Will gynecological inflammation develop into cervical cancer? What are the treatments for cervical cancer?

We all know that gynecological inflammation is the most common gynecological disease, such as Trichomonas vaginitis, Candida vaginitis, Gonorrhea vaginitis, Bacterial vaginitis and other common vaginitis that trouble women's daily life. Gynecological inflammation has developed into cervical cancer if it is not paid attention to. Do you know? The editor will tell you.

Gynecological inflammation Cervical cancer

Symptoms of gynecological inflammation include: leucorrhea with odor, excessive and yellow color, etc. Although the inflammation is minor, it cannot be cured because over time, gynecological inflammation will spread.

1. Spreading upwards can cause cervicitis. Because there are no pain nerves in the cervix, many people do not feel it and think it is just an ordinary inflammation.

2. Cervical polyps, cervical hypertrophy and cervical mucositis will gradually form.

3. Finally, the cervix will erode (first, second, or third degree) and eventually turn into cancer.

All cervical cancers: cervicitis to cervical erosion, gradually worsening.

Cervical cancer is the most common gynecological malignancy. Cervical cancer can occur in women of all ages, but it is most common in women aged 25 to 55. It is one of the most common cancers and a high-mortality killer of women. Deaths from cervical cancer account for 18% of all cancer deaths.

Stay away from gynecological diseases starting with standardized treatment

Expert opinion

1. The treatment of gynecological inflammation focuses on scientific norms. First of all, accurate and scientific gynecological examination is the key to treatment, and only accurate examination can provide a scientific basis for treatment.

2. Since the causes and treatment methods of gynecological inflammation are definitely different, patients must choose a regular hospital for scientific classification and treatment.

3. The treatment process must be sufficient. Clinically, we found that many patients with recurrent gynecological inflammation are mostly caused by incomplete treatment. Experts remind that the disappearance of gynecological disease symptoms does not mean recovery from the disease. Timely review must be made during treatment, and treatment can only be stopped after the bacteria are fundamentally eliminated.

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 observe it. The diagnosis of moderate atypical hyperplasia should be applied to laser, freezing and electric ironing. For severe atypical hyperplasia, total hysterectomy is generally advocated. If delivery is urgently needed, regular close follow-up can also be performed after cone resection.

2. Carcinoma in situ: Generally, most people advocate total hysterectomy and retain both ovaries; some people advocate simultaneous removal of 1-2 cm of the vagina. 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 of vaginal tissue are recommended. Because the possibility of lymph node metastasis of microscopic early invasive cancer is extremely small, it is not necessary to eliminate pelvic lymphatic tissue.

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. Surgical complications and their management

1. Complications include intraoperative bleeding, postoperative pelvic infection, lymphocele, retention, urinary tract infection and ureterovaginal fistula.

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 (point "A"). External irradiation is mainly aimed at the pelvic lymph node distribution area (point "B"). The internal radiation source uses intracavitary laser. (Ra) or 137cesium (137Cs), which is mainly aimed at the primary lesions of the cervix. The external radiation source is 60 cobalt. (60Co), 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.

5. Chemotherapy

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