Palace, also known as endometrial cancer or endometrial cancer is a common malignancy of the female reproductive tract. And cervical cancer compared to age for 10 years or so, more common in women over the age of 50 the average age of onset was 59 years occurred in 75% of patients after menopause.
The characteristics of cervical cancer, clinical observation in recent years the incidence of cancer Palace significant upward trend, which may extend the average life expectancy of women, the increase in the susceptible population. In addition, on menopausal symptoms or no clear indication of the use of exogenous estrogen treatment have a certain relationship. Palace cancer etiology is not fully clear, but the findings may be related to the following factors: (1) not pregnant, not production, infertility. (2) obesity. (3) the excess of endogenous estrogen. (4) exogenous estrogen excess. (5), diabetes, high blood pressure. (6) Social and economic factors. Palace of these factors and the exact relationship between the cancer is still continuing inquiry.
Palace carcinoma is generally considered a benign to malignant evolution. The development process is:
Normal endometrial hyperplasia cystic hyperplasia adenomatous hyperplasia atypical hyperplasia and carcinoma in situ invasive carcinoma.
Invasive carcinoma clinically classified into diffuse and limited to two kinds:
(1) diffuse intimal layer along the spread of cancer tumors, may invade the lining of most or all, often has irregular polypoid, infiltrating primary later, the uterus is larger and earlier performance of the lesions along the uterine cavity down spread invasion and cervical canal.
(2) most of the limitations of adenocarcinoma cancer tumor Palace Palace at the end or beginning for the Department of sessile cornual or pedicle is crisp and soft surface can occur tumor hemorrhage, necrosis, ulcer or infection. This type of invasive primary lesion is small, but faster than the spread to the surrounding.
Cervical cancer characteristics, Palace the most common symptoms of cancer, abnormal uterine bleeding. Most found in menopausal or postmenopausal, showed bloody secretions or irregular vaginal bleeding. A bleeding sustainable one to two days to several months without recurrence. Vaginal bleeding in some patients before serous vaginal discharge. If there is infection, tumor necrosis, and was ignorant of the drainage gas odor. Neck block, you can form a cavity volume edition. If the bleeding occurs in pre-menopausal, can be expressed as dysfunctional uterine bleeding, menopausal bleeding so the patient can not simply be considered a benign disorder caused by endocrine disorders and should be routinely endometrial scraping samples to rule out malignancy. Can occur in patients with advanced lower abdominal pain, back pain, anemia and cachexia.
The characteristics of cervical cancer, early cancer Palace pelvic examination was normal uterine body size and traits are often normal. Uterus increases to a certain extent depend on the spread of the tumor, but more depends on the volume associated with uterine fibroids or uterine serving the greater the prognosis is worse in most cases. Of the above symptoms in postmenopausal women, the examination revealed no significant uterine atrophy, anti-cavity was full product version or should be suspected and the disease has clinical symptoms, especially those with infectious factors in women.
In addition to routine pelvic examination, but also do the following diagnostic tests:
(1) vaginal cytology;
(2) uterine cytology;
(3) biopsy examination;
(4), immunological tests, such as CAI25a;
(7) CT examination;
(8), MRI and so on.