Cervical cancer is like other cancers. Once distant metastasis and systemic spread occur, the chance of surgery is lost. It is best to find it as carcinoma in situ. Carcinoma in situ of cervical cancer means that the cancer cells only occur in the cervical epithelial tissue when it is found, which is called stage zero.
The probability of timely detection of carcinoma in situ in the clinic is too low. Most patients go straight to stage 1, stage 2, stage 3 or above when they come to see a doctor. Moreover, cervical cancer is prone to lymph node metastasis in the early stages of development. Therefore, clinicians recommend that patients have regular examinations to detect cancer cells early.
When cancer cells are found, clinicians must take correct and scientific measures, either by timely surgery or palliative radiotherapy or chemotherapy. There is definitely more than one type of surgery.
When treating cervical cancer, clinicians attach great importance to staging, just like other cancers. To be more specific, cancer cells in different organs have their own spread routes, and each cancer has its own temperament.
The path of cervical cancer spread is not from the cervix to the uterus as most people imagine, but to the "cause" channel. The stage of cervical cancer is closely related to whether the cancer cells have invaded the "cause" channel. The "cause" channel is close to the pelvis and the rectum in anatomy, which leads to pelvic membrane metastasis at the end of the second stage of clinical cervical cancer, and results such as hydronephrosis due to compression of the kidney and rectal tumors will appear in the third and fourth stages.
Now, the metastatic tumor found in the patient's rectum can only be stage IV. The doctors at the table were quite surprised to hear what Dr. Zuo Liang said.
"Did the CT scan show that the patient has a tumor in the rectum?" Du Haiwei wanted to check the examination report with his own eyes.
When Wang Cui came to the hospital, she did not look like a terminal cancer patient. She was not thin, but slightly plump, and had no cachexia at all. The doctor was practical and would not say that Wang Cui was not a good person and did not follow science. Wang Cui loved her life and went to the hospital regularly for cervical smear screening.
After comprehensive judgment, everyone believes that some patients need to be admitted to the hospital for surgery.
...
...
If the surgery cannot be performed, the patient will not be admitted to the Department of Surgery but to the Department of Oncology. The initial physical examination done by the clinician after admission showed that the patient's condition may have been discovered relatively early, between the first stage, how could it suddenly be said to have metastasized to the rectum.
Too special a case?
Du Haiwei got the CT report and saw that it was just as Zuo Liang said, which stated that there was a foreign body in the rectum and it was suspected to be metastatic cancer?
Clinicians must not just take what the CT scan says as the truth, but must consider the patient's clinical performance. You should know that some CT doctors are afraid of missing something, and would rather write down all the possibilities and malignancies in the report to avoid the responsibility of missed diagnosis. In any case, it is the clinicians who make the final decision.
Zuo Liang went to get the CT film and prepared to hang it on the light board for his tutor to check.
Du Haiwei said that was not the case for now and asked other people present what they thought.
Knowing that the teacher wanted to test people, a group of practicing doctors kept silent and let the two interns answer the questions first.
Xie Wanying said: "You can consider doing a colonoscopy first. Colonoscopy is definitely clearer than CT. After taking the specimen, pathology is done. Pathology is the gold standard for determining whether it is cancer."
The doctors present were not surprised to hear her excellent answer, as they all knew that she was an excellent student.
For top students, the teacher would further increase the difficulty, and Du Haiwei asked her again: "What do you think is the possibility of metastatic cancer?"
"I think the probability is very small, it may just be a benign polyp. Her cervical tumor was small, and the rectal tumor was also small. She herself had no abnormal intestinal symptoms. However, colonoscopy before surgery is necessary to rule it out for the benefit of both the patient and the doctor."
Continue read on readnovelmtl.com
