Which groups of people are most likely to have cervical cancer? What are the treatments for cervical cancer?

According to official statistics from China, cervical cancer is mainly distributed in the central region. The incidence rate in rural areas is higher than in cities, and in mountainous areas is higher than in plains. China's high-incidence areas are located in Tonggu, Jiangxi, Wufeng, Hubei, and Lueyang, Shaanxi. Experts say that the causes of cervical cancer viruses are different around the world, but there is no difference in essence. At present, the common method of treating cervical cancer is to use surgery and chemotherapy (or radiotherapy). Due to different treatment methods in different countries, the treatment rate of cervical cancer is different, reaching more than 60% in developed countries and less than 40% in developing or underdeveloped countries. However, overall, it remains above 50%.

Detect cervical cancer early

The cure rate of cervical cancer is very high, and it is slow from the early stage to the middle and late stages, but it is cancer after all, and you cannot relax your vigilance, especially once it is discovered, you cannot delay. The earlier the treatment, the greater the possibility of recovery. "As the news said, the actor delayed for four months after discovering cervical cancer, which undoubtedly increased the risk of the disease. After discovering cancer, if you are busy with work and do not have the necessary rest, it will reduce your immunity and aggravate the cancer."

Now, because many women have a strong sense of health, cervical cancer can usually be detected in the early stage, so that it can be treated early. In the central and western regions, due to the limitations of economic development, many women have no awareness of physical examinations, and cervical cancer is often discovered in the late stage, with a relatively high mortality rate. This also reminds most women to establish a health awareness of regular physical examinations and early treatment.

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 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 the improvement of surgical methods and anesthesia techniques, the use of preventive antibiotics and the adoption 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 pelvic lymph node distribution area (point "B"). The internal radiation source uses intracavitary laser. (Ra) or 137cesium (137Cs), which is mainly aimed at primary cervical lesions. 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, internal irradiation is mainly advocated for early cervical cancer. 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 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.

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.