OVARIAN CANCER

The choice of ovarian cancer surgery, chemotherapy and radiotherapy. But because of its pathological type complex, qualitative, without a diagnosis and staging laparoscopy or laparotomy, it is difficult clear. In addition to surgery is not generally the case or have the type of tumor in patients with systemic conditions not competent to surgery, chemotherapy or radiotherapy to trial again after surgery to consider, as appropriate, generally the preferred treatment. Surgical exploration can be further defined tumor types and scope of involvement, clear staging, not only for postoperative chemotherapy and radiotherapy provide basis, and possible removal of the tumor, chemotherapy or postoperative radiotherapy or create conditions to improve efficacy.

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Breast cancer screening time <BR> <BR> that breast cancer screening, women will think about breast self-examination. To promote breast self-examination has some significance to the advancement of women on the importance of breast health. But if not taught women how to correctly implemented, it is very dangerous. The American Cancer Medicine will not touch themselves, worries that if women should consult their doctors. Many studies have found that women can correct implementation of breast self-examination rate is not high, the United States is only about 32%.

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(1) B - ultrasound imaging can detect tumor location, size, shape and nature.

(2) radiology diagnostic barium contrast barium enema or air contrast to know whether gastrointestinal tumors. CT of pelvic tumors can locate and identify and understand the liver, lung and retroperitoneal lymph node metastasis there. Contrast pelvic lymph nodes can be judged without milk ovarian tumor lymphatic metastasis.

(3) laparoscopy can be directly observed tumor sources and generally, and the entire basin and transverse abdominal separated, and to determine the scope of other diseases. Ascites and lessons for cytology, or from dubious organizations for pathological examination. However, the enormous mass or tumor adhesion taboo.

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In early ovarian cancer, most patients will not notice, because some of its symptoms and other gynecological diseases with similar symptoms, so women should carefully observe the physical changes, they can not tell if it is normal or abnormal, as soon as possible to help to gynecologists must not be negligent.
One month after little or amenorrhea

The majority of patients with ovarian cancer menstrual changes. If ovarian cancer cells were normal tissue damage in patients with systemic poor state, there will be a few months or amenorrhea.
2, abdominal distension

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Primary tubal cancer is scarce. This cancer patients, the average age is 50 to 60 years old. Risk factors not yet well defined, however, chronic salpingitis or other inflammatory diseases (such as tuberculosis) may cause. Patients can have a long history of infertility.

Over 95% of the fallopian tube cancer is papillary serous adenocarcinomas; The minority is sarcoma. Its diffusion and similar ovarian cancer, tubal carcinoma can be directly extended disseminated, or through lymphatic vessels. With ovarian cancer staging similar symptoms, signs and diagnosis

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Clinical manifestations

(1) a <BR> symptoms, age occurred in perimenopausal women. Over more than 35 years of epithelial ovarian cancer, while those below the age of 35 occurred reproductive cell malignancies.
2, the pain may be due to malignant ovarian tumor of the changes, such as hemorrhage, necrosis, the rapid growth caused a considerable degree of persistent pain. The inspection found a local tenderness.
3, Irregular Menstruation see irregular bleeding, bleeding after menopause.
4, weight loss was sexually advanced thin.

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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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(1). Complete removal of lesions in ovarian cancer surgery should be the primary tumor resection can see pots and peritoneal metastasis, or to residual tumor diameter is less than 2.0 to 1.5 cm. The epithelial cancer, but also for greater omentum and appendectomy.

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Surgery

According to a medical examination and transvaginal ultrasound findings suspected ovarian cancer is often a laparotomy to be confirmed histology, and tumor stage and tumor debulking surgery. Histological need to be certified to remove ovarian cysts Mixed other causes, including non - epithelial ovarian cancer (such as interstitial or germ cell tumors), other primary site of tumor metastasis to the ovary (such as the adhesion of), or benign lesions, such as endometriosis. The adhesion is usually of signet ring cell tumor, representatives from primary adenocarcinoma of the stomach metastatic ovarian cancer. However, other parts of the original cancer, such as colon, appendix, the gallbladder and breast (special lobular invasive carcinoma) will also transfer to ovarian. At laparotomy surgery during the stage, right after the decision-making guidance provided important information, especially for patients with early (discussed below). Finally, the tumor debulking surgery (initial cytoreductive surgery) is the first of an important part of the operation because of residual tumor with a diameter of less than 1 cm larger than the residual tumor with a high survival rate.

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Metastatic ovarian cancer (metastatic ovarian tumors) or secondary ovarian cancer (secondary ovarian cancer) is the primary tumor of the lymphatic cells, vascular invasive ovarian or body cavity, and the original formation of similar tumors, and the two are not anatomical location relations.
It is not synonymous with Krukenberg's tumor.
In different regions, countries metastatic ovarian cancer incidence varies.
1. Ovarian cancer metastatic ovarian cancer and the original ratio:; 2002 Shoji Kamiura Osaka Japan reported cardiovascular disease and cancer treatment center from 1978 to 2002, 304 cases of malignant ovarian swelling cases, metastatic ovarian cancer and 64 patients (21.1%). [3] while China's Jiangxi Province MCH hospital oncology treated from 1972 to 1992 of 628 cases of ovarian cancer, metastatic ovarian cancer occupies 98 cases (15.6%) [4], and external information than the incidence rate of slightly different.
2. All of metastatic ovarian cancer in the proportion of the original: Webb reports from the gastrointestinal tract of metastatic ovarian cancer 47%, from 31% of the breast, reproductive tract from the 18%; Horie made in the original report gastrointestinal tract metastases accounted for 74% of primary breast in the accounting 13%; reproductive Road metastatic ovarian tumor is not included. Shoji Kamiura reported gastrointestinal origin of the equipment transfer 35% of ovarian tumors; Breast source of 14%; Reproductive tract sources accounted for 40%; The other 11%. Jiangxi MCH hospital reported 98 cases of non - reproductive tract sources of metastatic ovarian tumor, the source of gastrointestinal 63 patients (64.5%), breast sources of 7 cases (7.1%), other sources of the 28 patients (28.6%).

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