The temple neck cancer relapses and handles

The temple neck cancer after curing symptom and body disease disappears, but the cancer lump re- appears after more than 6 months, call it relapse.6 months after curing in still existence cancer, shoulding be included in don't be more.
(A)relapse time
Temple neck cancer after putting treat relapses majority of occurrence in 2 years in.Tumor hospital in the Chinese medical science science, hospital statisticses to relapse to have 84% in 2 years.But still have 4% to relapse in 5~10 years after the treatment.The temple neck cancer after operation relapses often within a year.1417 surgical operation in Shanghai City treatment statistics, relapse to die because of the cancer 61, 45 among those examples die within 5 years.Foreign report way temple neck cancer the later period relapse to lead to 7.8~11.1% after 5 years.Temple neck cancer after relapsing, such as can not get a treatment, is more than half year~die in a year, the only minority can survive for more than 2 yearses.
(Two)relapse part
According to statistic from the cultural heritage, the temple neck cancer relapses with basin wall, temple the side and temple neck part relapse for the most familiar.Someone's statistics relapses part after putting treat, the basin wall has 15.4% and secondly has 8.2% for original hair cooking stoves part, the vagina is next to have 1.7%, and the distance transfers into 5.1%.
(Three)clinical characteristics
Because the cancer is swollen to relapse part to be different.Temple neck the part or vagina relapse, often have irregular vagina bleed or smelly the white take;Basin the wall or temple relapse beside, can appear to suffer from the side legs ache, anasarca, waist Mao department or abdomen department ache, the basin chamber check can touch a temple side lump or Mao nest the department is fixed pack of piece of;Rectum or urine bladder assignor often have then blood or blood in urine;The bone transfers to often appear partial ache;The lung transfers to have a cough, and chest pain...etc..
(Four)diagnose
When the temple neck cancer appears above symptom and body to advertise for after curing, should thought of the possibility for relapsing.Temple neck, vagina of the part relapse and make vagina Tu Pian cytology check with live organization pathology check, not difficult confirm.But temple side and basin the wall relapse and mainly depend a clinical symptom and basin chamber check and confirm more difficult.Should attention basin chamber lump with cure for good after the Shu a lymphoid bag is swollen, basin wall burning piece and put to treat behind temple side knot Di organization the fiber turn etc. discriminate.The partial thin needle wears a sting to make cell Tu Pian and send to a pathologic check to contribute to explicit diagnosis.The B type super voice, pelvis builds a shadow and isotope kidney diagram and CT basin chamber check etc., relapse a cancer to contain certain reference value to the diagnosis.
(Five)handle
Relapsing a cancerous treatment is very difficult, and the effect is bad.Concrete method should according to relapsing a part, scope and beginning to cure adopt of measure and sufferer whole body condition etc. make decision.
1.The temple neck home position cancer after operation relapses a vagina home position cancer and generally lay claim to part excision, parts of vagina excision or whole vagina the excision and vagina give a new life Shu.May also applied refrigeration or laser carry on a partial treatment.To old age or already the surgical operation cut off the sufferer of two side ovaries, can go vagina radium to treat or the X line vagina tube irradiation.Shandong province signed a hospital to once meet 1 through cut off the womb confirmation as the temple neck home position cancer, Shu after contained same pathological changes at the segment in the vagina detection, spread to stick a gum body through the part gold(198 Aus) but disappear.
2.Gradually cancer's after operation relapsing should regard emanation treatment as principle, match the chemistry medicine cure.The vagina remnants carries to relapse a cancer, can go radium inside the chamber to treat and 60 cobalt bodies outside open countryside perpendicularity irradiation.After relapsing a cancer line to put to treat after operation, the 5 years cure rate is 15~20%.
3.The temple neck cancer puts to treat the treatment that relapses behind, should according to relapsing part and for the very first time put to treat amount of and put time of treating the be over and sufferer whole body the circumstance make an appropriate processing.
(1)accept amount of foot emanation after relapse in 2 years, generally should not add again to project a treatment.Such as be last for the temple neck part, vagina or temple side inside the half department relapse, the adoption surgical operation treatment contains certain effect, pathological changes majority can cut off, generally can go to cure for good Shu or basin the chamber dirty machine to clean Shu.But the temple half department outside the side and basin the wall relapse, usually the surgical operation can not cut off.The dirty Shu complications is many, besides which, basin chamber surgical operation death rate Gao, also need to involve urine, muck and change a way, after the Shu 5 year, the existence rate is low.Therefore, have already hardly adopted currently.
(2)put to treat amount of shortage for the very first time, put to treat be over half year~2 years in, basin the chamber or temple neck relapse a cancer, can give the half the quantity irradiation again.
(3)put to treat after the be over basin the chamber or temple neck relapse a cancer for more than 2 yearses, can consider again a whole quantity or reduce to project a treatment.Someone relapses a cancer application beside to the temple the isotope part inject and acquire to temporarily alleviate.
4.To isn't suitable for surgical operation or put to treat of relapse a cancer, can choose chemistry medicine or Chinese herbal medicine treatment.
5.Relapsing the cancer detection already late, the quality of sufferer bad disease, keep pelvis in deep freeze or have a distance assignor, should ease pain and sufferings to the disease processing.If patient's circumstance allows, transfering to the bone can adopt appeasement to put to treat.For more than 2 weeks time inside give 2000~3000 rads, can make the bone ache eased.To relapse a cancer with the result that the urethra jams or the cancer is swollen the skin urethra causing urine Lou, canning consider feeling consideration build and keep on urine liquid to lead to flow.It is bootless to carry on appeasing sex urine road to change a way.