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Cervical Cancer|Cervical Cancer

cervical2.png
子宮頸癌治療方式

1. Treatment method

(1) Surgery

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ Surgical therapy for cervical intraepithelial neoplasia:

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (1) Conical resection (conization): Surgical removal of the child Abnormal cone-shaped cells of cervical tissue.

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (2) Loop electrosurgical excision procedure (LEEP, loop electrosurgical excision procedure ): Abnormal cells are cut off with a coil that acts like a scalpel after being energized.

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (3) Simple hysterectomy (hysterectomy): this operation and The general benign disease (such as uterine fibroids, adenomyosis) hysterectomy is exactly the same. Surgical methods can be divided into traditional open hysterectomy and laparoscopic hysterectomy. The attending physician will discuss the appropriate surgical approach with you. Laparoscopic surgery can be discharged after about 3-4 days, while laparotomy can be discharged after 5-6 days.

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (4) Hysterectomy: hysterectomy is the cause of cervical cancer standard surgery. Since the scope of resection is larger than that of simple hysterectomy, the operation time is longer and there are more complications.

 

side effect:

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ Depending on the method of treatment and the extent of surgery, the course of treatment after treatment varies greatly . In the case of surgery, there are problems such as difficulty in exerting force on the lower abdomen and difficulty in going to the toilet when waking up. After the surgical wound is stabilized, the pain disappears and the range of motion can be expected to expand.

(2) Radiation therapy

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ Radiation therapy is a combination of high energy X-rays and gamma rays To harm cancer cells, and reduce the effects of cancer, is a method of exposing radiation outside the body and irradiating the cervix (inner part) through the vagina (inside the cavity). Radiation therapy can be used to treat cancer, or as an adjunct to surgery. In both cases, simultaneous radiation and radiation therapy combined with chemotherapy (anticancer drug therapy) has been shown to be more effective for cervical cancer than radiation alone.

side effect:

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ about 20~40% of patients may cause transient reversible Mild symptoms, such as: nausea, vomiting, diarrhea, abdominal cramps, frequent urination and irradiation of the affected area, dry itchy dark skin, these symptoms can be restored within one to three weeks after the end of radiotherapy; but after a few years, about 2 - 16% of patients may have chronic irreversible side effects, such as: cystitis, radiation proctitis, intestinal stickiness, etc.

 

(3) Chemotherapy

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ Anticancer drug therapy for cervical cancer, mainly with distant metastasis or relapse.   Several reports confirm the effectiveness of monotherapy or multidrug combination therapy mainly against platinum agents.

side effect:

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ Anticancer drugs affect not only cancer cells but also normal cells, especially Mucous membranes such as hair, oral cavity and gastrointestinal tract, bone marrow and other cells with vigorous metabolism are also easily affected, and side effects may occur such as hair loss, stomatitis, diarrhea, leukopenia and thrombocytopenia. In addition, symptoms such as nausea, heart palpitations and arrhythmias can occur, and the liver and kidneys may also be damaged.

2. Rehabilitation

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (1) There are no special restrictions on diet, the important thing is diet balanced.

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (2) Physical strength will decline after discharge from the hospital. Rest and avoid pushing yourself. It can start with walking and other exercises, and gradually increase according to the recovery of physical strength.

      _cc781905-5cde-319 4-bb3b-136bad5cf58d_ (3) Vaginectomy may cause sexual dysfunction.

For information on drugs related to cervical cancer, please refer to the Medical Assistant Blog

https://www.medicalsupporter.org/medicalblog/tag/cervical cancer

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