OVARIAN CANCER

The cytological diagnosis of ovarian cancer cells, including shedding diagnosis and fine-needle aspiration cytology diagnosis learned of two parts. Check for gynecologic cytology clinical has for decades. Fine needle aspiration cytology lessons, the past 20 years in various tumor diagnosis has been widely used, this method of diagnosis of ovarian tumors of some value, advanced or recurrent tumors and lymph node metastases diagnosis, not only diagnosis, but also avoid some unnecessary laparotomy.

One, cytological diagnosis

(1) cytology examination: exfoliated cells can be obtained specimens from three aspects, including: ① vaginal, cervical and uterine tube; ② ascites or peritoneal fluid; ③ rectal deciduous uterine puncture lessons.

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Yes ovarian chocolate cysts "mass", but not "tumor", which endometriosis is a disease. Under normal circumstances, the growth in uterine endometrial cavity, the female hormones in the body, a month off, forming menstruation. If endometrial tissue outside the uterine cavity in the unusual position of the growth, known as endometriosis, the most common ovarian ectopic sites is about 80%, followed by uterine ligament and coverage in the uterus, rectum or bladder and pelvic peritoneal surface. This ectopic endometrial sex hormones also may be subject to the impact of the menstrual cycle repeatedly shedding accompanying hemorrhage. When ectopic lesions occur in ovarian, each menstrual period are partially bleeding, ovarian increased formation of blood containing the cyst old plot, this old blood was dark, thick as paste, like chocolate, is also known as the "chocolate cyst." Cysts can be gradually increased, sometimes in the menstrual cycle or after the rupture, but rare malignancy.

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Ovarian cancer prevention focuses on the early detection of tumors, benign or malignant regardless of the early patients, often without obvious symptoms, benign tumors may have malignant transformation should be undertaken regularly Cape couple. For early detection of ovarian cancer, the following points should be noted:
(1) All solid ovarian mass, or more than 6 cm cyst, shall immediately proceed to surgical resection.
(2) menarche before and postmenopausal women, ovarian cystic tumor, the tumor should be considered. Women of childbearing age in a small annex cystic mass of two narrow, not to consider the tumor, increasing the period of operation at any time.
(3) pelvic inflammatory masses, especially tuberculosis or suspected pelvic endometriosis treatment of tumors block invalid, can not be ruled out cancer surgery should be explored.
(4) found that postmenopausal endometrial hyperplasia or adenoma endometrial adenocarcinoma, it should be noted whether ovarian tumors, and timely treatment.
(5) aged 45 and above, subject to the result of uterine diseases hysterectomy, the proposal for bilateral Annex.
Ovarian cancer causes complex, but in terms of prevention, at least for reference to the following points:
Not forgetting peacetime exercise: The United States aspirin-chee at the University of Pennsylvania School of Medicine study, regular exercise women, life with the opportunity to nest cancer than inactive women below 27%.
Less fat diet: normal diet contains too much saturated fat women suffering from ovarian cancer more easily. Most of the American women, daily intake of saturated fat is about 30 grams, can be a daily diet of 10 grams of fat lowering the volume, the probability of ovarian cancer can be reduced by 20%. If you are with the probability of ovarian cancer, like most people around 1% reduction of dietary fat, the probability would fall to 0.8%. Although we still do not know why there is this advantage, but a balanced diet, eat more vegetables, fruits, but for the health of the sound is definitely useful. Moreover, the reduction of dietary fat and fiber intake a lot, but will also reduce the probability of developing heart disease (the major cause of death of women), and reduce the incidence of colon cancer. Appropriate calcium benefits, according to the study: women's diets, the highest calcium diet compared to the lowest calcium intake, the opportunity to be ovarian cancer greatly reduced, high calcium for the prevention of the occurrence of ovarian cancer may have health effects.
Anti-Tiaojing hormone: a survey revealed that long-term use of birth-not pregnant women to be called LMP (low malignant potential) tumor risk will increase. Women's menstrual early (before age 12) or late menopause or a birth (or the first birth after the age of 30) in ovarian cancer risk higher. It seems that the probability of ovarian cancer in women and one in the total number of menstruation. The number of menstrual more in the risk of ovarian cancer is also higher. A nurse will also reduce breast cancer and ovarian cancer risk, because normally babies during menopause. Use of contraceptives will also reduce the risk of ovarian cancer effect.

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Abstract: The FDA approved a new treatment of advanced ovarian cancer on the first line of the short-term treatment programs, in the treatment of cisplatin infusion again, Bristol-Myers Squibb pharmaceutical factories paclitaxel (Taxol) 3 hours.

The United States Food and Drug Administration (FDA) approved a new treatment of advanced ovarian cancer on the first line of the short-term treatment programs, in the treatment of cisplatin injection again, Bristol-Myers Squibb pharmaceutical factories paclitaxel (Taxol) 3 hours.

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A benign ovarian tumors young patients affected Annex tumor resection or stripped of. If both bilateral ovarian tumors, should fight to retain part of normal ovarian tissue. Before post-clearance as abdominal specimens suspected malignant sent frozen biopsy. Patients before and after menopause to be hysterectomy and bilateral resection of the Annex to activities.

2, malignant ovarian tumor treatment to the main, supplemented by chemotherapy, and radiotherapy.

(1) to general surgery for hysterectomy, bilateral Annex and the omentum resection. Patients with advanced cancer should be possible for the transfer to that reduction of tumor cells. As for retroperitoneal lymph node removal of the therapeutic value can not be determined.

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Although ovarian cancer chemotherapy drug developed considerable progress has been made, but patients with ovarian cancer and the overall survival rate has not improved markedly. Philadelphia's Fox Chase Hospital Dr. Bernard of ovarian cancer screening, treatment and prevention of, and possible future trends.

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[Summary]
Ovarian cancer is a common cancer of female genital mutilation one of the incidence of cervical cancer and after cancer of the uterus, which ranked third. But ovarian cancer death, accounts of the first gynecologic tumors, right pose a serious threat to women's lives. Because ovarian embryonic development, organization anatomy and endocrine function more complicated, it may be suffering from benign tumors or malignant. Because of early ovarian cancer in asymptomatic, and the identification of its type benign and malignant very difficult, ovarian carcinoma laparotomy in ovarian tumor confined to only 30%, most have spread to the uterus, bilateral annex, the omentum and pelvic organ <BR>, without ovarian cancer On the diagnosis and treatment really is a big problem. Over the years experts on the pathological form of ovarian cancer, the development of clinical and treatment programs for many of accumulated a lot of experience, so far, statistics on domestic and foreign clinical data, the five-year survival rate of only 25% to 30%.

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Whitney physicians that cisplatin / paclitaxel chemotherapy in the treatment of ovarian cancer treatment should become the new standard.

Carboplatin / taxol treatment programs, and the current phase III epithelial ovarian tumors standard chemotherapy - cisplatin / paclitaxel, the same as its efficacy, toxicity small. Experts believe that the program should become a new standard treatment programs.

Combination of paclitaxel and cisplatin, paclitaxel must be sustained 24-hour infusion, and Taxol and carboplatin compatibility, 3-hour infusion of paclitaxel can, thus reducing low toxic side effects to a large extent.

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