Five treatment principles for recurrent cervical cancer

Cervical cancer is a malignant tumor with a high incidence rate and is extremely harmful to women. Even if the uterus has been completely removed, there is still a high recurrence rate due to other factors. The treatment of recurrent cancer should be decided based on the site and range of the recurrence, the measures used during the initial treatment, and the patient's general condition.

1. For patients with recurrence of cervical carcinoma in situ after surgery, surgical treatment is generally recommended. Local excision, partial vaginal excision or total vaginal excision and vaginal reconstruction can be selected according to the onset of the disease. For elderly patients or patients who have undergone surgical removal of both ovaries, vaginal radium therapy or X-ray vaginal tube irradiation can be performed.

2. For patients with recurrence of invasive cancer after surgery, radiation therapy should be the main treatment, combined with chemotherapy, intracavitary radium therapy and cobalt-60 external vertical irradiation can be performed.

3. Patients who relapse within 2 years after receiving adequate radiation should not receive radiotherapy. Patients whose initial radiotherapy dose was insufficient and whose disease relapsed 6 months to 2 years after the end of radiotherapy can be given half-dose radiation again. Patients who have been treated for more than 2 years after the end of radiotherapy can consider receiving full-dose or reduced-dose radiotherapy again.

4. For patients with recurrent cancer who are not suitable for surgery or radiotherapy, chemotherapy or traditional Chinese medicine can be used for treatment, or local treatment with freezing or laser.

5. If the patient is found to have cachexia, frozen pelvis or distant metastasis when the disease relapses, radical treatment is generally not recommended. Symptomatic treatment can be used to relieve pain.

Tips: Frozen pelvis

Frozen pelvis knowledge: Advanced cervical cancer spreads to the entire pelvic cavity and infiltrates to the pelvic walls on both sides. The uterus, fallopian tubes and ovaries are all invaded and fixed, and the entire pelvic cavity becomes hard and seems to be frozen.