Methods of postoperative monitoring in patients with cervical cancer

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Cervical cancer is still the most common gynecologic malignant tumor in china. Early treatment of patients with cervical cancer has been ver

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Cervical cancer is still the most common gynecologic malignant tumor in china. Early treatment of patients with cervical cancer has been very successful, but there are still advanced patients will relapse, metastasis, and even death. The primary purpose of follow-up is to detect the recurrence of the disease in early stage.

Follow up methods were used after surgery

1, the use of vaginal vaginal smear + vaginal rupture of the end of the HPV examination, colposcopy, biopsy, if necessary

2. Evaluation of tumor markers such as squamous cell carcinoma antigen may be of great significance.

3 imaging techniques are important for monitoring and evaluating recurrent disease.

Regular chest X-rays are still controversial in monitoring asymptomatic recurrence after treatment of cervical cancer. Lung CT

The routine is the double kidney of hepatobiliary and ureter bladder ultrasound, pelvic ultrasound (Fu Ke), when the new mass of abnormal growth of cancer cells and the emergence of the known extent of disease or monitoring, X-ray tomography (Computed tomography, CT) and magnetic resonance imaging (Magnetic resonance imaging, MRI) to determine the tumor can provide selection the best treatment for clinical basis for. 2 fluorodeoxyglucose positron induced X-ray tomography (fl uoro-2-deoxy-glucoseYpositron emission tomography, PET-CT) the specificity and accuracy of recurrent cervical cancer monitoring (only 80% of the 100% negative predictive value). Comprehensive PET/CT examination can provide accurate anatomical location for suspicious areas.

 

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