莫把“宫颈糜烂”与“癌”挂钩

2017-11-27 高奕楠 人民网-人民健康网

生活中不少女性都为“宫颈糜烂”忧心忡忡,还视其为宫颈癌前病变,一次次往医院跑。日前,北京协和医院妇产科主任医师谭先杰在直播中表示,宫颈糜烂、宫颈癌前病变和宫颈癌是三个概念。

生活中不少女性都为“宫颈糜烂”忧心忡忡,还视其为宫颈癌前病变,一次次往医院跑。日前,北京协和医院妇产科主任医师谭先杰在直播中表示,宫颈糜烂、宫颈癌前病变和宫颈癌是三个概念。

谭先杰说,目前医学界已经废弃了“宫颈糜烂”一词,改为“宫颈柱状上皮移位”,普遍认为这不是病理改变,而是宫颈在雌激素的刺激下正常的生理变化。

宫颈癌前病变(CIN)指的是宫颈上皮内瘤变,包括宫颈不典型增生和宫颈原位癌。“临床中不少女性一看‘癌前病变’几个字就慌乱不已。

实际上,CIN也还不是‘癌’。是否需要治疗也需要结合很多情况,包括CIN的级别和阴道镜检查的情况。”

目前认为,几乎所有(99.7%)的宫颈癌都是HPV感染引起的,性生活是HPV感染的主要途径,但不是唯一途径。避孕套并不能完全阻断HPV的传播。

谭先杰指出,早期的宫颈癌无明显症状和体征,肉眼观察宫颈可能是光滑的。宫颈上的一些症状,如宫颈糜烂、接触性出血或者炎症,也未必是宫颈癌。因此,定期进行妇科检查是非常必要的。

建议有三年以上性生活的女性,至少每两年做一次宫颈防癌检查,此前采用的是薄层液基细胞学检查,即TCT,目前在有条件的地区,更推崇人乳头瘤病毒检测,或者用这两种方法联合检查。

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    2017-11-29 一闲
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    2017-11-29 许安
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    2017-11-27 戒馋,懒,贪

    谢谢分享学习了

    0

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这根本不是病,却困扰了大部分的女性!

导语:“宫颈糜烂”这个词,女性大都知道,并且绝大多数的女性认为它是一种常见疾病,是宫颈的炎症,和宫颈癌还有关系。那么“宫颈糜烂”到底是一种什么病呢?它有多严重?和宫颈癌真有关系吗?下面我们一起来说说“宫颈糜烂”的前世和今生。曾经:宫颈糜烂曾经是一种病,得治!2008年以前,在中国专业的妇产科教科书上描述:妇科检查中,发现宫颈外口处的宫颈粘膜部分外观呈现一种细颗粒状的、粗糙的、不光滑的圆形红色区,直