宫颈癌的诊断和治疗演示文稿.ppt

Clinical Staging for Cervical Carcinoma Stage III Invasion is to the pelvic wall or lower third of vagina IIIA Pelvic wall is not involved IIIB Pelvic wall is involved; hydronephrosis or nonfunctioning of the kidney may occur because of tumor Clinical Staging for Cervical Carcinoma Stage IV Invasion is beyond to the true pelvis or to the mucosa of the bladder or rectum. IVA Spread is to adjacent organs IVB Spread is to distant organs How can we evaluate the patient? Age: treatment vary with the patient’s age Marriage statue Reproductive history：menstrual, contraceptive,Gynecologic,Obstetric Social history:sexually activity, social statue Family history: children, partner,parents Past medical history How can we evaluate the patient? General condition: pulmonary (Chest-x-ray) cardiac function (ECG) liver function renal function Special disorders: bleeding diseases, diabetes mellitus, and infection How can we manage the patient? Management of premalignant lesions: make definitive diagnosis selection of an appropriate mode of therapy 1. carbon dioxide laser 2. cryotherapy 3. electrocautery 4. loop electrodiathermy excision procedure (LEEP） 5. Conization 6. hysterectomy CERVICAL CANCER... Diagnosis ＆ Treatment CERVICAL CANCER... The most common malignancy in gynecological oncology Incidence: 7.8/100,000 Mortality: 2.7/100,000 Diagnosis: biopsy Main modality of treatment: surgery and radiation Goal of treatment: cure, except stage 4b Special Case 38 yrs, G3/P1, nurse C/O: postco