User: I have long had a 3 cm × 5 cm × 5 cm in size of uterine fibroids, the doctor told me to first see how it will increase the disease?

Shenzhen net gynecological gynecological experts: What is your age and Marital status? Menstruation what?

User: 47 years old, married after the birth to three children. Menstruation than before, and cycle more normal.

Shenzhen net gynecological gynecological experts: in the treatment of uterine fibroids, it is necessary based on the patient’s age, physical condition, with or without fertility requirements, and the size of uterine fibroids to develop programs, rather than, as some people imagine it: uterine fibroids to see the cut.

Now you are in Circuit menopause, that is, the saying goes, “menopause.” If the uterus was small (less than 2 months of pregnancy within the uterus), but it is no symptoms, usually without treatment, can be 3-6 months follow-up time – this is often said that doctors expect treatments.

If the uterus increased (about 2 months pregnant uterus size), symptoms of mild or not obvious, or the patient near menopause age and general condition not suitable for surgery, you can take medication.

If the uterus increased (greater than two and a half months pregnant uterus above), accompanied by noticeable symptoms, Kisaragi After many; Leucorrhea growth or sepsis or carrion-like vaginal discharge; abdominal pain, backache, lower abdominal bulge apparent or increased; there frequent urination, urination disorders, urinary retention and other symptoms of oppression, then we should consider surgical treatment.

As possible, the key is screening, early detection and treatment.

 

Emphasis on prevention and treatment of cervical precancerous lesions

Cervical cancer and human papilloma virus (HPV) infection has a clear relationship. We can say that Cervical cancer is the infectious disease is preventable, treatable and curable, it is because: â‘  to know the reasons for its occurrence; â‘¡ careful survey and followed up can be prevented; â‘¢ early diagnosis can be completely cured. Precancerous cervical lesions (cervical intraepithelial neoplasia, CIN) is a relatively long time-consuming process, making it into a non-intervention and treatment will increase the treatment of uterine fibroid disease do?

About Screening

Recently, the U.S. Comprehensive Cancer Network (NCCN) issued by 17 leading experts drafted norms that began screening time is after the commencement of sex life three years or so, no later than 21 years. The termination time is after the age of 70, to 10 years, three times more than satisfactory and normal cytology. Screening interval, the traditional cytological smears 1 per year; liquid-based thin-layer cytology France (TCT) every 2 years a second. After the age of 30 consecutive 3 times normal may be 2 ~ 3 years 1. U.S. FDA approved HPV DNA testing begins after 30 years of age, cytology and HPV testing intervals of not more than 3 years.

In 2003, China Cancer Research Foundation, the organization of expert discussions, launched in 2004 cervical cancer screening guidelines of the recommendations that in economically developed regions, screening start time of 25 ~ 30 years old, economically underdeveloped areas of 35 to 40 years old, high-risk groups should be sufficiently in advance. Closing is scheduled for 65 years. The interval is a time / year for 2 times normal, to extend the interval to 3 years; consecutive two times HPV î—° – î—±, extend the interval to 5 ~ 8 years.

Screening programs and methods are also different, with the best options are: to TCT, HPV testing; general programs: do the traditional Pap smear cytology, HPV testing; basic programs: mainly the naked eye, using 3% ~ 5% acetic acid staining (VIA), 4% ~ 5% iodine staining (VILI), and can “means that the rule check” (See & Treat), although not ideal, but economically underdeveloped or poverty-stricken areas is also very a good measure.

With regard to cytology

Is imperative that the implementation of Bethesda system î—° TBS î—± classification, conditional units, to implement the computer-aided diagnosis of cervical cytology technique (CCT), or TCT.

2001 TBS Category key points are:

Squamous cell lesions can be summarized as follows: atypical squamous cells î—° ASC î—±, including the significance of atypical squamous cells of undetermined (ASCUS) and not the exception intraepithelial lesions of atypical squamous cells (ASC-H); squamous intraepithelial lesion (SIL), including low-grade squamous intraepithelial lesion (LSIL) and high-grade squamous intraepithelial lesion (HSIL); squamous cell carcinoma (SCC).

Lesions on the glandular cells of the new classification to remove the non-specific meaning is not the typical glandular cells (AGUS), remained four  atypical glandular cells (AGC); tend to tumor atypical glandular cells (AGC-fn); neck carcinoma in situ (AIS); adenocarcinoma.