Saturday, January 12, 2008
Phasing in the treatment of cervical cancer
Currently treatment for cancer three principles : appropriate therapy, individual therapy and treatment. Cervical cancer is no exception, and regulated individual treatment is particularly important. For cervical cancer, commonly used in surgery, radiotherapy or combined therapy. Individual treatment of cervical cancer program is based on the patient's clinical staging. World Union Obstetrics and Gynecology (FIGO) cervical cancer is 0, Ia1, Ia2, Ib1, Ib2. IIa, IIb, IIIa, IIIb, and IVa were categorized 11 stages. In addition, in determining treatment options should also be considered malignant tumor cells and its level with the surrounding organizations. For carcinoma in situ, should, as far as possible to remove lesions, and to minimize the reproductive function in young patients destruction. Ia1 period of cervical squamous cell carcinoma, can be just conization; Need to preserve the reproductive function, we can do hysterectomy. If the tumor has already violated local and lymphatic vessels, it requires the removal of pelvic lymph nodes. Ia2 period of cervical cancer should be done hysterectomy and removal of pelvic lymph nodes, together with radiotherapy. If the patients are very young, can consider retaining their ovary. For advanced cervical cancer, mainly in radiation therapy, combined with chemotherapy can control symptoms. For advanced cervical cancer therapy is the main treatment methods, but also the use of cytotoxic drugs for chemotherapy. Single-agent chemotherapy with cisplatin is most widely used, general needed combined with ifosfamide, paclitaxel chemotherapy drugs synergies. Patients receiving treatment should be aware of their clinical stage, and with the doctor and make an effort to get better results.
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