How to check uterine cancer for a virgin

If female friends suffer from uterine-related diseases such as anovulatory functional uterine bleeding, polycystic ovary syndrome, functional ovarian tumors, etc., they have to take estrogen to a greater or lesser extent. Over time, it will naturally stimulate the endometrium and cause pathological changes. Only by understanding the exact cause of uterine cancer can we better receive treatment.

1. Medical history: Endometrial cancer patients are mostly elderly women with delayed menopause or irregular menstruation, often infertility or low parity, combined with obesity, hypertension, and diabetes. If there is irregular vaginal bleeding or foul-smelling discharge after menopause, it is more important to pay attention. For young patients with irregular vaginal bleeding, the cause should also be carefully clarified, especially those who have been treated but have not been effective should also undergo diagnostic curettage. Vaginal discharge and abdominal pain are already late symptoms.
2. Clinical examination: In the early stage, general gynecological examination often reveals nothing. The uterus is not large, the cervix is ​​smooth, and the appendages are normal. In the late stage of the disease, the uterus is larger than the corresponding age. Some patients may have bloody leucorrhea or rotten cancer tissue on the finger cot after bimanual examination, and some patients may have protruding polyp-like tumors at the cervical opening. However, endometrial cancer can coexist with uterine fibroids, so an enlarged uterus is not necessarily an advanced endometrial cancer.
3. Cytology: The diagnosis rate of vaginal cytology for endometrial cancer is lower than that for cervical cancer. The reasons are: ① columnar epithelial cells do not often fall off; ② fallen cells often dissolve and degenerate when they reach the vagina through the cervical canal, making them difficult to identify; ③ sometimes the cervical canal is narrow and closed, making it difficult for fallen cells to reach the vagina. In order to improve the positive diagnosis rate, many scholars have improved the location and method of specimen collection. With the improvement of diagnostic technology, the positive diagnosis rate of endometrial cancer has also been greatly improved.
4. Ultrasound examination: Uterine ultrasound examination is of certain significance for the size, location, degree of myometrial invasion, whether the tumor penetrates the uterine serosa, or whether it involves the cervical canal of endometrial cancer.