Transcript 子宫颈癌cervical carcinoma

子宫颈癌
cervical
carcinoma
目录
1、相关生词
2、子宫颈癌简介
3、病理变化
4、临床症状
5、发病机制
6、辅助检查
7、治疗
相关生词：
cervical carcinoma ['sɝvɪkl] [kɑ:si'nəumə]子宫颈癌
malignant tumor [mə'lɪgnənt] ['tju:mə]
恶性肿瘤
exfoliocytology examination on cervix of uterus ['sɝvɪks]
['ju:tərəs]
宫颈脱落细胞学检查
precancerous lesions [priː'kæns(ə)rəs] 癌前病变
squamous cell carcinoma ['skweməs] [,kɑ:si'nəumə] 鳞状细胞癌
adenocarcinoma [,ædɪnəʊ,kɑːsɪ'nəʊmə] 腺癌
erosive type [ɪ'rəʊsɪv] 糜烂型
cauliflower type ['kɒlɪflaʊə] 菜花型
infiltrating type [in'filtreitiŋ] 浸润型
ulcerative type ['ʌlsə,retɪv] 溃疡型
vaginal secretions [və'dʒainəl] [si'kri:ʃən] 阴道分泌物增多
hyperfunction [,haipə'fʌŋkʃən] 机能亢进
hemorrhagic leucorrhea [lju:kəu'ri:ə] 血性白带
erosion [i'rəuʒən] 侵蚀，腐蚀
pelvic nerve ['pelvik] 盆腔神经
infiltration or oppression [,infil'treiʃən] [ə'preʃən] 浸润或压迫
invade [ɪn'veɪd] 侵犯
hematuria [,hiːmə'tjʊərɪə] 血尿
bladder vagina fistula [və'dʒainə] ['fɪstjʊlə] 膀胱阴道瘘
pathogenesis [,pæθə(ʊ)'dʒenɪsɪs] 发病机制
human papilloma virus(HPV) [,pæpɪ'ləʊmə] 人类乳头瘤病毒
incubation period [,inkju'beiʃən] 潜伏期
fecundity [fi'kʌnditi] 多育
cervical laceration ['sɝvɪkl] [læsə'reɪʃ(ə)n] 宫颈裂伤
thinprep cytology test(TCT) [sai'tɔlədʒi] 液基薄层细胞检测
biopsy ['bai,ɔpsi] 活体组织检查
fertility [fə'tiliti] 生育能力
hysterectomy [,hɪstə'rektəmɪ] 子宫切除
internal lesions [in'tə:nəl] 内部病变
radiotherapy [,reɪdɪə(ʊ)'θerəpɪ] 放射疗法
recurrent [ri'kʌrənt] 复发的；周期性
chemotherapy [kemə(ʊ)'θerəpɪ] 化学疗法
metastasis [mɪ'tæstəsɪs] 转移
atrophy ['ætrəfi] 萎缩
reversal [ri'və:səl]逆转
prognosis effect [prɔɡ'nəusis] 预后效果
conservative treatment [kən'sə:vətiv] 保守治疗
curative effect ['kjurətiv] 疗效
Brief Introduction： Cervical
most common
malignant tumor of
carcinoma is the
the female reproductive
system, and the age of onset is 40—60 years old.
Cervical cancer is the leading cause of death in women
tumor about 50years ago. But in recently years, as the
promotion and popularizationon about exfoliocytology
examination on cervix of uterus, a lot of precancerous
lesions and early cancer get early prevention and
control, and compared with the past, advanced cancer is
significantly reduced, and 5 years of survival and cure
rate is significantly increased.
简介：子宫颈癌是女性生殖系统最常见的恶性肿瘤
之一，发病年龄以40~60岁居多。50年前，子宫颈癌
是女性肿瘤死亡的主要原因，近年由于子宫颈脱落细
胞学检查的推广和普及，使许多癌前病变和早期癌症
得到早期防治，晚期癌较过去明显减少，5 年生存率
和治愈率显著提高。
Pathological Change:
Squamous cell
carcinoma is more common than adenocarcinoma,
accounting for 80％~90％. There four types of
cervical carcinoma, erosive type, cauliflower
type, infiltrating type, and ulcerative type.
病理变化：以鳞状细胞癌居多，约占80％~90％，
其次为腺癌。有糜烂型、外生菜花型、内生浸润型、
溃疡型四种。
Clinical symptoms：1、Vaginal secretions increase. At
the beginning of the cervical carcinoma, cancer stimulate
cervical glands and the secretion function is
hyperfunction.
临床症状：1、阴道分泌物增多。初期由于癌的存在刺激宫颈腺体
分泌功能亢进。
2、Irregular vaginal bleeding .On the initial stage,there
is a small amount of hemorrhagic leucorrhea and contact
sex vaginal bleeding. After advanced cancer erosion large
blood vessels, can cause a large number of fatal vaginal
bleeding
2、阴道不规则流血
早期表现为少量血性白带及接触性
阴道流血，晚期癌肿侵蚀大血管后，可引起致命的大量阴道
流血。
3、Pain. Pain is the symptom of advanced cervical cancer.
The cause of pain is mainly because of the tumor
infiltration or oppression to pelvic nerve.
3、疼痛。为晚期宫颈癌的症状。产生疼痛的原因，主要是
由于盆腔神经受到癌肿浸润或压迫。
4、other symptoms.
When the advanced cervical
cancer invades urinary bladder, can cause
frequent urination, urinary pain or hematuria,
even causing bladder vagina fistula.
4、其他症状。晚期宫颈癌侵犯膀胱时，可引起尿频、
尿痛或血尿，甚至发生膀胱阴道瘘。
Pathogenesis：Cervical
cancer is caused by the
Human papilloma virus (Human Papillomavirus, or HPV).
HPV can be transmitted directly through the skin
contact,
which has more than ten years of incubation
period, so there is no symptoms on the initial stage.
In addition, it has a relation to early marriage,
fecundity, cervical laceration and so on.
发病机制：子宫颈癌是由人类乳头瘤病毒（Human
Papilloma Virus，简称HPV）引起的，HPV病毒可直接通过
皮肤接触传播，有十几年的潜伏期，故初期没有任何症状.
此外，还与早婚、多产、宫颈裂伤等有关。
Assistant examination:
1、HPV and TCT. HPV is the short for Human Papilloma Virus. And some
types of HPV can lead to cervical cancer.
TCT is the short for Thinprep cytology test, and it’s the most
advanced cervical cytology inspection technology in the world.
In addition, Ultrasonic phan inspection, laboratory examination, the
Diagnosis of X ray and biopsy are other common examinations.
辅助检查： 1、HPV检查和TCT检查。 HPV检查：HPV是指人乳头瘤状病毒，某些
类型的HPV可以导致子宫颈癌。
TCT检查：TCT是液基薄层细胞检测的简称，它是目前国际上最先进的一种宫颈癌
细胞学检查技术
2、超声显象检查
3、实验室检查
4、X线诊断
5、活体组织检查
Treatment：For the patients who never beared, generally
it needs to reserve fertility and regularly follow-up to
prevent recurrence. For the female who has given birth ,
the general consideration is hysterectomy.
治疗：对于未生育的患者，一般可以酌情保留生育能力，定期随
访防止复发；对于已经生育过的女性，一般考虑子宫切除。
1、The surgical treatment of the cervical cancer. For
early cerical cancer, the usually treatment is to remove
the internal lesions part; For middle-late cancer which
didn’t diffusion,
can consider hysterectomy and part of
its accessories.
子宫颈癌的手术治疗。早期的子宫颈癌，可以切除内部病变
2、Cerical cancer radiotherapy.For advanced cancer,
and recurrent carcinoma, generally didn’t consider
surgically removing completely, using radiation
therapy and chemotherapy. For hysterectomy patients,
can be as adjuvant therapy to put an end to the tumor
recurrence and metastasis.
子宫颈癌的放射疗法。 对于晚期癌，及复发癌，一般不通过
手术彻底切除，采用放射治疗及化疗。对于切除子宫的患者，
可在手术后，作为辅助疗法，杜绝肿瘤的复发与转移。
3、Cervical cancer of hormone therapy. The hormone
therapy treatment can make tumor atrophy, reversal.
For pulmonary metastasis or recurrence, advanced
cervical cancer patients, hormone treatment effect
is good.
子宫颈癌的激素治疗。采用雄激素治疗能够促使肿瘤萎
缩、逆转。对于肺转移、晚期或复发子宫颈癌患者，激素
治疗的效果较好。
For the cerical cancer treatment, though operation
method of body may damage to patients, but prognosis
effect is generally good. Hormone and radiation also
to have certain side effects, and they are
conservative treatment, there is still a certain gap
of the curative effect. Therefore, the treatment of
cervical cancer also needs according to the specific
condition of patients before make decision.
子宫颈癌的治疗，手术方式虽然对患者身体损害较大，但预
后效果一般较好，激素与放疗也有一定副作用，且为保守治疗，
疗效仍有一定差距。所以，子宫颈癌的治疗，还需要根据患者
的具体情况定夺。