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Cervical cancer is one of the most common cancers in women. If detected early, cervical cancer can be cured. In Vietnam, the rate of early detection of cervical cancer is high.1. Learn about cervical cancer?
The uterus is divided into 3 parts: fundus, body and neck, in which the cervix is located in the lowest part of the uterus. Cervical cancer occurs when normal cells in the cervix change into abnormal cells, which then grow and multiply without control. These new cells grow too quickly and create a tumor in the cervix.Most women with cervical cancer are detected and treated early with good results. In Vietnam, cervical cancer is often detected at a late stage. Cervical cancer can be detected early with regular Pap tests.
Treatment of cervical cancer is very complicated, depending on the location, stage of the disease, the pathological results, the patient's desire to have more children, there are the most reasonable treatment methods to protect health. health and reproductive health of patients. Currently, there are 3 methods to treat cervical cancer including: Surgery, radiation therapy (using high-dose X-rays or other high-energy rays to kill cancer cells), chemotherapy (using drugs to kill cancer cells). Often, surgery is done with chemotherapy or radiation to support and improve treatment.
Điều trị ung thư cổ tử cung rất phức tạp, tùy thuộc vào vị trí, giai đoạn bệnh, kết quả giải phẫu bệnh
2. Cervical cancer surgical methods
Surgery in the treatment of cervical cancer is a radical and effective method of cervical cancer treatment, which can remove the tumor from the body and minimize the possibility of recurrence.Surgery is available for most cases of cervical cancer. If cervical cancer is detected in stage 1 and effectively treated, the patient can completely get rid of this terrible cancer.
What is Wertheim Surgery? Wertheim surgery is a surgical removal of the entire uterus, upper third of the vagina, the organization of the lateral wall of the perineum, and the lymph nodes of the lateral pelvic fossa (removal or leave the ovaries depends on the age of the patient). ) to treat cervical cancer.
Indications: Cervical cancer stage Ia or Ib
Contraindications: Cervical cancer stage II or higher (requiring radiotherapy and chemotherapy before surgery)
Procedures:
Then 1: Laparotomy: Open the midline below the umbilicus, can be pulled above the navel if necessary, explore the entire abdomen. Stage 2: Dissection of the pelvic lymph nodes Cut the round ligament as far from the uterus as possible, close to the pelvic wall Uterine-ovarian ligamentectomy, if oophorectomy is indicated, cut the lumbar-ovarian ligament Open the peritoneum parallel to the direction of the external iliac artery Expose the ureter Dissect the iliac lymph nodes along the iliac artery external, external iliac vein, internal iliac artery, internal iliac vein to obturator fossa to obturator nerve 3rd stage: hysterectomy Open peritoneal leaflet in anterior sacral sac, lower bladder Dissection to ureter insertion of the bladder Uterine artery resection from the bifurcation of the internal iliac artery Cut the two utero-sacral ligaments, pushing the rectum down Complete hysterectomy from the vagina with excision Vaginal deep down 1 -2 cm Suture vaginal apex Check for hemostasis, check ureter, bladder Close abdomen according to anatomical layers
Phẫu thuật Wertheim là phẫu thuật cắt toàn bộ tử cung
To meet the needs of women's gynecological cancer screening For women, Vinmec International Hospital currently provides a package of screening and early detection of gynecological cancer, helping to detect 4 diseases early: cervical cancer, breast cancer, uterine cancer and cancer even if the patient has no symptoms.
The subjects who should use the Gynecological cancer screening and early detection package include:
Female customers, over 40 years old Customers wishing to be able to screen for pathology of breast-gynecological cancer (neck) uterus, uterus, ovaries) Customers at high risk of cancer – especially customers with a family history of breast cancer, gynecology Women of reproductive age, perimenopause Menopause and menopause Women are having symptoms of breast cancer, gynecological such as: pain in the breast, lump in the breast, bleeding outside of the menstrual period, abdominal pain, etc...
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
