How is cervical cancer treated?

Written by Gong Chun
Oncology
Updated on September 21, 2024
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Cervical cancer is one of the malignant gynecological tumors. The treatment approach should be based on a comprehensive assessment of the disease stage, the hospital's facilities, and the patient's condition, among other factors, to develop an integrated treatment plan. The principle of cervical cancer treatment primarily involves surgery and radiotherapy, supplemented by chemotherapy as an integrated treatment plan. The treatment should consider clinical staging, age, general condition, and the overall level of technology and equipment to develop an appropriate treatment method. It is important to focus on personalized treatment and the initial treatment.

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Written by Gong Chun
Oncology
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Late-stage symptoms of cervical cancer

The symptoms of advanced cervical cancer start with vaginal bleeding. In the later stages, the bleeding becomes irregular and possibly heavy. The second symptom is vaginal discharge. In advanced stages, due to cancerous tissue necrosis accompanied by infection, there can be a large amount of foul-smelling, watery, or purulent discharge. The third point about advanced symptoms depends on the extent of the cancerous area involved. Secondary symptoms may appear depending on the adjacent tissues, organs, and nerves affected, including frequent urination, urgency, constipation, swelling and pain in the lower limbs. When the tumor compresses or involves the ureter, it can cause ureteral obstruction, hydronephrosis, and uremia. In the advanced stages, patients may experience symptoms of systemic failure like anemia and cachexia.

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Written by Gong Chun
Oncology
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Cervical cancer indicators

The main indicators of cervical cancer are still the examination of the cervix and cervical canal tissues. There are obvious cancerous changes, and under the microscope pathological sections can show tendencies of cell carcinogenesis, or already developed cancer. The second is the cytological examination of cervical scrapings, which detects the presence of cancer cells. The third is the iodine test, where areas that do not stain after iodine staining indicate a lack of glycogen in the epithelium, suggesting possible lesions. The fourth is colposcopy, which may reveal suspicious cancerous areas, allowing for biopsy to confirm cancer cells. The fifth includes ultrasound, CT, MRI, etc., which can detect mass occupying lesions, all of which are indicators of cervical cancer. Of course, abnormalities in tumor markers are also considered, but the main reliance is still on the indicators from pathological examinations to determine if it's cervical cancer.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take for cervical cancer to develop?

Cervical cancer generally forms beginning with an infection of human papillomavirus (HPV), and it usually takes five to ten years to develop into cervical cancer. The vast majority of cervical cancer cases are caused by contact with HPV. If this virus continues to replicate in the body, it typically progresses to cervical cancer over a period of five to ten years. Therefore, cervical cancer screening is crucial for women. If regular check-ups are performed annually during this period, it is possible to halt the progression to cervical cancer and its precursors. Cervical cancer screening generally includes routine TCT (ThinPrep Cytologic Test) and HPV testing. These two tests can preliminarily screen for cervical cancer and precancerous conditions. If any abnormalities are detected, it is essential to undergo a colposcopic biopsy at a hospital, as biopsy is the gold standard for diagnosis.

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Written by Gong Chun
Oncology
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Self-exam method for cervical cancer

There aren't many methods for self-examination of cervical cancer. If symptoms such as vaginal bleeding or discharge occur, it is crucial to visit a hospital for a gynecological examination promptly. Of course, the diagnosis of cervical cancer should still rely on the examination by specialist doctors at hospitals. There are cytological examinations of cervical scrapings available, as well as examinations of cervical and endocervical tissue to confirm whether it is cervical cancer or not. Particularly, the examination of cervical and endocervical tissue is the main basis for confirming cervical cancer. Therefore, we should still undertake pathological examinations to confirm whether it is cervical cancer or not, rather than relying solely on self-examination to diagnose cervical cancer.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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latent period of cervical cancer

The latency period for cervical cancer is generally five to ten years. The occurrence of cervical cancer is mainly due to exposure to the human papillomavirus (HPV) in the body. Typically, this virus persists and replicates within the body, leading to cervical cancer and precancerous lesions. From the initial virus infection to the development of cervical cancer, it usually takes a vast majority about five to ten years. Furthermore, different types of virus infections lead to varying probabilities of cervical cancer. In general, if the infection involves types 16 and 18 of the virus, the likelihood of developing cervical cancer is particularly high. Therefore, if one is infected with HPV types 16 and 18, it is crucial to undergo a cervical TCT test. If necessary, a cervical biopsy is generally performed under colposcopy, followed by treatment based on the examination results. Thus, to prevent cervical cancer, it is essential for women to undergo regular annual cervical cancer screening.