Symptoms of cervical adenocarcinoma

summary

Cervical adenocarcinoma comes from the cervical canal and infiltrates the wall of the cervical canal. Cervical adenocarcinoma is rare compared with squamous cell carcinoma. It was reported that cervical adenocarcinoma accounts for 15% - 20% of cervical squamous cell carcinoma. Cervical intraepithelial neoplasia (CIN) is a precancerous lesion of cervical squamous cell carcinoma, but for cervical adenocarcinoma, whether there are precancerous lesions is still controversial; Tell us about the symptoms of cervical adenocarcinoma.

Symptoms of cervical adenocarcinoma

1. Precancerous lesions of cervical adenocarcinoma in situ often lack of special clinical manifestations, asymptomatic or showing cervicitis, which is confirmed by histopathological examination.

2. The clinical manifestations of microinvasive adenocarcinoma are 15% - 20% of patients with cervical microinvasive adenocarcinoma have no symptoms. The main symptoms are increased vaginal secretions, sometimes watery or mucinous, followed by abnormal vaginal bleeding, often sexual bleeding. Cervical erosion can be different degrees, or polypoid, papillary, about 1 / 3 of patients with normal appearance of the cervix.

3. The clinical manifestations of invasive adenocarcinoma of the cervix are similar to squamous cell carcinoma of the cervix. It is reported that 15% - 20% of cervical adenocarcinoma are asymptomatic. Shanghai Medical University obstetrics and gynecology hospital reported 109 cases of cervical adenocarcinoma, 13 cases were asymptomatic, accounting for 11.9%. Gallu reported that 3 cases (8.6%) were asymptomatic. In symptomatic patients, abnormal vaginal bleeding and leucorrhea increased. According to the extent of the lesion and the organs involved, a series of secondary symptoms, such as pain, anal distension, anemia, urinary symptoms, etc., appeared in patients with advanced stage. Rutledge reported 219 cases of cervical adenocarcinoma. The common symptoms were as follows: 159 cases (72.6%) had abnormal vaginal bleeding; 28 cases (12.8%) had vaginal discharge; Pain occurred in 11 cases (6.9%); Other 6 cases (2.7%); 15 cases (6.9%) were asymptomatic.

matters needing attention

(1) Cervical cancer is caused by stagnation of Qi and blood, condensation of phlegm and dampness, and accumulation of toxic heat. Fat, greasy, mellow, pungent and fragrant food, fried and fried food with damp, phlegm, dry heat and easy bleeding should be forbidden. (2) when the patient's leucorrhea is watery, he should avoid eating raw and cold food, fruits, cold food and hard and indigestible food; When it is sticky and smelly, don't eat greasy food.