Lectures on uterine, cervical and pregnancy cancer

2021-03-20 12:00 AM

Cancer of the uterus originates from the muscle tire of the uterus, but it also affects the environment of the uterus as well as when the tumour grows.

Uterine cancer

Uterine cancer includes two types:

Endometrial cancer: common.

Cancer of the uterus: less.

Endometrial cancer developed from the lining of the uterus has caused a change in the microstructure of the endometrium, changing the environment of the uterus, so the fetus cannot implant and develop. 

Cancer of the uterus originates from the muscle tire of the uterus, but it also affects the uterine environment as well as when the tumor grows, it will compress and encroach on the uterus so it cannot get pregnant.

Uterine cancer is common in postmenopausal people, so the incidence in pregnancy is very rare.

Cervical cancer

Cervical cancer is the second most common cancer after breast cancer. Cervical cancer is divided into 5 stages:

Stage 0: the cancer is still in the cell (CIN III or CIS).

Stage 1: Local cancer in the cervix.

Stage 2: Cancer invades too much of the cervix but has not reached the pelvic wall or less than 1/3 of the vagina.

Stage 3: Cancer has spread to the pelvis or part of the vagina.

Stage 4: Cancer invades the bladder or rectum.

Cervical cancer affects pregnancy

At stage 0, the cancer is in cells only, so pregnancy is not affected. If pregnant, they can still develop until a full month. However, the amputation or pruning of the cervix for treatment has an impact on pregnancy.

Amputation or removal of the tip of the cervix will cause an open uterine waist, leading to consecutive miscarriages.

When the ring stitching for the treatment of an open waist in such cases will be much more difficult than in those who do not have to amputate or cut the tip of the uterus due to cervical cancer.

As the pregnancy grows, the risk of premature birth is higher.

Stage 1 cancer can still become pregnant but requires treatment to suspend the pregnancy.

Due to prolonged blood, the pregnant woman is anemic, affecting the fetal development, making the fetus underweight, anemia, causing premature birth.

In the later stages, due to extensive damage to the cervix, it is often impossible to get pregnant. However, there are still cases of discovering cancer when the fetus is grown, but still having to suspend the pregnancy to treat cancer, thus causing fetal drying or abortion, leaving the newborn in a premature state with high mortality.

Because damage to the cervix prevents the progression of the fetus and cannot deliver vaginally or cause bleeding, a cesarean section is required.

Pregnancy affects cervical cancer

During pregnancy, pregnant women reduce their immunity making the disease develop faster and worse.

For reasons of wanting to keep the pregnancy until full term, delaying the duration of active treatment with surgery as well as chemotherapy or radiation therapy has significantly affected the results of treatment.

In the first stage, abortion is required before surgery or radiation, the curettage has damaged the cervix, making the ovarian cysts spread further.

After giving birth, it is necessary to wait until the end of the postpartum period for the uterus to return to normal surgery as well as to recover postpartum health before cancer treatment has slowed the treatment time.

Treatment

Stage 0: if the patient is young, wishing to have a baby, appoint amputation or amputation of the uterus. People are more inclined to amputate than amputation of the uterus because the obstetric consequences are less severe. But the implementation of this indication must ensure two mandatory conditions:

Surgical results of the disease must confirm that the organization of the disease has been taken.

Patients should have cervical cytology tests every 6 months to detect abnormal cells early.

Stage 1: suspend pregnancy with early cancer treatment. Some schools have to be treated with radiation to localize the damage to the cervix, the fetus will die, the abortion is done, surgery and radiation.

Later stages, if you want to keep the pregnancy, wait for full months, cesarean section, complete hysterectomy, wait for stability, after surgery will be radiotherapy.