Database of diseases - Sexual health

The prognosis of cure in cervical cancer depends on the stage of the cancer, at the time of the therapy, age, patient's condition, and many other factors.


Statement by Prof. dr hab. med. Jan Zieliński, President of the Polish Society of Oncological Gynecology.


At the beginning, let's remind the important principle of the treatment of female genital cancer

The diagnosis of a full list of important prognostic factors of therapy and deep oncological knowledge and experience allow the physician to avoid the use of overly aggressive treatment - the so-called "overheating", which can lead to serious complications or the use of too saving therapeutic method, and "not healing", and thus not curing sick person. It should be noted that in the assessment of chances of cure there are prognostic factors that are particularly useful in identifying and isolating patients with so-called low and high risk of danger.


Pre-invasive cancer of the uterus

Most of the so-called invasive cancers - i.e. infiltrating organs directly or through metastases - goes through pre-invasive forms. Pre-invasive forms - this should be constantly remembered - they are asymptomatic - ie they develop in a secret manner, without warning signals, and if they already occur in the form of surface ulceration (erosions). Pre-invasive states are usually recognized during occasional gynecological examinations, or so-called screening tests that cover a population residing in a large area. (Women are sent by letter to such surveys).


Symptoms of invasive cervical cancer

These are most often vaginal bleeding, especially after intercourses, intermenstrual bleeding and heavy menstrual periods and discharge of varying severity. Sometimes invasive cancer is asymptomatic and can only be detected during routine cytological examination. Pain in the abdomen and lumbar region, frequent urination are symptoms of cancer dissemination and at the same time the stage in which treatment is difficult and severe for the patients.
In cervical cancer, the important prognostic factors are tumor size, histological features of the cancer (grade of malignancy), depth of infiltration, metastases to the lymph nodes, health status and age of the patient.


THE RANGE OF CANCER CANCER CONTROL, HIS LAND AND A LONG LENGTH


The following factors influence the prognosis:

♦ the condition of a sick person,
♦ the degree of clinical advancement of cancer,
♦ tumor condition - its mass and histological form,
♦ the state of lymph nodes,
♦ level of medical knowledge and technical capabilities of the oncological center.


There are four stages of cervical cancer.

The higher the degree of advancement - the less favorable is the prognosis of the effectiveness of therapy and survival of the patient without the relapse of a significant time disease - five, ten and more years.
For example, patients with cervical squamous cervical cancer A2 A2
and a tumor with a diameter of not more than 7 mm); in which lymph node metastasis is about 2%, the chance of long-term survival is close to 98%.


It should be noted that the prognosis of curing cervical and cervical cancer patients is high ..

But a lot depends on the skills of the attending physician and the application of proper therapy.
Clinical data indicate a worse prognosis of nodular forms of cervical cancer.
Better results of treatment of tumorous forms of cervical cancer are obtained by radiotherapy, reserving surgical treatment for cases badly responding to treatment with ionizing radiation or cancer recurrences. The attending physician should inform the patient about this.
 

GENERAL CONDITION ARE PROTECTING A TREATMENT OF CAROT CANCER CANCER

The chance of a cure depends to a large extent on prognostic factors such as:

- the degree of cancer advancement already mentioned
- general health
- age,
- the level of hemoglobin in the blood,
- no inflammation in the pelvis,
- pregnancy co-existence,
- kidney disease
- the need for radiotherapy

The influence of prognostic factors resulting from health

In patients between 60-69 years of age, a higher stage of cancer is diagnosed - ie 3rd and 4th degree (data from Annual Report and Oncology Center in Warsaw). Low hemoglobin prevents proper treatment and often delays it. In the case of radiotherapy, the duration of treatment is prolonged, which adversely affects the length of the survival. Inflammation in the pelvis and fever complications prolong the treatment and adversely affect the survival. The coexistence of pregnancy, especially in highly advanced stages of cancer, adversely affects survival.

The percentage of long-term survivals depending on the stage of squamous cell carcinoma is similar

Very important factors affecting the prognosis are factors independent of tumor characteristics and the condition of the patient ("host" and "guest"). Such factors include the team's experience and therapeutic options of the treatment center. Lymph node status also has a significant impact on the survival time. The more lymph node metastases, the worse the prognosis as to the length of the survival.

Do not. Edward Ozga Michalski