Women of childbearing age encounters cervical cancer, and successfully retain fertility after surgery

Recently, Ms. Zhang (pseudonym), 35, encountered the problem of early cervical cancer. Cervical cancer screening found that HPV18 and 52 were positive, TCT abnormalities. The final diagnosis was differentiated adenocarcinoma in cervix. Although Ms. Zhang has a son, she loves her children very much. She has been working hard for the "second child". I heard that the traditional cervical cancer root treatment will remove the uterus. The news caused Ms. Zhang to collapse. She hopes that both cervical cancer can also retain fertility. Is there no way to do both beauty?

Director Li Dacuo's team surgery.

After asking for many parties, Ms. Zhang found the team of Li Dacuo, the gynecology department of Nanjing Maternal and Child Health Hospital, hoping that cervical cancer surgery could be performed without the fertility function. In order to solve the need for patients' strong requirements to retain the fertility function, Director Li Dacou's surgical team conducted a strict and detailed preoperative evaluation.

"While treating the patient, we must also consider the future life of the patient." Director Li introduced that the surgery adopted the carefully designed gland root treatment cervical removal+uterine sacral ligament suspension+cervical ring tie operation. Remove the tumor. It retains fertility and improves the quality of life, and has achieved the purpose of the two all the best through this operation.

On the day of discharge, Ms. Zhang expressed heartfelt thanks to the doctor and nurses of the 12th ward. She and her family were very satisfied with the operation of the surgery. "When I am pregnant with the second child, I will definitely come to the maternal and children's baby!" Ms. Zhang happily Say.

Director Li has soared, and cervical cancer is one of the common gynecological malignant tumors. Although the incidence and mortality of cervical cancer have declined in recent years, the composition ratio of young cervical cancer (<35 years old) has increased. For young patients, whether it affects fertility has become a big problem. In recent years, the chief team of the Gynecology Department of Nanjing Maternal and Child Health Hospital has visited a number of patients with many such patients, while keeping their fertility while saving them!

So in the face of malignant tumors, life or fertility? Director Li Dacuo said that early evaluation of cervical cancer retention of fertility function is important, and surgery taboos need to be excluded. If you need to recommend a conservation surgery to the reproductive medical specialty consultation assessment or conduct a multi -disciplinary team (MDT) evaluation. Evaluation contents include gynecological examination, conventional blood tests, fertility examination, imaging examination, etc.

The treatment of fertility function is limited to young patients with early cervical cancer, and the maximum diameter of the tumor is ≤2cm. Patients must have a desire to retain fertility function. Special tissue types in cervical cancer such as small cell nerve endocrine cancer and gastric adenocarcinoma are not suitable for retaining fertility.

At present, the incidence and mortality of the "two cancers" in my country still show a rise. Here, Director Li Dacuo called on female friends to pay attention to the screening of two cancers to achieve early, preventing early prevention, and early treatment.

Correspondent Wang Ningyan

Reporter Sun Sujing

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