Uterine squamous cell

Uterine squamous cell carcinoma is a result that many people find out during examinations. However, based on this result alone, we have no idea what disease we have, so people become very worried and don’t know what to do. In fact, in this case, the first thing we should pay attention to is to regulate it through some methods to avoid possible complications, and also be careful about possible lesions.

examine

Cervical cytology examination is a basic method for early cervical cancer screening, and high-risk HPV DNA detection is used in combination for early screening. Patients with abnormal cytology and positive HPV DNA test should undergo colposcopy. Cervical biopsy is the most reliable method for diagnosing cervical cancer.

diagnosis

The diagnosis of early cases adopts a "three-step" procedure of cervical cytology and/or high-risk HPV DNA testing, colposcopy, and cervical biopsy, and the final diagnosis is based on histological diagnosis. If obvious lesions are found in the cervix during a gynecological examination, samples can be taken directly from the cancerous lesions. Patients with multiple positive cervical cytology tests and negative cervical biopsy can undergo cervical cone excision.

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. The general principle is to adopt a comprehensive treatment plan with surgery and radiotherapy as the main treatment and chemotherapy as the auxiliary treatment.

1. Surgery

Mainly used for patients with early 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.

2. Radiation therapy

It is suitable for patients in the middle and late stages; early patients whose general condition is not suitable for surgery; preoperative radiotherapy for large cervical lesions; and adjuvant 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.

prevention

Popularize cancer prevention knowledge and standardize cervical cancer screening. Early detection and treatment of cervical intraepithelial neoplasia can block the occurrence of invasive cervical cancer. Carry out cervical cancer screening to achieve early detection, early diagnosis and early treatment.