After learning that he was infected with human papillomavirus (HPV), many women immediately felt fear of cervical cancer . So, eliminating HPV became the most important battle in their lives.
Any means that may turn HPV into negative form will be sent to the field. Merchants use marketing methods to boast that "some gel can turn HPV into shade." Many women believe it deeply. Is it useful? How to correctly face HPV infection with ?
This issue invites Party Secretary of the Obstetrics and Gynecology Hospital Affiliated to Zhejiang University School of Medicine and Specialties for Gynecology oncology academic leader Lu Weiguo , Director of the Cervical Disease Diagnosis and Treatment Center Fu Yunfeng , to help you understand HPV and eliminate cervical cancer!
infection with HPV is like catching a cold, and it is very common
According to statistics, more than 80% of women have been infected with at least one or more HPV in their lives. Infection with HPV is like catching a cold. For most people, it is easy to come and go. 90% of infected people will remove within two years. Only persistent, high-risk HPV infection is the cause of cervical cancer, and this type of population accounts for 1%.
Check
Female friends found that HPV was positive during the physical examination. What kind of examination should they go to the hospital for?
don't have to worry about
First of all, you don't have to worry about it. You often see positive HPV reports in clinical physical examinations. In fact, most of them are transient transient transient infection of states. Only a small number of people who have been infected for many years may have precancerous lesions, and very few people who have actually detected cancer.
colposcopy
colposcopy or colposcopic biopsy is a very important step in the prevention and control of cervical cancer, and its trauma is relatively small.
Treatment
So, after colposcopy, what should we do further treatment?
histochemistry report
sent a pathological examination after colposcopic biopsy to obtain a histological report. It is now stipulated that cervical intraepithelial neoplasia is referred to as CIN in English, divided into CIN1, CIN2 and CIN3. After 2014, CIN2 and 3 were classified as HSIL (high-level intraepithelial neoplasia), while CIN1 is not a precancerous lesion , so if CIN1 is shown in histological report, then this is not a secondary disease and does not require treatment.
standardized treatment flow chart
The above picture is a guided flow chart for standardized rectification, which is basically carried out in clinical practice. It is an expert consensus formulated by the Cervical Colposcopy Pathology Association of the Chinese Eugenics Association (CSCCP) and is quite universal.
HSIL (high-grade intraepithelial neoplasia lesions) graded
The HSIL (high-grade intraepithelial neoplasia lesions) mentioned above are also divided into 2 and 3. If the diagnostic report shows 3, it must be treated. It belongs to the most serious level of precancerous lesions of .
If it is 2, treatment is generally recommended, but some young patients are worried that the impact of treatment on pregnancy exceeds the level of concern for tumors due to lack of treatment. Therefore, further follow-up can be done under the doctor's strict observation.
treatment method
Generally, there are two main methods: one is resection, which includes cold knife cone cutting, LEEP surgery, etc.; there is also a non-cone cutting physical therapy, such as cryogenic, laser, etc., which belongs to ablation treatment.
[LEEP technique]
LEEP technique is to use a ring-shaped power supply and slowly move it over. During the movement process, the ring-shaped power supply burns the surrounding tissue to achieve the purpose of stopping hemostatic.
Standardized treatment is very important in the prevention and control of cervical cancer. generally does not choose drugs to treat in principle. At least at this stage, no medical evidence has been formed to prove that drugs have therapeutic efficacy in patients whose histological diagnosis is HSIL (high-level intraepithelial neoplasia).
Follow-up
What I want to emphasize here is: 25 years. In the first three years, was followed up once a year; after three consecutive negatives, was followed once a year, was once every 3 years, and lasted for 25 years.
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