Cervical cancer, like other cancers, once distant metastasis and systemic spread occurs, it is equivalent to losing the chance of surgery. It is best to find it as carcinoma in situ. Carcinoma in situ of cervical cancer means that when the cancer cells are discovered, the cancer cells only occur in the cervical epithelial tissue.
It is called the zero period.
The clinical probability of timely detection of carcinoma in situ is too low. More often than not, patients go straight to stage 1, 2, and 3 or above when they come for treatment. Moreover, cervical cancer is already prone to lymphatic metastasis in the early stages of development. Therefore, clinicians encourage patients to
Regular examinations are required to detect cancer cells early.
When cancer cells are discovered, clinicians need to perform correct and scientific treatment, either timely surgery or palliative treatment with radiotherapy and chemotherapy. There is certainly not just one type of surgery.
When treating cervical cancer, like other cancers, clinicians attach great importance to staging. To be more specific, cancer cells in each organ have their own diffusion route map, and they are cancers with different characteristics.
The path diagram for the spread of cervical cancer is not the path from the cervix to the uterus as most people imagine, but the path of spread from the cervix to the uterus. At this point, the stage of cervical cancer is closely related to whether the cancer cells have invaded the "cause" path. "Cause"
"The tract is anatomically close to the pelvis and adjacent to the bladder and rectum, which leads to clinical cervical cancer pelvic metastasis at the end of the second stage, and results such as compression of the bladder, hydronephrosis, and rectal tumors in the third and fourth stages.
Nowadays, it is said that the metastatic tumor found in the patient's rectum can only be stage IV. The doctors on the table were quite surprised after hearing what Dr. Zuo Liang said.
"The CT said there is a tumor in the patient's rectum?" Du Haiwei wanted to check the examination report with his own eyes.
When Wang Cui came to the hospital, her body shape was not like that of a terminal cancer patient. She was not thin, slightly fat, and had no symptoms of cachexia at all. The doctor was practical and would not say that it was because Wang Cui was not a good person and was not scientific. Wang Cui went to the hospital regularly for cervical scrapings.
Screening.
After comprehensive judgment, everyone believed that some patients were admitted to the hospital after surgery.
If the operation is inoperable, it will not be admitted to the surgery department but sent to the medical oncology department. After admission, the clinician's preliminary physical examination showed that the patient's condition may have been discovered more promptly and was in the first stage. Why was it suddenly said that it had metastasized to the rectum?
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Too special a case?
Gu Cict report Du Haiwei got it. See it above. As Zuo Liang said, he wrote a report that there was a foreign body in the rectum and it was suspected to be metastatic cancer?
Clinicians definitely can't just tell what CT scan is, they have to look at it based on the patient's clinical performance. You must know that some CT doctors are afraid of omissions and are willing to write all possibilities and malignancies in the report to avoid the responsibility of missed diagnosis. Anyway, in the end there will be
Clinicians check.
Zuo Liang went to get the CT scan and prepared it on the hanging light board for the instructor to check.
Du Haiwei said no need for now and asked other people present what they thought.
Knowing that the teacher wanted to test people, a group of practicing doctors said nothing and let two interns answer the questions first.
Xie Wanying said: "You can consider getting a colonoscopy first. Colonoscopy is definitely clearer than CT. After taking the specimen and doing pathology, pathology is the gold standard to determine whether it is cancer."
The doctors present were not surprised when they heard her excellent answer. They all knew that she was a top student.
When dealing with top students, the teacher would further increase the difficulty. Du Haiwei asked her again: "What do you think is the possibility of metastatic cancer?"
"I think the probability is very small, it may just be benign polyps. Her cervical tumor is small, and the rectal mass found is also small. She has no abnormal intestinal symptoms. However, a preoperative colonoscopy is required, and it is good for the patient to exclude it.