Ectopic cervical cancer: new name of erosion?
Ectopic cervix - this is one of the most frequent cervical abnormalities.Gynecologists adhere to the old-fashioned term "cervical erosion" that is not quite true defines ectopia.Even in 1978 it was decided the term "cervical erosion" is replaced by ectopia of the cervix.This is not only a more accurate display of the diagnosis, but also does not cause negative reactions in patients.
The normal vaginal part of the cervix (which is visible when viewed in the mirror) is covered by stratified squamous epithelium, while the inside of the cervical canal is lined with a cylindrical (cubic epithelium).Ectopic cervical (pseudo, cervical erosion) - a displacement of the boundary interface of stratified squamous and columnar epithelium in the vaginal portion of the cervix.This process is considered physiological in the newborn period, adolescent girls, women who have early sexual initiation and during pregnancy.The main factors of cervical ectopia is hyperestrogenia - increased female hormones, due to which there are creeping columnar epithelium in the vaginal portion of the cervix.At the age of 23 to 45 years old border between two epithelia is at the external opening of the cervix, and after 45 years it has shifted towards the cervical canal.Ectopic cervical cancer, which arose during pregnancy usually resolves itself after delivery.
The main reasons that lead to the formation of ectopic include:
- hormonal disorders;
- cervical injury (childbirth, abortion, the use of barrier contraceptives);
- inflammatory processes of female genital mutilation.
clinical picture of ectopic cervical
often ectopic cervical symptoms.Complaints that are placing patients with ectopia: nagging abdominal pain Abdominal pain: when to sound the alarm? , the appearance of heavy, yellowish turbid discharge, discomfort in the vulva, itching and burning, menstrual irregularities, uncharacteristic of this disease and are associated with underlying pathological processes (cervicitis, colpitis, adnexitis, etc.).During the inspection in the mirror on the cervix around the external os clearly visible congested (red-faced) portion of different sizes (from a few millimeters to one or two centimeters).Often a patient note contact painless bleeding of varying intensity (often meager) after intercourse, pelvic examination Gynecological examination: an important component of women's health or douching.Ectopic cervical arose as a result of injuries and scarring, deforms the cervical canal and the cervix itself.
main method of diagnosis of ectopic cervix is extended colposcopy Colposcopy - how to properly prepare for it? (examination of the cervix by a special device, which increases the apparent picture several times).After treatment of the cervix 3% solution of acetic acid is removed mucus, which is produced in large amounts columnar epithelial glands and acinar visible in a microscope, in the form vinogradinok, cancer.Sample Ljugolja (treatment of cervical 5% iodine solution) negative (section ectopia not stained with iodine).
Additional methods of diagnosis of cervical ectopic
Besides inspection of the cervix in the mirrors and colposcopy in the diagnosis of ectopic cervical uses:
- cytology (detecting the presence of cancerous cells of the cervix);
- screened for infections, sexually transmitted infections (chlamydia, cytomegalovirus infection, the virus papilommy person);
- study of hormonal status;
- biopsy of the cervix with subsequent histological examination of biopsy (if indicated).
Treatment Treatment of cervical ectopia is to eliminate concomitant cervical inflammation, normalization of hormonal levels and removing diseased tissue.
Methods of removing an abnormal hearth:
- chemical coagulation Solkovagina Solkovagina - help with cervical lesions ;
- cryosurgery (treatment of liquid nitrogen);
- diathermocoagulation (in recent years almost does not apply);
- processing apparatus "Surgitron."