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Postmenopausal bleeding and endometrial cancer

Land. To some extent the general shrinkage of the uterus in postmenopausal women, smaller; if the uterus like uterine size women of childbearing age should be seen as the uterus increases. Check whether the mass in the annex area, if necessary, consultation should triple check the line. If the mass reach in the Annex area. Should pay attention to find out the size of mass, texture, and the relationship between the uterus, with or without Chong pain, such as morphology and activity. 4 removal of cervical cytology in the surface secretions. The cervix by scraping the center pull scraper clockwise circle, smear for cytological examination. Smears should be soft, smear on a slide should be coated with a thin layer from left to right, back and forth should not apply. Blade found in cervical cancer should be more biopsy, except for cervical cancer. In addition, accumulation of secretions posterior fornix aspiration smears. Cytology. Diagnosis can be malignant uterine cavity and accessories. 5 diagnostic curettage stage a traumatic operation of this method. However, when the suspect and the uterine cavity cancer is still a simple diagnostic tool of choice. Curettage should be sub-curettage method with fruit,[link widoczny dla zalogowanych], should be scraped in cervical tissue. Exploration of the uterine cavity and then scraping the uterine cavity of the organization, were sent to pathology in order to identify the extent and spread the scope of invasive disease. 6B ultrasound examination in recent years has been reported that ultra-high-resolution transvaginal B can be used as a selection tool before curettage, and endometrial thickness �� such that m is a normal range. Not necessarily diagnostic curettage. In endometrial cancer can be seen when the B-vaginal hysterectomy in patients with varying degrees of increase. Uterine blood flow rich, irregular thickening of the endometrium. Heterogeneous internal echo strength, and some early lesions is still a clear demarcation with the muscle, endometrial and myometrial advanced interface between the irregular, often sets and different levels of uterine empyema. 7CT cr checks the value of diagnosis of endometrial cancer is mainly determined whether the ectopic endometrial cancer invasion and preoperative staging, rather than making the original diagnosis. When the Palace without causing uterine cancer confined to the uterus increases, cr can not find plain; such as tumor invasion and uterine wall l / 3 on. Enhanced scan, enhanced normal myometrium, and tumors showed inhomogeneous enhancement, irregular low-density area within which to necrosis; carcinoma of the uterine body when the house increases. The performance of asymmetric Palace, within which the density is often uneven; cervical cancer involving the cervix can increase the time. 8 curettage hysteroscopy Although the diagnosis of endometrial cancer diagnosis is a good method, but there is a certain rate of misdiagnosis and delayed diagnosis of the patient. Are reported in the literature. Since highly accurate and patient hysteroscopy acceptability, outpatient diagnostic hysteroscopy should be the first choice for bleeding after baskets by the screening method. Hysteroscopy has been used to identify intrauterine lesions lOO years of history, the most accurate hysteroscopic biopsy under direct vision, sending almost be precise pathological examination. In short. Postmenopausal bleeding through on diagnostic procedures, help and endometrial cancer prone diseases such as menopause confusing dysfunctional uterine bleeding, endometrial polyps or submucosal fibroids, the elderly inflammation, cancer, etc. Kam stripping diagnosis. But it must be solid person to another. Diagnosis of the disease for patients with foot measures to achieve the diagnosis of endometrial cancer because of postmenopausal bleeding caused by the purpose. Postmenopausal bleeding and cervical discharge temperature (gynecology First Clinical College, China Medical University, Shenyang 110001, China) postmenopausal bleeding is a common disease of older women, including genital cancer accounts for about 20% of postmenopausal bleeding, the most common is cervical cancer, the incidence rate of female genital cancer in the first. There are two peak age :35-39-year-old and 60 to 64 years, mean age was 52.2 years. Cervical cancer is the gynecological examination can only be straight by means of the cancer, another of its slow onset. Generally considered to cancer from precancerous lesions can take 10 years or so. So it is an early detection, early diagnosis and early treatment of the tumor obtained. 1 cause of cervical cancer etiology has not been clear. Generally believed that early marriage, premature birth,[link widoczny dla zalogowanych], premature sexual life, sexual disorders,[link widoczny dla zalogowanych], fertility, economic status and race, geography. Early marriage means marriage before age 20; premature sexual life that those who have sex before the age of 18. Because at this time women's lower genital tract epithelium not yet mature, orderly and easy for the bad effect of cancer. Another argument is taken seriously high-risk men, where the spouse with cancer,[link widoczny dla zalogowanych], prostate cancer or the former spouse was suffering from cervical cancer are high-risk men. High-risk sexual contact with men, women susceptible to cervical cancer. Other reports in cervical cancer cells were found to have nicotine Han tablets, smoking incidence of cervical cancer may be due to tangled one. The incidence of cervical cancer has been a clear and certain viral infections. Such as human tumor virus (} w),[link widoczny dla zalogowanych], human herpes virus (drying bamboo. It is also known as an infectious disease. Has been on women due to tangled legal to have Journal 2o02 No. 9 No. 2
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