The diagnosis method of temple neck cancer

The key that cured a temple neck cancer in early days lay in to diagnose in early days.The in common use method is more currently and as well have some new diagnosis methods continuously is introduced and adopt, but each rate for having merit and shortcoming, having to work in coordination an application with the diagnosis that raises earlier period.
A, the vagina cytology check
The several years clinical fulfillment proves that the vagina cytology check is a very valuable method of earlier period of detection temple neck cancer.Because the cancer cell metabolizes quickly and coagulate dint bad, easily take off scraps, get material and check a method simple, the accuracy is high and have already widespreadly been the temple neck cancer census currently sieving of initial method.
The specimen concerning vagina cytology check adopts and check a method and cancer cell of characteristic etc..
Local greatly hopes the report vagina cytology diagnosis correctness as 84.3~93.4%, the gold plain Fang waits to report the false masculine gender leads to 2.4%, the false feminine gender leads to 4.1%.Foreign cultural heritage reports that the false masculine gender leads 0.9~5.0%, the false feminine gender leads 1.8~28%.To Tu Pian excrescent, should match with iodine to experiment or under the vagina mirror much order to live check is diagnosed with affirmation.
The standard that the cytology diagnoses, the first-time rules in the whole country adopts Ba Shi to dye five classes classification method in 1978.The Ⅲ , Ⅳ and V class lists as masculine gender, should be careful to handle to Tu Pian of Ⅲ class:If checking a temple neck is smooth, should reexamine Tu Pian Yi's time monthly, while 3 times all being a feminine gender in a row again separate to reexamine once in 3 months each time, follow for a year.If repeated Tu Pian keeps Ⅲ class constant, then should go the temple neck much orders to live check and neck tube scarts to pare off, pathologic check is positive change, Shu behind should still reexamine Tu Pian Yi's time monthly, continue to observe, if Tu Pian appears again masculine gender, should consider a temple neck the awl slices a further check.If the naked eye observes a temple neck is debauched, the companion has vagina to blaze a disease in the meantime existence, should press burning after the disease treatment Tu Pian, the neck of the temple lives check when it's necessary.If temple neck existence suspicious and malignant pathological changes, should namely go a temple neck to much order to live check and neck tube to scart to pare off, such as pathology check is positive, should still press the above step to continue to track an observation.
Ⅳ And V class Tu Pian Zhe do evil sex more, have to carry on a temple neck to live an organization check in time and as early as possible make sure diagnosis.
For raising a work efficiency and lowering labor strength when the large-scale anti-cancer census Pu cures, the abroad carried on the research of the cell diagnosis automation device in recent years and included the automatic cell sieving instrument, cell analysis instrument and cell to study an instrument among them three parts.
Two, the vagina mirror check
Generally can enlarge 10~4000%, carry on an observation to the temple neck superficial skin and the blood vessel, can raise vagina cytology and live the diagnosis accuracy of check.In the meantime may also avoid misuse temple neck to live check and otiose awl to slice.Someone thinks the vagina mirror earlier period diagnosis value of check to temple neck cancer can place on equal footing with cytology, their suitable for use can repair shortage with each other.Not a few author report way, cytology and vagina mirror suitable for use, make to diagnosed a correctness to be up to 98~99% in early days.
Be under the vagina mirror carry on taking aim at to live check, compare to blindly live check accuracy Gao, someone puts forward an adoption mirror the bottom live check to add a neck tube to scart to pare off, basically can replace a temple neck the awl slice.
The weakness of the vagina mirror check is to can not observe cancer lump inside the neck tube, the unusually last skin seen in mirror not and all is cancer, also can not discriminate have no gradually, is bad to die towards having a narrow vagina, temple neck surface, bleed of case as well obsolescent.
Three, the vagina microscope check
Can enlarge 100~30000%, temple neck with 1% structure that AN aniline is blue to dye, can observe cell, according to the appearances of cell, arrange, the sizes, appearances of size and pit, apply color depth and hair thin afferent portrait etc. to carry on classification diagnosis.But this method can not replace to live check, so the function is smaller.
Four, the temple neck live body organization check
Live to organize a pathologic check is diagnose the most dependable basis in cervical cancer.Checking to the vagina cytology, vagina mirror is suspicious or male;To clinical performance suspicious temple neck cancer or the cervix other diseases not easily with temple neck when the cancer discriminate all should carry on living an organization check.
Get material a method to have suspicious part or diagnosis as cancer part at 4:00 the normal regulations get material;The iodine doesn't apply color area to much order to get material to add a neck tube to scart to pare off and gets material etc. under the vagina mirror.The report way vagina mirror in concord hospital bottom lives the cancer of check to leak to diagnose to lead to 5.5%, the iodine doesn't dye area to order the cancer of living the check more to leak to diagnose to lead to 4.3%, and two results are close by.Shandong province signs an adoption temple neck in hospital and lives check and adds a neck tube and scarts and pares off diagnose at 4:00 home position cancer once take medium lead to 75%, there are 25% cases through twice and above live check is confirmed, and think and match with vagina cytology or vagina mirror check diagnosis earlier period temple neck cancer, the method is simple, safety, credibility, keep otiose temple neck awl from slicing.The abroad as well hasn't a few accuracy that think to much order to get material to bear comparison with temple neck the awl slice.
In addition, Yang Xue Zhi puts forward the temple neck large Xie form to live check, according to stereoscopic structure prognosticates depth gradually, can replace a temple neck, the awl slices, the diagnosis Ia expects a temple neck cancer.(in early days gradually cancer)This method disinfects in the normal regulations under with the cold knife slice to take not get less than 4 ×s the organization piece of 1.5 ×s 6 mmses, do to much order to get material when it's necessary, but the part needs to sew up to stop bleeding.
To gestation period vagina cytology masculine gender, should as well make to live organization to check in time, but easily cause a temple neck issue of blood.If the pathology reports for home position cancer, can wait for a postnatal period reexamination processing.Because the gestation expects cervix may haven't the typical model increase to living or look like a home position cancer of portrait, may fade away by oneself after giving birth to baby.
Five, the cervix taper cut off a check
Frequently male to vagina cytology, but vagina mirror or the one who live check feminine gender;The temple neck much orders to live the check confirmation as home position cancer, but again can not expel a cancer gradually, should consider a temple neck before curing the awl slices and make continuous the slice further and definitely diagnose.We once met 1, many temple necks pared off a slice of masculine gender, but for many times much ordered live check and neck tube scart pare off all don't check see a cancer, finally go a temple neck the awl slice and make in a row cut into slices 1500, just confirm involve in a gland body for home position cancer.Although the diagnosis that the temple neck awl slices contains high accuracy,the operation is more complicated, the beard goes to hospital, the complications is as well more after the Shu, therefore, recently not a few author's assertions is used the above-mentioned method comprehensive check act for.
Six, the fluorescence vegetable check
Fluorescence the vegetable is a kind of living creature dyestuff, it with cell inside of take off the oxygen pit sugar nucleic acid(DNA) to have certain affinity and take orally with pit sugar nucleic acid(RNA) or intravenous injection after, the cancer lump organizes the fluorescence vegetable of absorption compare normal organization many, stirs up in the ultraviolet ray under, the cancer organizes output fluorescence strength the ratio organizes as usual strong, as a result present the contrast in different color, lending this can lend support to earlier period cancer of diagnosis.
The method is to take orally the fluorescence plain sodium salt 1 g for check object, 11/2~3 hour inside use 2537 spectrums at dark indoor, the silica glass of 8 tile powers is outside and only purple the light source project light upon a temple neck and observe the variety in partial color.The purple color is smooth scale-like in shape up skin, show a normal temple neck.The purple brown is seen to the temple neck debauched.If appear to spread in the thin-like in shape or spot-like in shape yellow in the part of purple or purple brown, is a fluorescence vegetable check masculine gender, hint skin of temple neck have typical model not to increase to living or in early days cancer.
Carry on a fluorescence check to the suspicious temple neck cancer, can lend support to live an examination, raise to live a check masculine gender rate at a time, acquire in early days diagnosis.
Seven, the fluorescence microscope check
Be adsorbed to with the fluorescence dyestuff the living creature organizes and projects light upon in the ultraviolet ray under, each department of cell fluorescence that take place different color and strong or weak, then use the fluorescence microscope observation cell internal structure.
The in common use fluorescence dyestuff is the orange of Mao Ding(brief name AO), it all has very strong affinity to DNA and RNA.Under 0.01% Mao Ding orange liquid and pHs 6 conditions, RNA presents red fluorescence and dyes DNA of quality to then present green light or yellow fluorescence inside the pit in afterbirth syrup and pit Ren.Cancer cell the growth is quick, the nucleic acid in the afterbirth syrup in great quantities increases and check inside of DNA as well has increment, therefore the fluorescence is very strong and present the syrup of the fire red and the pit of the bright academy blue.
The fluorescence microscope sheds off the check of cell to the temple neck cancer, the method is more simple, economy, rapid, its diagnosing accuracy is more slightly low than Ba Shi dyeing method, can used for the temple neck cancer anti-cancer census.
Eight, the temple neck rapid diagnosis method of partial Tu Pian
Yang Jian(1963) according to"surface dye method" principle, design application iron Su's wood plain liquid direct temple neck part dye method, lend support to diagnosis earlier period temple neck cancer.Its principle is the pit that is cancer cell to dye quality increase and dye iron within liquid Su the wood alkali combine together, can namely be dyed into jet-black within 1~2 minutes, but as usual glue a film then don't apply color or only wear shallow gray, both present fresh clear contrast, the naked eye can do an initial judgment.
This method operates simple and rapid, diagnose accuracy to reach to above 90%, be prevent cancer census or the anti-cancer out-patient service early Shai of one of the method.But isn't especially difference diagnosis method, have to carry on living check affirmation diagnosis.
Nine, the chromosome check
The chromosome check contributes to discriminating burning disease or tumor.In recent years, someone lays claim to check to the cytology and the histology hard confirm of case, carry on the pathological changes epithelial chromosome check, contribute to assurance diagnosis.Cultural heritage reports, the burning disease cell of the temple neck chromosome all is normal of 2 times bodies, the light degree changes the cell chromosome pit type also much belong to as usual, weigh a degree the typical model don't increase to living, home position cancer and in early days gradually cancer, mostly can discover not- whole body and much and doubly body.Along with from the home position cancer to the gradually cancerous development, all 2 times body cells can completely disappear gradually.
Ten, the application of computer
The diagnosis of the tumor has already developed in recent years the CT super voice scan and show elephant and combine together with pit vegetable of comprehensive diagnosis method, but the diagnosis being applied to a cervical cancer still keeps being placed in an initial quest stage.①The calculator can be been used to carry on an auto-count and discriminate to the cancer cell, the density of estimate pit, the area of the cell and pit and the comparison of twos, understanding cell and the appearance of the pit and the structure of the pit inner part etc.;②Applied information from patient of calculator storage and processing, regulation passes a teaching method to come to explicit condition to change, help diagnosis, and can predict a turning into of condition and estimate to prepare behind;③The computer X line breaks a layer to photograph(CT) of application:CT machine from the X line shoot machine, receive machine, computer and develop controller a few parts constitute.Its principle is to make use of a high intelligent degree locator, measurese human body organization to absorb Shuai in X line to reduce, pass the data of computer processing diagraph to distinguish organization density small difference, again constitute the portrait of cross section, is shown by the TV screen.
Applied CT check basin chamber, expand to diagnosis and assurance cancer lump of temple neck cancer with the scope that lymphoid knot transfer to have it the definitely practical value.