There are some surgical methods for cervical cancer. What are the treatment methods for cervical cancer?

Cervical cancer is a malignant tumor that threatens women's health. Therefore, once the symptoms of cervical cancer appear, active treatment is required. Understanding the treatment of cervical cancer is the basis. What is the treatment for cervical cancer? This is a common concern of many patients and their families. Let's take a look.

What is the treatment for cervical cancer?

1. Surgical treatment: It is one of the main treatment methods for early cervical cancer, especially for patients who are not eligible for radiotherapy. The scope of surgery is determined according to the clinical stage, and it is neither blindly expanded nor reduced in principle. The expert will determine it based on the size of the lesion, the severity of the disease and the specific situation of the patient.

1. Extensive hysterectomy. Extensive hysterectomy refers to the removal of the entire hysterectomy, the removal of the cardinal ligament of the uterus at the anal lift, the removal or retention of one centimeter of the cardinal ligament and sacral ligament near the uterosacral ligament to help restore urination function, and the upper third of the vagina must be removed. The removal should be more than 4 cm according to the scope of cervical tissue infection, and the pelvic wall can be reached if necessary, and pelvic lymph cleaning should be performed.

2. Extrafascial total hysterectomy. Extrafascial total hysterectomy refers to the plane close to the cervical separation side, excluding the cervical stroma, cutting the uterosacral ligament at the cervical attachment, and removing about 1 cm of the vaginal wall. Generally speaking, total hysterectomy is separated on the outer plane, and entering the cervical stroma is only cut on the inner side where the main ligament is attached. Some surface cervical stroma is not removed. In the case of extended extrafascial total hysterectomy, the cervicosacral ligament and vaginal wall are cut near the cervix.

3. Improvement of extensive hysterectomy (or sub-extensive hysterectomy). The cardinal ligament of the uterus should be removed between the cervix and the pelvic wall at half the distance from the outside of the cervix. The cardinal ligament is still attached to the inside of the ureter and in front of the attachment to preserve the blood supply of the ureter and reduce the possibility of postoperative ureteral fistula. The uterosacral ligament is separated to preserve the bladder nerve control and does not need to be retained for a long time after surgery.

2. Radiotherapy: It is a commonly used treatment for cervical cancer. Cervical cancer cells are sensitive to radiotherapy. The effect of radiotherapy for cervical cancer is worthy of recognition, but it has certain side effects. It can be combined with traditional Chinese medicine treatment to increase efficacy and reduce toxicity, and the effect is better.

1. Indoor radiotherapy Indoor laser therapy has created a new era in the treatment of cervical cancer, but indoor laser therapy has long not dealt with the issue of staff protection. Since the 1960s, intracavitary afterloading technology has dealt with the issue of staff protection. Afterloading therapy has evolved from process to mechanical control to today's computer control, with a treatment planning system with a multifunctional afterloader. The multifunctional afterloader enables high-dose intracavitary therapy to be used for radiotherapy of cervical cancer.

At present, the high-dose therapeutic radiation sources used in my country are mostly easy-to-protect and have a short half-life. In addition, the miniaturization of radiation sources makes close-range treatment more convenient, especially for arranging intercalation.

2. External irradiation for cervical cancer External irradiation can compensate for the lack of intracavitary treatment and increase the dose to the paracervical moisturizing area and lymphatic treatment area. Over the past century, external irradiation therapy machines have gone through three periods: conventional X-ray therapy machines, drill therapy machines, and the current use of various accelerators. Due to the continuous increase in energy, the deep dose has been increased, the skin dose has been reduced, the effect has been improved, and the side effects have been reduced. In terms of clinical application skills, in addition to vertical irradiation, there are also intermediate skills such as rotation and pendulum. With the development of computer skills and imaging skills, new skills such as knives, X-knives, three-dimensional conformal lighting, and enhanced treatment have emerged in recent years, making radiotherapy more and more common.

3. Immunotherapy: Immunotherapy for cervical cancer is still in the exploratory stage. Currently, non-specific treatments can help improve the survival rate of cervical cancer patients.

According to researchers from Imperial College and other institutions, cancer cells usually rely on breaking down glucose to obtain energy. If the body does not have enough glucose, researchers have discovered a protein called NF-KB that controls the switching of its energy supply mode. If the function of this protein is inhibited, cancer cells will not be able to switch the energy supply mode as needed, and may even enter a state of insufficient energy supply and "starve to death."

For example, the World Health Organization divides cancer into three 1/3, of which 1/3 can be prevented, 1/3 can be cured, and 1/3 can be treated. In recent years, many experts believe that cancer is a "man-made disease" and that malignant tumors such as digestive tract tumors, respiratory tract tumors, breast cancer, and cervical cancer all develop into cancer due to the accumulation of long-term unhealthy lifestyles. Therefore, the vast majority of cancers can be prevented and controlled.

The researchers conducted experiments with colon cancer cells in the laboratory and showed that cancer cells can be killed by limiting their energy supply. In addition, if the protein NF-KB is inhibited while using the existing diabetes drug metformin, the efficiency of "starving" cancer cells will be greatly improved.

Professor Guido Franzuso, who led the study, said that this is the first time that the protein NF-KB has been revealed to have the function of regulating cell energy. Although I knew it played a certain role in cancer before, the specific mechanism was not very clear, so the related cancer treatment effect was not ideal.

This study also found that it can be used in combination with metformin, and it is expected that more effective cancer treatments will be developed based on this.

Interpretation of Traditional Chinese Medicine Treatment for Cervical Cancer

Traditional Chinese medicine treatment: It can not only be combined with surgery, radiotherapy and chemotherapy to improve the treatment effect of cervical cancer, but also control the disease and prolong the survival of patients with advanced cervical cancer who cannot be treated with Western medicine.

Folk remedy 1: 9g of cinnamon twig, 15g of Poria cocos, 12g of moutan bark, 15g of peach kernel, 12g of red peony root, 6g of frankincense, 15g of kelp seaweed, 18g of tortoise shell, 15g of saw vine. Decoction with water, 1 dose per day, morning and evening.

Folk prescription 2: 30g Patrinia, 15g Fritillaria, 20g Smilax, honeysuckle, 15g stir-fried Sophora japonica, 30g Scutellaria barbata, 30g Prunella vulgaris, 15g Toosendan charcoal, 10g Lingzhi charcoal, 15g Green Peel, 30g Raw Coix seeds, 3g Licorice. 1 dose per day, decocted in water. It has a good effect on early cervical cancer.

Folk prescription 3: 1 sea dragon, 3 white snakes, 6 grams of leeches, worms, human nails, coptis root, frankincense, no medicine, 9 grams of whole scorpion, honey, Phellodendron chinense, 12 grams of moutan bark, 15 grams of gentian. The drug research is detailed, using honeysuckle decoction as pills, with realgar clothes on the outside, 6-9 grams per day, swallowed in 2-3 times.

Recipe 4: 18g of Shuyangjia, 5g of red dates, 5g of Mingdangshen, and 3g of Hongmaicao. Decoction in water, 1 dose per day, morning and evening.

Prescription 5: 45g of Astragalus, 15g of Angelica, 12g of Cyperus, 15g of Atractylodes, 15g of Rhizoma Anemarrhenae, 30g of Hirudo, 15g of Chicken's Gizzard, 60g of Radix Sophorae Flavescentis, 15g each of Peach Kernel, Codonopsis Pilosula, and Roasted Panicum, and 60g of Rhizoma Paridis. Grind the medicines into fine powder and compress them into tablets or pills. Take 2-4 times a day, 3-6g each time. It is suitable for cervical cancer of Qi stagnation and blood stasis type.

Recipe 6: 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 cooking, 1 dose per day.