Diagnosis of cervical cancer

Disharmony between husband and wife, infertility after long marriage, precancerous lesions... Cervical diseases bring not only physical torture to female friends, but also emotional and life damage. Among them, cervical cancer is one of the most common female reproductive tract malignant tumors. In my country, the incidence of cervical cancer ranks first among female reproductive tract malignant tumors. Therefore, it is necessary for everyone to make a differential diagnosis of cervical cancer. The differential diagnosis of cervical cancer in clinical practice is mainly to distinguish cervical cancer from the following diseases:

1. Cervical erosion may cause 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, so it is difficult to distinguish it from early cervical cancer. Vaginal exfoliative cytology or biopsy can be performed to confirm the diagnosis.

2. Cervical ectropion: The ectropion mucosa is overproliferated and may be uneven and prone to bleeding. However, the ectropion mucosa has good elasticity and neat edges. Vaginal exfoliative cytology or biopsy can be used for identification.

3. Cervical warts appear as cervical growths with an uneven surface, which sometimes fuse into a cauliflower shape. A biopsy can be performed for identification.

4. Endometrial cancer is accompanied by irregular vaginal bleeding and increased vaginal secretions. When endometrial cancer involves the cervix, cancerous tissue may be seen blocking the cervical canal during examination. To confirm the diagnosis, a segmented curettage and pathological examination must be performed.

5. Submucosal uterine osteoma or endometrial polyps often present with menorrhagia or prolonged menstruation, or bleeding may be accompanied by vaginal discharge or bloody secretions. A differential diagnosis can be made through uterine cavity exploration, segmental curettage, uterine iodized oil angiography, or hysteroscopy.

6. Primary fallopian tube cancer causes vaginal discharge, vaginal bleeding and lower abdominal pain. Vaginal smears may reveal cancer cells. However, endometrial biopsy of fallopian tube cancer is negative, and a mass may be palpated near the uterus. If the mass is small and not palpable, it can be confirmed by laparoscopy.

7. Elderly endometritis combined with intrauterine pyometra often presents with increased vaginal discharge, which may be serous, purulent or bloody. The uterus is normal in size or enlarged and softened, and the diagnosis can be confirmed by dilation of the cervical canal and curettage. After dilation of the cervical canal, pus will flow out, and inflammatory cells will be seen in the scrapings, but no cancer cells. This can be confirmed by pathological examination. However, attention should also be paid to the possibility of the coexistence of the two.

8. 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, a diagnostic curettage must be performed first to determine the nature of the bleeding before treatment.

9. Other benign cervical lesions, cervical tuberculosis, amebic cervicitis, etc. can be differentiated from cervical cancer with the help of biopsy.

If the patient has this symptom, please go to the hospital for treatment. We will provide you with a suitable treatment plan, or contact our online experts. We will answer your questions and wish the patient a speedy recovery and happiness for the whole family!

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