the primary lesions of the cervix. 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 first. For advanced cancer, especially those with huge local tumors, active bleeding, or accompanied by infection, external irradiation should be used first.

5. 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.

What are the folk prescriptions for traditional Chinese medicine treatment of cervical cancer?

Wuhua Dehumidifying Tea

[Ingredients] 15 grams of honeysuckle, chrysanthemum, kudzu flower, frangipani, sophora japonica flower, and kapok flower, 30 grams of wild yam and raw coix seed, and 6 grams of licorice.

[Preparation] Soak all the medicinal materials in 6 bowls of water for about 10 minutes, boil over high heat, simmer over low heat for about 40 minutes, filter out the residue, and add appropriate amount of rock sugar.

Clears away heat, detoxifies, promotes dampness and fights cancer.

[Scope of application] Used for cervical cancer, ulcer infection, colorectal cancer, esophageal cancer, liver cancer, nasopharyngeal cancer, lung cancer, bladder cancer, etc.

[Precautions] When using, the key points are internal dampness and heat, dry mouth, bitter taste, constipation, yellow urine, red tongue, yellow fur, and rapid pulse. It is not recommended for those with weak constitution and obvious cold symptoms.

2. Job's tears, Euryale ferox and winter melon soup

50 grams of raw coix seed, 50 grams of water chestnut, 100 grams of spare ribs, and 500 grams of winter melon.

[Production]

(1) Wash the raw coix seeds and water chestnuts and soak them in clean water for 1 hour.

(2) Slice the spare ribs and winter melon.

(3) First, put raw coix seeds, water chestnuts and pork ribs into a clay pot and cook over medium heat for about 1 hour. Then add winter melon and cook for half an hour. Add salt to taste.

Strengthen the spleen and eliminate dampness.

[Scope of application] Cervical cancer is proved to be dampness and toxicity, local ulcer or necrosis, yellow and smelly liquid seepage, lower abdominal swelling, and decreased food intake. Other malignant tumors can also be used for dampness and toxicity.

[Note] This prescription is mainly for strengthening the spleen and eliminating dampness. If you have been ill for a long time and your constitution is extremely weak and cold, you should use it with caution.

3. Guiling Soup

[Ingredients] 1 golden coin turtle, 250 grams of fresh Chinese yam, 50 grams of raw coix seeds, and 3 slices of ginger.

[Production]

(1) After boiling or killing the golden coin turtle, remove the intestines and clean it, then cut it into pieces.

(2) Wash and cut the Chinese yam and raw coix seeds into pieces, then put all the ingredients into a clay pot and add 2000 ml of water. Bring to a boil over high heat, then simmer for 2 hours over low heat. Season and serve.

Strengthen the spleen and eliminate dampness, detoxify and fight cancer.

[Scope of application] It is used for middle and late stage cervical cancer, which is proved by weak constitution, thin body, reduced food intake, pale tongue with teeth marks on the edges, greasy white fur, and slippery pulse. It can also be used for other malignant tumors in patients with spleen deficiency and dampness obstruction.

[Notes] If there is no fresh Smilax glabra, 60 grams of dried product can be used instead.

4. Pokeweed Porridge

10 grams of Rhizoma Phytolaccae, 100 grams of polished japonica rice, and 5 red dates.

[Preparation] Boil the Chinese pomelo in water for 40 minutes, remove the residue and take the juice. Then add rice and red dates to cook porridge. [Effects] It promotes diuresis and reduces swelling.

[Scope of application] Patients with advanced cervical cancer and ascites.

[Notes]

(1) Pomelo is slightly poisonous and should not be consumed for a long time.

(2) Take on an empty stomach and avoid overdose.

5. Shouwu Chicken Soup

[Ingredients] 60 grams of Polygonum multiflorum, 30 grams of Rehmannia glutinosa, 500 grams of black chicken, and 5 slices of ginger.

[Production]

(1) Wash and slice the black-bone chicken.

(2) Wash and slice Polygonum multiflorum and Rehmannia glutinosa.

(3) Place all ingredients in a clay pot, add appropriate amount of water, simmer for 2 hours, season, drink the soup and eat the meat.

[Effects] Nourishes yin and replenishes blood.

[Scope of Indications] It is used for patients with cervical cancer, yin deficiency, blood deficiency, anemia, cachexia, with emaciation, yellow complexion, pale nails or irregular vaginal bleeding.