Posted on Jun 25, 2008 under all about cancer Knowledge, cervical cancer, treatment of cancer |
Temple neck Tu2 Pian4 can’t confirm a cancer
Open the words of column:At the out-patient service, the sufferer usually meet same of perplexity, the doctor will again and again relate the same of truth ……for making more reader detailed understanding each section of diagnosis and treatment present condition, also for helping a doctor in time universality defend a disease cure knowledge, the this report reporter will together visit patients at home with the Zhao of three A hospitals expert, from see a doctor the spot adopt to write special report way.
●Out-patient service:University of Peking three hospital gynecology
●Expert:Week Xian plum professor
●Reporter:Spring begins of
Invite good afternoon go to University of Peking three Xian plum professor together go out to diagnose, noon especially the idea ated a fix menu in restaurant-week professor to say afternoon of out-patient service would from 1:30 keep on to 5:30, so want to eat a little bit satisfied.While arriving to out-patient service at the right moment 1:30, week professor have already been surrounded by 5 sufferer, because of afternoon of number in the morning is finished hang, they are to come to request plus sign.Week professor this year 71 years old, she morning of the out-patient service is from the morning 8:00 has been see noon 12:30, in a hurry once had lunch, again beginning afternoon of out-patient service.But face a sufferer of again and again claim, week professor again patiently plused sign for everyone.
Active the person make an anti-cancer check many
Week Xian plum professor is our country the temple neck of the Zhao pathological changes expert, so, very big a part sufferer is because of temple neck anti-cancer check result have a problem to seek medical advice.Two year ago, when the reporter come to gynecology out-patient service, a deeper act of the impression BE, in the importance which again and again relate the temple neck anti-cancer check, the doctor persuade a sufferer to make check.Can this time come, I see of but is another some kind of prospects, a lot of all of sufferers is active to make check, include periodical come to reexamine of temple neck pathological changes sufferer, also have at outside check-up center check result abnormality, again come to hospital reexamination of sufferer, more is every year come to the sufferer of check-up.
To this, the week professor also have emotional stirrings ground to say:”Our country from the last century 50’s start promote a temple neck an anti-cancer check, most beginning, doctor demand spend plenty of time to the sufferer’do work’;Along with doctor of effort, the publicity of the medium, the last few years this kind of circumstance had obvious improvement.Originally of check the fee be 20 dollars, but persuasion everyone do check very difficult;Now of technique, material all forerunner, each check rose 150 dollars, can many people ability active request check.”
Make an anti-cancer a check not painful
A young sufferer ask:”Doctor, would making an anti-cancer a check be painful?”The week professor say with smile:”A time come to check of the sufferer all have this problem, in fact, this heel make the gynecology of normal regulations check is similar, not painful at all.”Week professor part say, part to already wait for at check the sufferer on the bed walk to, she let the sufferer lie good, peep the machine to the vagina to slightly push open, expose temple neck, then brush a time and soft hair to send to a temple neck, lightly revolve several turn, end, brush the hair which take to have a temple neck the cell to immerse to write sufferer’s name, pack good fix the bottle of liquid in, cover good cover empress send to check.The whole process come down, the sufferer have no the slightest uncomfortable of felling.
That world noon, having 2 sufferer have never made into an anti-cancer check, 1 is because of the day before yesterday evening used vagina to bolt treatment vagina burning, another was disheveled hair to menstruate now while make check.Week professor to everyone explanation say, for the sake of assurance take enough the cell of amount, sufferer before seek medical advice of can’t have sex life in 24 hours, vagina check, the vagina use a medicine, in order not to infection, assurance Tu2 Pian4’s quality, the menstruation had better also not make check.
Rightness”lump kind pathological changes” worry very much
“Although to be the person of check many, everyone is widespread to the result not understand, result in unnecessary dismay.”The week professor say.That world noon, she saw at least 20 patient, time of seek medical advice of each patient was about 15-20 minutes, however had a few time that the sufferer is diagnose room to stop over particularly long, take in their hand of report result is all “temple neck top the lump kind in the skin pathological changes”.”Lump kind pathological changes!BE a cancer?!”Face a many sufferer of worry, week professor 1 time all over the place to everyone explanation, temple neck anti-cancer check just to temple neck pathological changes of first step the Shai check, can judgment BE”normal”, be still”abnormality”, the latter include burning disease, temple neck before the cancer pathological changes and temple neck cancer, but can’t judgment whether connect down to still need to be do for the cancer further check, for example at vagina mirror instruction bottom line temple neck organization live check, and send pathology check, with explicit end of diagnosis.Still need to make a HPV(human milk head lump virus) examination when it’s necessary, adjudicate the dangerous degree of pathological changes.
Several sufferer ask:”Is the lump kind pathological changes what mean?”Week professor say, anti-cancer check of report more complications, also very profession, only the specialty doctor then can control every variety diagnosis of concrete meaning, and next treatment principle.Be a sufferer, need to be understand-be check result is”normal”, is to have no a problem;If is a burning disease, should carry on an anti- burning treatment;Rest of any result, all demand find a doctor to make further check.Everyone doesn’t want oneself to result carry on explanation, scare himself/herself with”cancer”, result in mental state burden.
Having a sufferer is three time to see a doctor, her live the check result as”before the cancer pathological changes”, therefore pressure very big.The week professor say to her:”Temple neck cancer of occurrence development is very slow-moving, general speak, from before the cancer pathological changes development about want into the cancer for 5-10 years, you at this period made an anti-cancer check, in time examination arrive pathological changes.Connect down, pass aggressive of with visit, treatment, complete probably stop a condition make progress, even converse for normal, this make the cancer is before didn’t°yet be real occurrence drive’shoot to death’, in fact is very lucky.”
Posted on Jun 19, 2008 under all about cancer Knowledge, cervical cancer |
The clinical performance of the temple neck cancer
A, symptom home position cancer early period gradually the cancer often have no symptom, many in the census detection.The main symptom of cervical cancer is a vagina to bleed, the vagina secretion increase etc. with ache.It performance of form and degree and cervical cancer pathological changes of sooner or later and the pathology type have certain of relation.
(A)the vagina secretion increase majority temple neck cancer the sufferer have the vagina secretion of dissimilarity degree to increase.Initial stage because of cancer of existence stimulate the temple neck gland body secrete function Kang into, creation glue liquid kind white take, along with cancer lump of development, cancer organization bad dead shed off and after hair infection, white take to become turbid, such as wash rice water kind or Nong kind to take blood, have special of smelly.
(Two)vagina anomaly bleed earlier period performance for a little amount guts white take and contact vagina bleed, patient often because of have sexual intercourse or have a bowel movement behind have a little amount vagina bleed come to seek medical advice.Rightness unique through empress appear vagina to bleed, should attention look for reason.The temple neck cancer vagina bleed usually very anomaly, general is first little behind many, hour many hour little.The type of condy-loma accuminata bleed early, the quantity be as well many, the later period cancer be swollen erosion big blood vessel after, can cause fatal of a great deal of vagina bleed.Because long-term of again and again bleed, sufferer usually after the hair is anemic.
(Three)the ache is a later period temple neck the symptom of the cancer.The reason of the creation ache, main is because the basin chamber nerve be subjected to a cancer swollen gradually or oppress.If shut bore nerve, Mao nerve, when the big blood vessel or pelvis wall implicate, can cause severity of ache, sometimes get down limb project.Other with the result that pain reason is:BE jam by the cancer lump inside temple neck tube, when the temple chamber endocrine thing lead to flow not Chang or formation temple chamber to accumulate Nong, appear the abdomen department ache;The cancer is swollen to infringe upon a temple a side organization, the urethra be subjected to oppress or gradually, can cause urethra or pelvis urethra to accumulate water, creation bulge pain or the spasm abdomen department one side or two side violent aches;The cancer is swollen to oppress Ka lymphoid, Ka blood vessel make the reflux get difficulty, can appear legs to swell with ache.
(Four)when the other symptom later period temple neck cancer infringe upon urine bladder, can cause urine Pin, urine pain or blood in urine, even urine bladder vagina happen Lou.BE press to jam such as two side urethras, then can cause urine to shut and urine poisoning disease, is death of one of the main reasons.When the cancer be swollen to spread to oppress or infringe upon rectum backward, often have inside nasty empress heavy, then blood or have a bowel movement difficulty, even formation rectum vagina Lou.
The later period cancer is swollen because of long-term consume can appear the quality of bad disease.
Two, the body advertise for and check earlier period temple neck cancer part naked eye observation can’t identify, most only have dissimilarity degree of debauched or slight of contact bleed, even have of the temple neck’s external appearance be smooth.The rightness is suspicious of or clinical already the ability recognize of temple neck cancer sufferer, should carry on careful of gynecology check and necessity of whole body check-up, in order to early do to visit patients at home to break with check pure cancer lump growth type and scope.
(A)gynecology check
1.outside Yin’s seeing to diagnose private parts outside the attention have already had no cancer lump.The later period patient accidentally has an outside the private parts to transfer.In addition, cervical cancer and outside the Yin cancer return can in the meantime existence.
2.peep a machine check to diagnose towards having vagina to again and again bleed, had better in advance point, first step understanding pathological changes scope empress again light and softly put go into peep a machine check, in order to prevent knock and break a cancer organization but cause big bleed.
Peep the main purpose is an understanding temple neck appearance, such as the Yi is a cancer lump, understanding it type, size, involve in temple neck and the scope of vagina, when it’s necessary part with 3% compound prescribe iodine liquid assistance check.
Earlier period cervical cancer part change not obvious, should line the temple neck pare off a slice of cytology check.Someone put forward two kinds of experiment a method assistance check:The ① organization brittleness experiment:With the probe head of diameter 2 ｍｍs lightly press press the temple neck suspicious district, and at temple neck surface slowly glide, such as light press can immediately insert a temple neck organization, mean here organization frailty, probably is cancer organization, take to live check confirmation;② Organization flexibility experiment:Because cancer organization of flexibility decrease or disappear, be use to press tongue plank or long lie down of forceps light press a temple neck surface, such as is cancer organization felling strong and tough, quality frailty but easy bleed.Normal organization of flexibility good, after ran over very quick namely instauration original of shape and color and luster.
3.the vagina diagnose with the index finger from the vagina to inside touch all vagina wall, the temple neck surface and temple neck tube department, attention the quality, the cancer lump scope and fingerstall didn’t take blood etc..
4.the double match to diagnose in addition to the pathological changes of ability understanding cervix, return can understanding womb size, quality, movable degree and two side enclosure and temple side have have no lump, increase thick with press pain.
5.three match to diagnose attention front the rectum whether wall is smooth or not, vagina Houpi of flexibility, temple neck tube of thick thin with degree of hardness, temple neck side lord ligaments and Mao ligaments increased thick, become hard, flexibility disappear and knot stanza, and basin the wall have have no cancer swollen gradually, transfer swollen lymphoid knot etc..Three match to diagnose a check is assurance temple neck the cancer be clinical cent period indispensability of step.
(Two)whole body check to temple neck cancer the patient carry on a whole body check-up is necessity of, not only can understanding have a focus that have no distance’s transfer, and for establishment treatment the project provide basis.Later period patient’s check-up, should attention Ka nest, stomach ditch and lock bone top lymphoid knot have have no swollen big, the kidney can touch, the kidney area have have no Kou shot pain etc..
(Three)other ssistance check for further understanding cancer lump proliferation, transfer of part and scope, should according to concrete the circumstance carry on some necessity of assistance check, such as chest see through or shoot a slice, urine bladder mirror, rectum mirror, vein pelvis to build shadow, lymphoid build shadow and isotope kidney diagram check etc.. Live a body organization pathology check is diagnosis cervical cancer of most credibility of basis, whether the cancer lump have to pass to live check assurance diagnosis sooner or later or not.Because some temple neck pathological changes very much resembling moeba temple the neck be burning, unless live check hard confirm.Furthermore organization slice check return can get the cancer change category and it divide degree.
