Cervical disease treatment

For some cervical diseases, when they first appear, they may be cervicitis, etc. At this time, it is relatively easy to treat cervical disease, and some drug treatments can allow patients to recover. However, as the disease continues to progress, cervical disease can easily develop into cervical cancer. At this time, it is more difficult to cure cervical cancer. Generally speaking, patients with cervical cancer can choose the following treatments.

treat

An appropriate individualized treatment plan is formulated based on comprehensive considerations such as clinical staging, patient age, fertility requirements, general condition, medical technology level, and equipment conditions. A comprehensive treatment plan is adopted with surgery and radiotherapy as the main treatment and chemotherapy as the auxiliary treatment.

1. Surgery

Surgery is mainly used for patients with early-stage cervical cancer.

Commonly used surgical procedures include: total hysterectomy; subradical hysterectomy and pelvic lymph node dissection; radical hysterectomy and pelvic lymph node dissection; para-aortic lymph node resection or sampling. Young patients with normal ovaries can be preserved. For young patients who wish to preserve their fertility, cervical conization or radical tracheectomy is an especially feasible option in the early stages. Different surgical procedures are selected according to the different stages of the patient.

2. Radiation therapy

Applicable to: ① patients in the middle and late stages; ② early patients whose general condition is not suitable for surgery; ③ preoperative radiotherapy for large cervical lesions; ④ auxiliary treatment for patients with high-risk factors found in pathological examination after surgical treatment.

3. Chemotherapy

It is mainly used for patients with advanced or recurrent metastasis. In recent years, surgery combined with preoperative neoadjuvant chemotherapy (intravenous or arterial infusion chemotherapy) has been used to shrink tumor lesions and control subclinical metastasis. It is also used for radiotherapy sensitization. Commonly used chemotherapy drugs include cisplatin, carboplatin, paclitaxel, bleomycin, ifosfamide, fluorouracil, etc.

Prognosis

It is closely related to clinical stage, pathological type, etc. Patients with lymph node metastasis have a poor prognosis. Cervical adenocarcinoma is prone to lymph node metastasis in the early stages and has a relatively poor prognosis. In summary, early treatment has a better prognosis.

prevention

1. Popularize cancer prevention knowledge, carry out sexual health education, and advocate late marriage and fewer children.

2. Pay attention to high-risk factors and high-risk groups, and seek medical attention promptly if you have abnormal symptoms.

3. Early detection and treatment of cervical intraepithelial neoplasia to block the occurrence of invasive cervical cancer.

4. Improve and give full play to the role of women's cancer prevention and health care network, carry out cervical cancer screening, and achieve early detection, early diagnosis and early treatment.