Ung thư cổ tử cung có mấy giai đoạn và cách điều trị | BS Nguyễn Gia Hoàng Anh, BV Vinmec Phú Quốc

#cancer #cancer #vinmec How many stages does cervical cancer have and what are the treatment methods? Let's find out with Dr. Nguyen Gia Hoang Anh, Department of Obstetrics and Gynecology, Vinmec Phu Quoc International General Hospital in this video. Cervical cancer stages are classified from stage I to IV. According to regulations, the smaller the number, the less widespread the cancer. A higher number, such as stage IV, means the cancer is more advanced. And within a stage, the letter in front means a lower stage. Stage 0 - cancer in situ At this stage, the patient does not have any signs or symptoms, so it is usually only detected through examination and screening for cervical cancer. Treatment of this stage is also relatively simple, with the goal of preventing the disease from developing into invasive cancer. At this stage, the main treatment is cervical conization, LEEP, or partial cervical or uterine resection Stage 1 cervical cancer: Cancer cells are completely localized in the cervix, have developed from the surface of the cervix to the deeper tissues of the cervix. Cancer has not spread to nearby lymph nodes. Cancer has not spread to distant organs. Stage 1 cervical cancer is divided into stages IA and IB with increasing severity of disease progression: Stage IA The tumor is now less than or equal to 5mm in depth and less than or equal to 7mm in width, and can only be diagnosed microscopically. Stage IA is further divided into: IA1 (deeply invaded stroma less than or equal to 3mm, wide less than or equal to 7mm), IA2 (deeply invaded stroma less than or equal to 3mm, wide less than or equal to 7mm). Stage IB At this stage, lesions are found in the cervix or on a microscopic scale larger than IA2 and are divided into IB1 (tumor less than or equal to 4cm), IB2 (tumor larger than 4cm). Stage 1 cervical cancer is still an early stage, signs of the disease rarely occur, so most patients do not know they have the disease. Symptoms that appear in this stage include: vaginal bleeding, changes in menstrual cycles, etc. Treatment of this stage depends on the patient's desire to continue having children, choosing a method of preserving fertility, such as cone biopsy. On the contrary, if you do not want to continue having children, treatment will be simpler by completely removing the uterus by laparoscopic or laparoscopic surgery. Stage 2 cervical cancer This is the stage where the cancer has grown beyond the cervix and uterus, but has not spread to the walls of the pelvis or the lower part of the vagina. No spread to nearby lymph nodes. No spread to distant organs. The two small stages IIA and IIB also assess the level of invasion of cancer cells gradually worsening: Stage IIA cancer: The tumor has spread to ⅔ of the vagina but has not invaded the tissues next to the cervix. This stage is divided into IIA1 (tumor less than or equal to 4cm), IIA2 (tumor larger than 4cm). Stage IIB cancer: Cancer cells have now invaded the tissues next to the cervix but have not invaded the pelvic side wall. The treatment method for stage 2 disease is also divided into 2 groups according to the need to maintain the patient's fertility. Cervical resection and pelvic lymph node dissection are methods that allow patients to continue to reproduce after treatment. For distant metastatic cancer cells that cannot be completely removed by surgery, chemotherapy and radiotherapy will be performed in combination. Stage 3 cervical cancer: This is the stage where the disease has developed strongly, the tumor has invaded the pelvic side wall and/or invaded the lower 1/3 of the vagina and/or invaded the ureter, leading to dilation of the upper urinary tract. Cancer can block the ureter. This stage is divided into: IIIA: the tumor has not invaded the pelvic side wall, has invaded the lower 1/3 of the vagina. IIIB: the tumor has spread to the pelvic side wall, can invade the ureter, thereby leading to hydronephrosis or loss of kidney function. Stage 4 cervical cancer is the stage where it has invaded the bladder or rectum or to distant organs such as the lungs or bones. This stage is divided into IVA (tumor invades the bladder, can invade the rectum) and IVB (tumor metastasizes beyond the pelvis). The symptoms of the disease at this time are not only local cancer but also secondary cancer symptoms. If cancer invades the lungs, common symptoms are difficulty breathing, coughing, coughing up blood, etc. If cancer metastasizes to the liver, the patient often has yellow eyes, yellow skin, liver pain, etc. The possibility of curing the disease at this stage is very low, combined chemotherapy and radiotherapy will help slow the progression of the disease and reduce pain. Subscribe to watch the latest health videos at:    / @vinmechospital   Contact Vinmec: Fanpage:   / vinmec   Website: https://www.vinmec.com TikTok:   / benhvienvinmec   Vinmec Hospital System nationw...