Cervical polyp and cervical cancer differences

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 13, 2024
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Cervical polyps are generally visible to the naked eye during a gynecological examination, and after the removal of cervical polyps, there should be no bleeding. Cervical cancer, on the other hand, is different. With cervical cancer, abnormalities can be seen on the surface of the cervix or, even if not visible to the naked eye, can generally be detected through cervical cancer screening. There is no issue with patients with cervical polyps undergoing cervical cancer screening. For patients with cervical cancer, cervical cancer screening typically includes TCT and HPV testing. If these tests show abnormalities, indicating cervical cancer or precancerous lesions, a biopsy is generally required for further diagnosis. There is a difference between the two; after a polyp is removed, there should be no further bleeding; whereas with cervical cancer, continuous bleeding, irregular bleeding, and an accompanying odor can occur.

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How is cervical cancer treated?

The principle of treating cervical cancer is mainly through surgery and radiotherapy, supplemented by chemotherapy in a comprehensive treatment plan. Treatment should be based on clinical staging, age, overall condition, and a combination of technical level and equipment conditions to formulate an appropriate treatment plan. It emphasizes the individualization of treatment and the importance of initial treatment. Not everyone will have the same treatment plan; it should vary from person to person, with specific issues analyzed individually. Surgical options include extensive hysterectomy and extensive cervical resection. If cervical cancer is staged late, it should also be treated with radiotherapy, supplemented by chemotherapy. Nowadays, there are also targeted medications and immunotherapies to consider as part of the treatment options.

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Staging of cervical cancer

The clinical staging of cervical cancer mainly uses the FIGO system, which adopts the staging criteria of the International Federation of Gynecology and Obstetrics (FIGO). Staging should be performed before treatment, and once done it does not change after treatment. Since FIGO staging of cervical cancer primarily relies on pelvic examination, it emphasizes the necessity of this examination being conducted by two experienced gynecologic oncologists. If needed, a pelvic examination under anesthesia is performed to ensure the accuracy of the evaluation. So, how is the staging performed? It involves measuring the size of the cervical lesion, particularly the measurement of endophytic tumors, the infiltration of cervical tissue, and the status of pelvic lymph nodes, providing accurate information with the aid of radiological data, especially magnetic resonance imaging (MRI).

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Cervical cancer treatment

For the treatment of cervical cancer, it should be based on the patient's physical condition, nutritional status, pathological staging, and pathological type to develop a comprehensive treatment plan, rather than a general, single approach. The treatment principle for cervical cancer mainly involves surgery and radiotherapy, supported by a comprehensive treatment plan that includes chemotherapy. However, the treatment plan should be based on clinical staging, age, overall health, and consider the level of technology and equipment available to formulate a suitable treatment plan. It is important to focus on individualized treatment and the method of initial treatment. Therefore, each person is different, and treatments vary from person to person and disease to disease.

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Does cervical cancer cause anemia in the early stages?

Cervical cancer is one of the common malignant tumors in gynecology, and a small number of patients with cervical cancer may experience anemia in the early stages. This is because the main clinical symptoms of early-stage cervical cancer patients are mainly vaginal bleeding or vaginal discharge. As the amount of vaginal bleeding in patients with cervical cancer is not significantly related to the stage of the cancer, some patients in the early stages of cervical cancer may have a large amount of vaginal bleeding, which can lead to mild anemia. In some cases, patients may experience severe bleeding, which can lead to anemia-induced shock. For patients with cervical cancer, in addition to vaginal bleeding, some patients may also experience an increase in vaginal secretions and vaginal discharge. Young women may also experience an extension of the menstrual cycle and an increase in menstrual volume, all of which can cause anemia in patients clinically.

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Causes of cervical cancer

There are several causes of cervical cancer, such as having multiple sexual partners, premature birth, smoking, and early sexual activity, all of which could lead to cervical cancer. However, the main cause of cervical cancer is infection with HPV, the human papillomavirus. It has been scientifically proven that cervical cancer is caused by HPV infection. Therefore, this viral infection is the primary cause of cervical cancer. It is recommended that women of childbearing age undergo cervical cancer screening to check for any abnormalities in the cervix.