How early detection of cervical cancer

Cervical cancer occur in the cervical cancer incidence rate. Late in bleeding, leaching like white rice with stench, commonly known as the "inverted flower."
Several incidence of "risk factors", that is, early marriage, premature, and more性伴, chronic cervicitis, virus infection (sexually transmitted diseases and there is a certain relationship Benbingfasheng), the man's penis Bao Pigou might have carcinogenic effects.

Early cervical cancer and more silent, more or Leucorrhea, irregular bleeding or contact (sexual intercourse) hemorrhage. Sometimes the naked eye doctors also Nanduan its "right", cervical cytology smear (or C tablets) is simple and reliable, large number of anti-cancer census data show that 90 to 95 percent of all cervical cancer early, as a smear of cervical cells - Examination to find.

Cervical cancer prevention and cure

Cervical cancer is the world of breast cancer among women Jinci the second most common cancer in women in developing countries the most common. According to statistics, in the 1980s, a new cervical cancer worldwide each year for 465,000 deaths to more than 200,000. China's annual new cases of about 131,500, or about 1 / 3.50's not a small number of large cities carried out a census of women in the 1970s carried out a nationwide census, while strengthening the pre-disease diagnosis and treatment of cervical cancer and follow-up study . Many areas are the cervical cancer incidence and mortality rates decreased significantly. This shows that cervical cancer can be prevented, and through early detection, early diagnosis and early treatment can be cured. A specific measures are as follows:
(1) tumor universal knowledge, cervical cancer risk factors, for sexual health education, promotion of later marriage, Late Childbearing and less sterile.

(2) a sound preventive health-care network, the Census & Poor's governance periodically, where 30 women over the age of the gynaecological clinic patients, should be regular check-blowing for cervical cancer. Scratch-examination of the cervix Ⅱ grade may be, defense, photocoagulation, freezing, refrigeration, laser, Chinese medicine, and other conservative treatment, and the scraping of cervical-level are required to check Ⅲ to surgery.

(3) warning signal of cancer such as sexual intercourse bleeding, irregular vaginal bleeding, especially after menopause irregular bleeding, fluid flow, timely treatment.

(4) the timely administration of cervical cancer and precancerous lesions, cervical laceration. Now that the incidence of cervical cancer is the development of quantitative change to qualitative change, gradual change to the process of mutation. That is, from cervical dysplasia (→ in the light of severe →) → early invasive carcinoma in situ → → invasive continuous development process, including cervical scraping check-Ⅱ - Ⅲ-needed 3-8 years, cervical scraping-grade Ⅲ to check infiltration early Cancer takes 10 to 15 years, invasive also advanced to face 10 to 15 years, the timely treatment of pre-cancerous lesions will help reduce the incidence of cervical cancer.

(5) Early cervical cancer to surgery, radiotherapy and other merger comprehensive treatment after 5-year survival rate over 90 percent, mainly advanced cervical cancer to radiation, combined with chemotherapy, such as a comprehensive five-year survival rate after treatment can be up to 50 %, Subject to regular out-patient follow-up interval that the two follow-up on three occasions, between three month follow-up two times, spacing six month follow-up twice a year after a follow-up times, during the follow-up attention to regional lymph nodes, pelvic and vaginal stump signs of relapse , The timely processing of recurrence stoves, to prolong life.

In short, cervical cancer can be prevented, and through early detection, early diagnosis and early treatment can be cured.

The clinical manifestations of cervical cancer

First, the early symptoms of invasive carcinoma in situ and often without any symptoms, many found in the census. Cervical cancer is the main symptoms of vaginal bleeding, vaginal discharge, such as pain and more. Their performance in the form and extent of the disease and cervical cancer and pathology sooner or later have a certain type of relationship.
(A) the majority of vaginal discharge more patients with cervical cancer have different degrees of increased vaginal discharge. Since the early stimulation of the existence of cervical cancer gland secretion of hyperthyroidism, a mucus-like Leucorrhea, with the development of cancer, cancer tissue necrosis and loss of secondary infection, Leucorrhea variable opacity, such as Taomi Shui-like blood or pus-like, with Special stench.

(B) of irregular vaginal bleeding early Leucorrhea performance for a small amount of blood and sexual contact with vaginal bleeding, patients often have sexual intercourse or defecation after a small amount of vaginal bleeding to treatment. Of vaginal bleeding after menopause, should look for reasons. Cervical cancer is often very irregular vaginal bleeding, usually after the first few, less time for a long time. Cauliflower-bleeding early, in Yiduo, advanced cancer erosion of large vessels, can cause fatal bleeding a lot. As a long-term repeated bleeding, often in patients with secondary anemia.

(C) pain for advanced cervical cancer symptoms. A pain reasons, mainly due to pelvic nerve infiltration by cancer or oppression. If the obturator nerve, the sacral nerve, vascular or pelvic wall involvement, it can cause severe pain, and sometimes radiation to the lower extremities. Other reasons for the pain: cervical cancer, was blocked, intrauterine secretions or poor drainage formation of intrauterine empyema, a lower abdominal pain; cancer Gongpang violations, oppression or infiltration by the ureter, can cause ureter Ureteropelvic or stagnant water, a spasm of pain or the side of the lower abdomen or severe pain on both sides; oppression iliac lymph cancer, iliac vessels to return to disruption, there can be pain and swelling in the lower limbs.

(4) other symptoms of advanced cervical cancer of the bladder, can cause frequency, Niaotong or hematuria, or even obstetric fistula. As pressure on both sides of ureter obstruction, can cause urinary closure and uremia, is one of the leading causes of death. When the cancer spread oppression or abuse back at the rectum, often Lijihouzhong, blood in the stool or bowel problems, or even a rectovaginal fistula.
Advanced cancer can occur due to long-term consumption of evil disease.

Second, the early signs of cervical cancer and screening of local eye does not recognize, the majority only varying degrees of erosion or minor contact bleeding, and even some cervical smooth appearance. The suspicious or clinical have been able to identify the patients with cervical cancer, should be careful gynaecological examinations and necessary investigation of the body, so as to facilitate early diagnosis and to identify the type and extent of tumor growth.

(A) gynaecological examinations

1. Genital attending the attention of the perineum as whether cancer. Late occasional patient transfer from perineum. In addition, cervical and vulvar cancer can co-exist.

2. Kuiqi check on a repeated vaginal bleeding, the best that first consultation, a preliminary understanding of the disease after gentle to Add to Kuiqi inspection, so as to avoid broke cancer caused by bleeding.
Peep main purpose is to understand cervical patterns, such as suspected cancer, understand their type, size, involved the scope of the vagina and cervix, if necessary, limited to 3 percent of the Tu compound Dianye examinations.
Early cervical cancer partial change was not obvious, cervical cytology-blowing. It was assisted by two test check: ① organizations brittle test: 2 mm in diameter probe of the first cervical suspicious gently pressing regional and cervical slowly sliding surface, such as soft reduction can be inserted into cervical organizations, said here organizations crisp, may For cancer, from biopsy confirmed; ② organizations flexibility test: As the cancer of flexibility diminish or disappear, or when used long tweezers Yashe Ban倒头soft reduction of cervical surface, such as cancer are feeling hard, and easy Zhicui Hemorrhage. Normal tissues of flexibility, and pressure to resume soon after the original shape and color.

3. Vaginal means attending to the index finger inside the vagina I touch all the vaginal wall, cervix and cervical surface of the Ministry of attention to texture, and cancer of the blood, such as whether Zhitao.

4. In addition to attending a two-to understand the cervical lesions, but also understand the uterus size, texture, and activities on both sides of the annex, and whether mass Gongpang, thickening and tenderness.

5. Triple attending the attention of the anterior rectal smooth, the back wall of the vagina flexibility, the size of the cervix and hardness, next to the main ligament and cervical sacral ligament whether thickening and hardening, flexibility and nodules flu disappeared, and there Penbi Cancer invasion and metastasis, such as swollen lymph nodes. Triple up inspection is to identify cervical cancer-staging an indispensable step.

(B) general inspection of cervical cancer in patients with systemic investigation is necessary, not only can learn whether the lesions distant metastasis, but also provide the basis for the development of treatment. Advanced search of patients, they should pay attention to iliac fossa, groin and collarbone on whether swollen lymph nodes, kidneys can touch, whether Kouji kidney pain, and other areas.

(C) other supporting check for a better understanding of cancer proliferation, transfer the location and scope, should be based on the specific situation of some of the necessary examinations, such as lens or chest radiography, cystoscopy, rectum mirror, IVP, lymphatic contrast And isotopes, such as kidney examination. Huotizuzhi pathological examination of the diagnosis

Cervical cancer the most reliable basis, whether through the cancer biopsy sooner or later must confirm the diagnosis. This is because some cervical lesions like amoeba cervicitis, were it not difficult to biopsy confirmed. Furthermore biopsy can also be a type of cancer and its degree of differentiation.

The main way to the proliferation of cervical cancer as a direct spread and lymphatic transfer, transfer a small number of blood circulation.

First, direct spread is the most common form of expansion. Cancer can spread directly or through the lymphatic invasion and violation of the nearby tissues and organs.

(A) of the field down to infiltration and vaginal fornix vaginal wall because the shallow dome, so the back wall of the vagina wall often than before the invasion. Sometimes invasive vaginal wall with a spacing, along the vaginal mucosa cells can be under the lymphoid tissue disseminated, more distant from the cervix in isolated metastasis.

(B) of cancer to spread to both sides and Penbi Gongpang organizations as the Organization Gongpang osteoporosis, lymphatic very rich, once the perforation of cervical cancer sarcolemma, along Gongpang to the rapid spread, involving the main ligament, the sacral ligament And even Penbi organizations. When the ureter caused by the invasion or oppression obstruction, the water can cause renal pelvis and ureter.

(C) of cervical cancer since the violation to be spread to the neck of the Palace of the occurrence of more.

(D) of adjacent organs violations of advanced cervical cancer of the bladder can move forward, backward can be invaded and rectum. As the bladder and cervix than the relationship between the rectum and cervix more closely, often through the first anterior vaginal violations of the bladder, rectum to the vagina after perforation at, involving the rectum. But see less of the rectum.

Second, cervical lymph node metastasis is the most important means of transfer. Is generally along the first cervical lymphatic next transferred to the obturator, iliac, and iliac, and other regional lymph nodes, and then transferred to the iliac, presacral adjacent lymph nodes and abdominal aorta. Late patients can be transferred to the clavicle on the distant lymph nodes or deep groin lymph nodes.

Henrikson generals cervical cancer lymph node metastasis divided into two groups: ① a group: Gongpang including the lymph nodes, next to cervical (ureter) lymph nodes, obturator lymph nodes, internal iliac lymph nodes, lymph nodes and sacral external iliac lymph nodes; ② two groups: Including the iliac lymph nodes, groin lymph nodes and para-aortic lymph nodes.

The incidence of metastasis with the clinical stage increase, but the author of the report of the lymphatic transfer rate of significant difference. China Shanghai, Beijing and other reporting period Ⅰ metastasis rate of 5.4 ~ 7.7%, Ⅱ period of the transfer rate of 35 to 42 percent. 1980 Shandong Medical University Hospital, and other statistics of seven hospitals with 1,376 cases of cervical cancer surgery check samples see, I view 74/638 cases, the metastasis rate was 11.6%, Ⅱ period 237/711 cases, the rate of metastasis 33.3%. It was integrated foreign operation and autopsy data, the rate of transfer of lymphatic: Ⅰ period (104/645), accounting for 16%; Ⅱ period (87/282), accounting for 31%; Ⅲ period (61/101), accounting for 60 %; Ⅳ period (12/16), accounting for 75 percent.

Clinical and pathological confirmed that some cases have appeared very early metastasis, while some cases are no late pelvic lymph node metastasis, such differences may be related to the lymphatic itself immune effects. Shandong Medical University Pathology had 462 cases of cervical cancer survive for more than five years after the pelvic lymph nodes under a form of observation, found that lymphocytes advantage of the transfer rate of 10.72 percent, germinal center edge of the transfer rate of 35.9 % Reduction in lymphocyte-transfer rate of 28.21 percent.

The basic knowledge of cervical cancer

Also known as cervical cancer, cervical cancer, cervix and vagina refers occurred in the Department of the transitional zone or squamous cell cervical and endometrial epithelial cells in the column at the junction of cancer.
Cervical cancer at an early stage clinical manifestations can be no symptoms, or only in the vaginal examination, the erosion that superficial, or have chronic inflammation as a small number of general Leucorrhea; Leucorrhea more often the medium-term, Xingxiu, irregular vaginal bleeding, sacral tail, Buttocks and the legs of the continuing pain, bladder, rectum transgression may appear urination and defecation, and other barriers to performance.
Cervical cancer have occurred in various parts of the world, the human body is one of the most common cancer, not only in the female genital cancer accounted for in the first place, but also a variety of malignant tumors in women up to see the cancer, but its incidence rate There are significant regional differences. The incidence of cervical cancer in China, the geographical distribution is characterized by high incidence area often connect into film. Cervical Cancer relatively high incidence area of the provincial cities and counties are often interconnected phenomena. The general trend in rural than in urban, mountain above the plain. According to 29 provinces, municipalities and autonomous regions of China's survey of the total cancer mortality rate of cervical cancer mortality in fourth place, accounting for the second female cancer. Cervical cancer patients, the average age of onset, the States, also reported around the differences between the age of onset of China's 40-year-old for up to 50, 60 to 70-year-old has a peak, before the age of 20 rare.
Cervical Cancer Treatment
Surgery and radiotherapy are the effective treatment of cervical cancer, chemotherapy is an effective adjuvant treatment methods, according to illness sooner or later, the patient's general condition and I will select appropriate and satisfactory treatment.
First, radiation therapy
Cervical cancer radiation therapy can be divided into: brachytherapy treatment and in vitro radiation therapy.
Radiotherapy is a closed cavity of radioactive sources close of a method of radiotherapy, characterized by a short distance from the treatment, in doses of radioactive sources around the big decline in the gradient, to give local tumor high-dose, to reduce the volume of the surrounding tissue.
Cervical cancer radiotherapy weaknesses:
① needs of the high cost of radiotherapy equipment and professional training of technical staff;
② about 2% to 5% of cervical cancer is not sensitive to radiation;
③ 5% to 10% of patients may be different degrees of bladder response to the rectum.
Second, chemical treatment
Chemotherapy is a systemic treatment, apply to the treatment of advanced cases. The past that chemical therapy on the efficacy of cervical cancer not ideal, a low response rate to ease the short period. For terminally ill, can only serve to reduce suffering and prolong the lives of palliative effect. In recent years, with new anti-cancer drugs continue to come out, the route of administration of the improvements, the combination of drugs, in the treatment of cervical cancer, chemotherapy has become an effective adjuvant therapy, can be used with advanced cases or surgery, radiotherapy Combined, can also be used for the treatment of recurrent cancer. Chemical substances can direct role in the tumor, some drugs can enhance the biological effects of radiation therapy.
Third, Chinese medicine treatment
Chinese medicine treatment of cervical cancer and the relationship is very close. Such as increasing efficiency detoxification, in medicine and surgery, radiotherapy and chemotherapy combination, to a certain extent, control and prevent the transfer of cancer. For surgery patients, many of the principles of the use Fuzhengquxie Syndrome Treatment.
For advanced or recurrent transfer, has not taken such as surgery and chemotherapy treatment of patients, the use of Chinese medicine in the conservative treatment, reduce suffering and prolong survival.
Early symptoms of cervical cancer was not obvious, as is confirmed in those more advanced, the disease again in the high incidence of elderly, frail older cases are not rare, pure radiotherapy and chemotherapy may unbearable, "of Yidugongdu" or Quxie inhibitory The drug also does not work. These attacks are a result of treatment, side effects, can only further damage the human body upright, adding to illness, and to the deterioration of conditions.
The "green non-toxic anti-cancer therapy" in Quxie tumor at the same time do not damage the human body upright. The therapy used for Bugan spleen and kidney, solid-term care, Fuzheng based, supplemented by heat Lishi, detoxification blood and people-oriented, the overall anti-tumor. Not only kill cancer cells with the performance of suppression, and immune to adjust and change the environment within the body, so that the body produce its own ability to contend with the cancer cells, while inducing cancer cells to reverse the normal cell differentiation, no drugs on the human body Side effects.
"Green non-toxic anti-cancer therapy" to raise the long-term effect of cervical cancer. Although cervical carcinoma in situ of the five-year survival rate was 100 percent, early invasive 5-year survival rate is 95 to 100 percent, but in advanced cervical cancer are not effective, so the total cervical cancer in the five-year survival rate of 59.8 percent. After the rehabilitation of the longer, the less recurrence, 10 fewer opportunities for the future recurrence, the overwhelming majority of relapse within three years. Surgery, radiotherapy and chemotherapy if it is "green non-toxic anti-cancer therapy" combination of both suppression or kill the remnants of cancer cells, but also improve the function of the viscera, enhanced physique, extended rehabilitation period, thereby enhancing the long-term effect of cervical cancer.
Syndrome Treatment
1, delay Liver Depression-gas
Main card: Wan bulging chest tightness, Xietong irritability, microgastropods pain, increased Leucorrhea, Wei Huang folder blood, vaginal bleeding folder stasis block, tongue or stasis An purple, white or moss thin Wei Huang, pulse Shibuya or string.
Treatment: Shugan Jieyu, Huashi detoxification
2, hot and humid stasis drug -
Main card: Daixia more Chibai phase of the color yellow as sepsis, or if meters Gan, Xingxiu blood, vaginal bleeding, Anzi or stasis block, I suffer Yangan, lumbar pain and microgastropods, they stem Sou yellow, She Hong Huang greasy moss, pulse, or the string slip a few.
Treatment: heat Huashi, detoxification Sanjie
3, liver-kidney yin deficiency
Main card: Yaoxisuanruan, Chibaidaixia the color yellow folder blood, vaginal bleeding, of multicolor red, moss or less Shehong-stripping, pulse breakdown or thin string.
Treatment: Nourishing the liver and kidney
4, spleen-deficiency
Main card: Shenpi weak, soft lumbar acid limbs, limbs, Wei Leng, lower limb swelling, and Leucorrhea Qingxi, collapsing in Louxia, tongue short of fat, Moss BAI Run, Shen Fine veins or Xiruo.
Treatment: Wenshen Jianpi, Quhan Sanjie.