Which is better, radiotherapy or surgery for cervical cancer? What are the treatments for cervical cancer

Many female friends will have such doubts, afraid that one day they will have cervical cancer, pessimistic, and may be more depressed, so it is necessary to understand cervical cancer. If you really have this disease, how should you treat it?

How to treat cervical cancer properly?

Increased vaginal discharge is also a common symptom of cervical cancer, and about 80% of cervical cancer patients have this symptom. Clinical follow-up shows that it takes about 10 years for general cervical precancerous lesions to develop into cervical cancer. From this perspective, cervical cancer is not terrible. It is a disease that can be prevented and cured. The key to prevention and treatment is to conduct regular gynecological examinations, detect and treat cervical precancerous lesions in time, and stop the development of cervical cancer. If preventive measures can be implemented, the cure rate of cervical cancer is very high.

1. Surgical treatment

Surgery is one of the main treatments for early cervical cancer, especially for those 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 specialist will determine it based on the size of the lesion, the severity of the condition, 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 exceed 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 therapeutic effect of radiotherapy on cervical cancer is worthy of recognition, but it has certain side effects. It can be combined with traditional Chinese medicine 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 help improve the survival rate of cervical cancer patients.

IV. Traditional Chinese Medicine Treatment

Not only can it combine surgery, radiotherapy and chemotherapy to improve the treatment effect of cervical cancer, but it can also control the disease and prolong the survival of patients with advanced cervical cancer.

Traditional Chinese medicine believes that the onset of cervical tumors is caused by spleen dampness, liver depression, kidney deficiency, loss of organ function, Chong and Ren disorders, and regulatory failure. The "Inner Canon" mentions: "If the Ren meridian is sick, women will have lumps"; "If the Chong and Ren meridians are out of balance, the Du meridian is out of control, and the Dai meridian 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 treatment of cervical tumors, local drugs and vaginal drugs in the early stage can make the cervical tumor lesions coagulate, necrotize and fall off; late stage cancer requires syndromic differentiation treatment to correct evil, supplement, symptoms and root causes, which can alleviate the symptoms of cervical tumor patients and prolong life. Commonly used drugs include Eshu, Arisaema, Crow Gall, Lithospermum officinale root, etc.

5. Introduction to folk remedies for treating cervical cancer

1. Astragalus 12g, Angelica 15g, Codonopsis pilosula 9g, Atractylodes macrocephala 9g, Asparagus cochinchinensis 9g, Poria 9g, Chinese yam 9g, White peony root 6g, Chuanxiong 6g, Licorice root 5g. Decoction one dose per day. Mainly used to treat cervical cancer with insufficient Qi.

2. 30g of Smilax glabra, 30g of dandelion, 25g of Poria, 25g of Artemisia capillaris, 15g of Atractylodes macrocephala, 9g of Angelica sinensis, 9g of White Peony Root, 4.5g of Bupleurum chinense, 9g of Alisma orientalis. Decoction once a day. 60g of Sophora flavescens, 30g of Cnidium monnieri, 30g of Chrysanthemum indicum, 30g of Lonicera japonica, 15g of Angelica dahurica, 15g of Acorus calamus. Decoction with water, remove the residue and soak the vaginal cervix.

3. Raw Arisaema 30g (pre-boil for 2 hours), Poria 24g, Scutellaria barbata 30g, Hedyotis diffusa 30g, Rhizoma Cyperi 12g, Atractylodes macrocephala 24g, Atractylodes macrocephala 15g, Angelica sinensis 12g, Cyperus rotundus 12g, Cortex Moutan 12g, and Cortex Citri Reticulatae 12g. Boil one dose per day.

4. Ligustrum lucidum 30g, Scutellaria barbata 30g, Viscum album 30g, Dioscorea opposita 30g, Hedyotis diffusa 30g, Seven-leafed lily 24g, Radix Rehmanniae 20g, Atractylodes macrocephala 15g, Rhizoma Anemarrhenae 12g, Cortex Phellodendri 12g. Boil one dose of water every day. Used for advanced cervical cancer.

5. 50g of Hedyotis diffusa, 50g of Imperata root, and 50g of brown sugar. Boil one dose of water every day for 7-14 days to treat proctitis after radiotherapy of cervical cancer.