Late-stage symptoms of cervical cancer

Written by Gong Chun
Oncology
Updated on September 04, 2024
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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 screening

For the examination of cervical cancer, it should be based on medical history and clinical manifestations, especially for people with contact vaginal bleeding, a detailed general examination and gynecological examination should be conducted, and an examination of cervical biopsy tissue is needed for diagnosis. What specific examinations are there? There are cervical scrape cytology tests, iodine tests, colposcopy, examination of cervical and cervical canal tissue, as well as post-surgical cervical conization, and examination of postoperative specimens. Therefore, there are indeed many examinations, including some radiological assessments such as enhanced CT, PADCT, MRI, and other such tests.

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Written by Gong Chun
Oncology
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How is cervical cancer treated?

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 Yan Qiao
Obstetrics and Gynecology
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Does cervical cancer hurt?

For patients with cervical cancer, the most common clinical manifestations are bleeding during sexual intercourse and irregular vaginal bleeding. Patients who have undergone menopause may also experience irregular vaginal bleeding post-menopause, and some patients may not show any clinical signs at a very early stage. As the cancer progresses, and when it invades nearby organs and metastasizes, it may cause lower abdominal distension and pain, and even more severe pain if the metastatic organs compress nerves or directly invade areas containing nerves.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Cervical cancer symptoms

Cervical cancer generally has no symptoms in its early stages. In advanced stages, symptoms become more obvious. In the early stages, signs may include increased vaginal discharge, bleeding after sexual intercourse, or discharge containing blood streaks, typically without abdominal pain. In advanced stages, there might be irregular vaginal bleeding or heavy bleeding, and sometimes the secretions may appear like rice-wash water. If an infection occurs, there can be a foul smell, and pain in the lower abdomen may be felt, indicating the cancer has progressed to a late stage. Therefore, if there is an increase in discharge or bleeding after intercourse during the early stages, it is crucial to promptly visit a hospital for examination.

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Written by Li Lin
Obstetrics and Gynecology
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How is cervical cancer checked?

Cervical cancer screening begins with testing for the human papillomavirus (HPV) and a cervical cytology smear test. If abnormalities are found in these tests, a colposcopy examination is needed. Under colposcopy, suspicious cancerous areas are selected for a cervical biopsy, and the cervical tissue is sent for pathological sections. Based on the results of the pathology sections, it is determined whether the condition is a precancerous lesion of the cervix or cervical cancer. If cervical cancer is present, a clinical doctor must perform a gynecological internal examination to determine the stage of the cervical cancer, and then choose a treatment plan.