In recent years, about the news that the stars died from cervical cancer reported repeatedly in the newspaper, and it has become the youth oriented tendency. Although cervical cancer’s accurate cause of disease is unable to be concluded, but can be affirmed that, it is related with its nurtures, the prolificacy, the cervical erosion, the sexual intercourse frequency, the wrapper with the early marriage to be filthy early, sex hormone being out of balance and the virus and so on various many factors.
Cervical cancer also calls the carcinoma of cervix, which is refers to occurs or divides and hyphenates a word at the end belt’s squamous cell and the cervix of the uterus tube internal membrane columnar epithelium cell intersection point malignant tumor in the cervix of the uterus vagina department. Because the spot it occurs and the application of the vagina cytology inspection, cervical cancer may be found the earlier and prevented positively , and the treatment result is good. In recent years the disease incidence rate and the mortality rate had the large scale drop. Cervical cancer belongs to the Chinese medicine “the uterine bleeding”, “morbid leucorrhoea”, “five inked ribbons” and so on categories.
Cervical cancer often have no obvious symptom in the early time , occasionally has the contacting hemorrhage after the sexual intercourse or the woman examines, distinguishes not obviously with the chronic cervicitis, even the cervix of the uterus is sometimes smooth, especially in elderly women that cervix of the uterus already atrophy. Because the infection of the certain cervical canal cancer patient located at the cervical canal, the vagina department cervix of the uterus outward appearance performance is normal, is neglected easily to be leaks examined or misdiagnosed. Once the symptom appears, many have achieved the mid and late stage.
Carcinoma of cervix’s cardinal symptoms are the vagina bleed, the vagina secretion to increase with the ache and so on. Its performance’s form and the degree and the carcinoma of cervix pathological change sooner or later and the pathology type will have certain relations.
1. the vagina secretion increases: The majority cervical cancer patients have the varying degree vagina secretion to increase, which occurs before the colporrhagia. The initial period as a result of cancer’s existence stimulation cervix of the uterus gland secretion function hyperfunction, produces the mucoid leucorrhea. These early time’s secretion may any smell. But along with the cancer lump growth, the cancer lump following not send the infection, necrosis secretion quantity to increase. And along with the cancer lump’s development, the cancer organizes necrosis to fall off and following sends the infection, the leucorrhea changes muddy, such as the water that washing the rice sample or the puriform belt blood, which has the special odor.
2. The vagina bleeds anomalous: This is the cervical cancer patient’s cardinal symptoms (80%~85%), particularly after the menopause colporrhagia should bring to the attention.
The early performance bleeds for the few courage and uprightness leucorrhea and the contacting vagina. It starts often after the sexual intercourse, the bowel movement, the activity or the gynecological examination bleeds. In initial period many for few, and stops voluntarily frequently; To the later period infection greatly performance was the abundant hemorrhage, so that even measured many like flushes the shock threat life, saw the tumor which grew in corrosiveness.
The young patient may display for the menstrual period lengthens, the menstrual cycle to reduce, increases and so on after the quantity, the old age patient often displays after the menopause the vagina bleeds, quantity either few or many. After the menopause presents vagina bleeding, should pay attention to seek for the reason.
Cervical cancer vagina bleeds extremely is often anomalous. Generally it is few many are first , and sometimes many sometimes few. The cauliflower cervical cancer hemorrhage early, the quantity are also many, after later period cancer corrodes the trunk, may cause the fatal massive vaginas to bleed. As a result of the long-term repeated hemorrhage, the patient following sends anemia frequently.
3. Ache: For later period cervical cancer’s symptom. The reason for ache, is mainly because the pelvic cavity nerve receives cancer to infiltrate or the oppression.When the nervus obturatorius, the shinbone nerve, the trunk or the pelvis wall exhaust oneself, it may cause the serious ache, sometimes to lower limb emission.
The Other reasons cause the ache are: the cervix of the uterus tube was blocked by cancer lump. when the palace cavity autocoid substance drainage impeded or forms the palace cavity empyema, causes the underbelly ache; cancer infringed the organizations nearby the Womb , when the ureter receives the oppression or the infiltration, may cause the ureter or the renal pelvis ureter water, causes the painfully swollen either saccadic underbelly one side or the both sides fierce ache; Cancer oppresses qia the lymph, qia the blood vessel and make the backflow blocked, may present the lower limb swelling and the ache.
4. Other symptoms: Because the tumor increases, may have each kind of oppression symptom. The ache is one of common oppression symptoms, and its formation rate is 41.1%, which is seen in the patient of Ⅲ,ⅣTime.
In addition, it may appears a series of sequela shape according to the infection infringement’s internal organs; If the infection infringed the pelvic cavity knot contracts the organization, the pelvis wall, oppressed the ureter, the rectum and the sciatic nerve, the oppression symptom commonly to behave are hypogastralgia, the lumbago, frequent micturition, the urgency of urination, the anus fall the bulge feeling, the tenesmus, the lower limb to be swollen and painful, the sciatica and so on; The cancer stove oppresses or encroaches upon the ureter,seriously causes the ureter obstruction, the hydronephrosis, the kidney function harm and so on, finally causes uremia to die. Besides following sends like general symptoms and so on uremia the general symptom patient to the later period, often appears the clinical manifestation that becoming emaciated, anemia, giving off heat, the whole body failure, cachexia and so on .
The shift symptom besides the lymph shift, sees much in the lung shifts, the liver shift and the bone shift.The shift spot is different, the symptom which appears is also different. the collar bone the lymph node shift is quite common, and presents the tubercle or the tumour in this spot. The cancer lump infiltration may proliferates through the blood vessel or the lymphatic system to the distant place organ presents the corresponding spot the shift stove, and corresponding symptom.
The female who suffers from cervical cancer, the symptom should not be different because the time is different. The early cervical cancer partial cannot be distinguished by visual observation, and most only has the varying degree erosion or the slight contacting hemorrhage, even some cervix of the uterus outward appearance is smooth. The later period body surface lymph node is tumescent, and the body surface is occasionally obvious to shift the cancer stove. Gynecological examination obvious pelvic cavity masculine symptom.
To suspicious or clinical already cervical cancer patient who can identify, should carry on the careful gynecological examination and the essential whole body physical examination, with the aim of making early diagnoses and investigating thoroughly the cancer lump growth type and the scope.
A. Gynecological examination
a. The vulva regards examines
Through the examination to found whether there is cancer lump in the vulva. The later period patient occasionally has been found the genitals to shift. In addition, the carcinoma of cervix and the vulva cancer may also also exist.
b. Vaginoscopy
To the female who has the matter that vagina repeatedly bleeder, best refers to advance examines, after understanding the pathological change scope, then puts in the speculum inspection gently again, in order to avoid bumps into and injures the cancer organization to cause the massive hemorrhage. The main purpose of the peeping is to understand the cervix of the uterus shape, like doubts is the cancer lump, to understood its type, the size, implicate the cervix of the uterus and vagina’s scope, when the necessity spreads partially by 3% compound solution of iodine fluid auxiliary inspection.
The early carcinoma of cervix partial change is not obvious, ought to do the cervix of the uterus to blow the piece cytology inspection. Somebody propose two kind of testing method auxiliary inspection:①Organization fragility test: Searches the needle by diameter 2mm to hold back the cervix of the uterus suspicious region gently, and skids slowly in the cervix of the uterus surface, if the light pressure then inserts the cervix of the uterus organization, indicated that the rganization here is crisp, possibly organizes for the cancer, so should to take the biopsy confirmation; ②Organization elasticity test: Because the elasticity of the cancer organizes drops or vanishing, when press cervix of the uterus surface lightly with tongue depressor or long tweezers’ to the end ,if organizitions for the cancer to feel hardly, the nature crisp and easy to bleed. Normal tissue’s elasticity will be good, it will be very quickly to restore the original shape and the luster afte pressing it.
c.Cloudy Dow Jones Index examines
Touches the complete vaginal wall, the cervix of the uterus surface and the tube department by the index finger from the vaginal orifice inward, to attend the quality of material, the cancer lump scope and whether the finger cot bring the blood and so on.
d. The doublet examines
Besides it can understand the cervix the pathological change, but also can understand the womb size, the quality of material, the activity as well as whether there are the tumour, the accumulation and the tenderness nearby the both sides appendix and the womb.
e. Three gather examines
To attend whether the rectum front board is smooth, the vagina behind’s elasticity, the cervix of the uterus tube thick thin and degree of hardness, whether there is accumulation, stiffen, elastic vanishing and the tubercle feeling, nearby the cervix of the uterus the main ligament and does the shinbone ligament; as well as whether there is cancer infiltrate, the lymph node which has been shift and tumescent and so on. Three gather examines the inspection is determines cervical cancer clinical by stages the essential step.
B. General physical checkup
It is necessary to carries on the whole body physical examination to cervical cancer patients. It is not only can understand whether there is shift infection to the distant place, but also can provides the basis for the formulation therapeutic schedule. When later period patient physical examination, should pay attention to qia on the nest, the inguen and the collar bone the lymph node to be whether there is tumescent, whether does the kidney touch, whether there does the kidney area knock on strikes the pain and so on.
C.Other inspect auxiliary
To further understand that the cancer lump proliferation, the shift spot and the scope, should act according to the special details to carry on certain essential auxiliary inspection, like the chest perspective or absorbs the piece, the cystoscope, the proctoscope, the vein renal pelvis radiography, the Palestinian radiography and the isotope kidney chart inspection and so on. The Living specimen Organization pathology inspection diagnoses carcinoma of cervix’s most reliable basis, regardless of the cancer lump sooner or later will probably through the biopsy determination diagnosis. Because some cervix of the uterus pathological change resembles the amoeba cervicitis, if not the biopsy diagnoses with difficulty. Furthermore the tissue slice inspection may also result in the cancer category and the split up degree.
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