Patients with local recurrence and no distant metastasis can benefit from concurrent chemotherapy/radiotherapy or radical surgery (pelvic evisceration). For patients with advanced stage (stage IVB) and patients with persistent or recurrent tumors, cisplatin alone or in combination with other active drugs (such as ifosfamide, paclitaxel, gemcitabine, camptothecin, norvinblastine) can be used as a palliative treatment. The basis of chemotherapy, but the standard protocol of palliative chemotherapy is currently uncertain.
Cervical adenocarcinoma has a worse prognosis than cervical squamous cell carcinoma. Adenocarcinomas are insensitive to radiation and most cytostatic drugs, and even in very early stages, there may be a tendency for lymphatic dissemination.
The treatment experience of a cervical cancer patient
Ms. Huang, 46 years old, works in Hangzhou City, Zhejiang Province. In 2007, she was diagnosed with cervical cancer. According to the doctor's treatment plan, I quickly underwent surgery and had a hysterectomy. However, in November 2008, cervical cancer was diagnosed with lymph node metastasis. The pathological examination revealed a moderately differentiated squamous cell carcinoma of the cervix, infiltrating into the deep stroma, involving the cervical dome and bilateral parauterine vessels, and showing tumor thrombus. A large number of tumor emboli were found in the full-thickness vessels of the cervical wall, and surrounding lymph nodes metastasized.
Ms. Huang started receiving chemotherapy. During chemotherapy, I suffered severe hair loss and often had stomachaches. Through many inquiries, his relatives and friends learned that ginsenoside Rh2 is effective in relieving the toxic side effects of chemotherapy, so they bought two boxes and started taking it. After the first chemotherapy, the number of white blood cells increased to more than 3,000, and the side effects of chemotherapy were relatively few. This gives the patient a lot of peace of mind and confidence in the treatment. So I bought it again and kept taking it. Now I am taking more. Before the second chemotherapy, all the physical examination indicators were normal. Especially the SCC indicator, which is very important in blood tests, used to be 7.7ug/ml (the normal value is less than 1.5ug/ml), but this time the test was also normal, and the SCC was 0.9ug/ml. After seeing the examination results, the patient felt relieved and hoped to successfully complete the subsequent treatment. In the past, the patient felt pain all over his body when walking, but now he walks slowly and does light activities without any problems.
After the second chemotherapy, the patient’s reexamination indicators were normal: AFP3.07ng/ml, CEA1.42ng/ml, CA125 was 17.80U/ml, and the discharge record stated that there was no fever, chills, or chills. There is no obvious fatigue, abdominal pain, diarrhea and other discomforts, and the condition is stable. He is now required to be discharged and will be processed.
Therapeutic effect and improvement of quality of life
Description of some cases of Ms. Huang’s chemotherapy combined with taking ginsenoside Rh2
Note: The patient’s appetite, energy and sleep are okay , there was no obvious change in urine and feces.
Note: After today’s chemotherapy, the patient is in generally good condition, with no nausea, vomiting, abdominal pain, diarrhea, chest tightness, palpitations, dizziness, headache, normal urine output, and no abnormal sensation in the extremities. Physical examination: body temperature was normal, heart and lung auscultation were unremarkable, the abdomen was flat and soft, and the liver and spleen were not under the ribs. Blood routine and biochemical routine were basically normal.
Note: White blood cells 4.9 (normal), neutrophil count 3.4 (normal), monocyte count 0.3 (normal), except lymphocytes (1.1<1.5) are slightly lower than normal values , other major immune cell indicators were normal.
Note: The chemotherapy process went smoothly, and the patient has no nausea, vomiting, abdominal pain or diarrhea. The vital signs were stable, no pathological murmur was heard during heart auscultation, the abdomen was flat and soft, no tenderness, and no abnormal masses were detected.