4 diseases that need to be differentiated from cervical cancer

Cervical cancer is caused by human papillomavirus and is one of the most common malignant tumors in women. It is extremely harmful to women. Vaginal bleeding is one of the typical symptoms of cervical cancer, but many diseases can also manifest as irregular vaginal bleeding, which needs to be distinguished clinically:

1. Cervical erosion: The symptoms of cervical erosion are most similar to those of cervical cancer. There may be intermenstrual bleeding or contact bleeding, increased vaginal discharge, and small bright red particles around the external cervical opening during examination. It may also bleed after wiping. It is difficult to distinguish it from early cervical cancer, and vaginal exfoliative cytology or biopsy is required for a clear diagnosis.

2. Cervical ectropion: The ectropion mucosa is overproliferative and may appear uneven and bleed easily. However, the ectropion mucosa has good elasticity and neat edges. Vaginal exfoliative cytology or biopsy can be used for identification.

3. Endometrial cancer: Patients with endometrial cancer present with irregular vaginal bleeding and increased vaginal discharge. When endometrial cancer involves the cervix, cancerous tissue may be seen blocking the cervical canal during examination. A segmented curettage is required for pathological examination to confirm the diagnosis.

4. Dysfunctional uterine bleeding: Menstrual disorders often occur during menopause, especially those with frequent uterine bleeding. Regardless of whether the size of the uterus is normal, curettage must be performed first to determine the nature of the bleeding before treatment.

Therefore, if irregular vaginal bleeding occurs, it is important to check early to rule out the possibility of cancer.