Pregnancy complicated with cervical cancer

　　1. Causes of Disease

　　The etiology has not been completely clarified. According to a large amount of epidemiological data and related research, it is considered to be related to the following factors:

　　1. The time of first sexual intercourse and the number of sexual partners Early sexual intercourse and multiple sexual partners (sexual disorder) are closely related to cervical cancer. For those who have sexual intercourse at the age of 16, the relative risk of onset is twice that of those over 20; cervical cancer patients have more sexual partners than the control group, and the risk of disease is directly proportional to the number of sexual partners.

　　2. Sexual hygiene and the number of deliveries Poor hygiene during menstruation and puerperium has a relative risk (RR) of 2.27 compared to the control group; the risk of disease increases twice in those with ≥4 vaginal deliveries compared to those with ≤1 delivery.

　　3. Viral infection Human papillomavirus (HPV) infection is the main risk factor for cervical cancer. It has been confirmed that more than 20 subtypes of HPV are related to female reproductive tract lesions, among which high-risk types mainly lead to cervical intraepithelial neoplasia (CIN) II, III, and cervical cancer; HPV16 has the highest detection rate in squamous cell carcinoma of the cervix, and HPV18 is the most common in adenocarcinoma. The risk of lesion progression in HPV16/18 positive patients is increased. Infections such as herpes simplex virus type 2, human cytomegalovirus, chlamydia, and others are strongly associated with cervical cancer. As the number of infections increases, the risk of cervical cancer increases.

　　4. Other oral contraceptives with a long duration of use (≥8 years) increase the risk of cervical cancer. Smoking can suppress the body's immune function, increase the chance of infection, and have a promoting effect on cancer; a sexual history of the male partner, an increase in sexual partners, and partners with penile cancer can all increase the risk of cervical cancer.

　　In summary, the onset of cervical cancer is related to many factors, and whether there is a synergistic or antagonistic effect between the factors still needs to be further studied.

　　2. Pathogenesis

　　Like non-pregnant periods, the pathological types of cervical cancer complicated with pregnancy are most commonly squamous cell carcinoma, followed by adenocarcinoma, adenosquamous carcinoma, and mucinous adenocarcinoma, etc. The cervical epithelium during pregnancy can undergo varying degrees of changes, such as basal cell hyperplasia, squamous metaplasia, atypical hyperplasia, etc., which are easy to be confused with in situ carcinoma. At the same time, in the pregnancy period, the endometrial glands can also be hyperplastic, the glandular epithelium can be hyperplastic, or adenomatous hyperplasia can occur, which can also be misdiagnosed as adenocarcinoma. Therefore, special vigilance should be raised before making a diagnosis. According to the degree of infiltration of cancer cells, it is divided into in situ carcinoma and invasive carcinoma, just like non-pregnant periods.

　　1. Influence of cervical cancer on pregnancy

　　Early cervical cancer generally does not affect pregnancy, while middle and late-stage patients are not conducive to pregnancy. When both exist, although cervical cancer has no direct effect on the development of the pregnant uterus or the fetal position, the cachexia of cervical cancer affects the health of the mother, and in order to treat pregnant women, artificial abortion and radiotherapy are often required, which also leads to the early termination of pregnancy, abandonment of the fetus, or increased mortality rate of the fetus. If cervical cancer is complicated with pregnancy and vaginal delivery occurs due to misdiagnosis, it often leads to cervical laceration, severe bleeding, infection, and other conditions that affect the lives of both the mother and the child.

　　2. Influence of pregnancy on cervical cancer

　　There is controversy over whether pregnancy affects the growth or spread of cervical cancer. However, most scholars believe that the blood supply and lymphatic circulation of the reproductive organs increase during pregnancy, and in addition to the effect of estrogen, pregnancy promotes the spread of cancer and has a poor prognosis. The occurrence of cervical cancer is positively correlated with multiple pregnancies and multiple deliveries.

　　Secondary symptoms appear according to the extent of lesion invasion. When the lesion involves pelvic connective tissue, pelvic wall, compresses the ureter or rectum, or affects the sciatic nerve, the patient may complain of frequent urination, urgency, anal distension, constipation, tenesmus, lower limb swelling and pain, etc.; in severe cases, it can lead to ureteral obstruction, renal pelvis hydrops, and finally cause uremia. In the late stage of the disease, patients may appear cachexia and other systemic failure symptoms.

　　Similar to cervical cancer during non-pregnancy, early stage symptoms are common, such as occasional vaginal bleeding or bleeding after sexual intercourse. Due to occurring during pregnancy, it is often misdiagnosed as threatened abortion, placenta previa, placental abruption, preterm labor, or cervical dilation. Due to fear of abortion, vaginal examination is avoided, leading to misdiagnosis. Subsequently, the development of the tumor can cause increased vaginal discharge, persistent vaginal bleeding, and in the late stage, pain in the lower back or lateral part of the thigh may occur.

　　The signs are the same as those in non-pregnant women. In the early stage, it should be differentiated from common cervical chronic inflammation, cervical erosion, and benign papillomatous tumors in pregnant women. In the middle and late stages, the signs are more obvious and easy to diagnose.

　　In addition to clinical manifestations and gynecological examination (including digital rectal examination), biopsies or assistance in obtaining specimens should be performed according to different situations, with the pathological histological examination results as the basis for diagnosis.

　　The cytological changes of cervical in situ carcinoma occurring during pregnancy are difficult to determine, and the histological diagnostic criteria are the same as those during non-pregnancy, that is, intercellular atypia is seen throughout the full layer of epithelium from the basal layer to the surface layer. The cervical epithelium during pregnancy can produce various types of morphological changes, which should be distinguished from true intercellular atypia. Attention should be paid to the following:

　　For all pregnant women seeking initial consultation at the obstetrics department, cervical examination and cytological examination should be performed. The general principles and methods for screening non-pregnant cervical tumors also apply to pregnant women. During pregnancy, due to cervical eversion, excessive mucus, and bleeding, the incidence of false-negative results in cervical cytological examination increases. Approximately one-third of pregnant women with cervical cancer have no symptoms at the time of diagnosis, and vaginal bleeding or discharge is the most common symptom reported. Most pregnant women with cervical cancer are in clinical stage Ia. The reasons for delayed diagnosis include:

　　1. Failure to perform prenatal examination.

　　2. Failure to perform cervical cytological examination, or failure to take a biopsy of the cervical tissue with an abnormal appearance.

　　3. Inability to correctly evaluate abnormal cervical cells or bleeding.

　　If the cytological examination suggests cervical squamous intraepithelial neoplasia during pregnancy, or atypical cervical glandular epithelial cells are found, it is recommended to proceed with further examinations and treatments step by step. It is not advisable to perform cervical conization for pregnant women with cervical squamous intraepithelial neoplasia, and for those diagnosed with invasive cervical cancer during pregnancy, clinical staging of the cancer is required. The staging of cervical cancer in general is based on physical examination, cystoscopy, chest X-ray examination, intravenous pyelography, and computed tomography (CT) scan results. Some of these examination methods are not applicable to pregnant women with cervical cancer and need to be modified, for example, ultrasonography should be used to examine pyelonephritis, magnetic resonance imaging (MRI) should be used to examine retroperitoneal lymph node metastasis, and during chest X-ray examination, the abdomen of the pregnant woman must be shielded to protect the fetus.

　　Regarding the incidence of gestational cervical cancer, the literature reports vary greatly. Cervical intraepithelial neoplasia is more common. Coggs (1989) reported that the incidence of cervical intraepithelial neoplasia in women of childbearing age is 26‰, and the incidence of cervical in situ cancer is 5‰. Hacker et al. (1982) reported that the incidence of cervical in situ cancer is 1.3/1000, and the incidence of cervical invasive cancer is 1/2000 pregnancy. Nevin et al. (1995) reported that about 3% of cervical cancer patients have pregnancy. In 2002, some scholars reported that the incidence of gestational cervical invasive cancer was about 1/1000, and the incidence of abnormal cervical smear during pregnancy was 1.62%.

　　1, Cervical cytology examination

　　Cervical cell smear examination is taken as a routine item in the prenatal examination of pregnant women, which can help to discover and treat early cervical cancer as soon as possible.

　　2, Colposcopy and cervical biopsy

　　For patients with abnormal cervical smear or even cervical malignant diseases, colposcopy and cervical biopsy should be performed at any stage of pregnancy. Biopsy can make an accurate diagnosis and assist in clinical staging. There are principled differences in treatment between in situ cancer and infiltrative cancer with pregnancy.

　　3, Cervical conization

　　Cervical conization during pregnancy can lead to severe maternal and fetal complications such as massive hemorrhage, infection, abortion, preterm delivery, etc., and conization should be avoided as much as possible. Cervical conization is contraindicated for infiltrative cancer.

　　According to specific conditions, cystoscopy, rectoscopy, renal pelvis contrast, X-ray chest film and other examinations can be performed, and CT or MRI can be performed if necessary, which is helpful to determine the extent of the lesion, select appropriate treatment methods, and improve the treatment rate.

　　I, Dietetic recipe for gestational cervical cancer

　　1, Astragalus 12 grams, Angelica sinensis 15 grams, Codonopsis pilosula 9 grams, Atractylodes macrocephala 9 grams, Asparagus cochinchinensis 9 grams, Poria 9 grams, Dioscorea batatas 9 grams, Peony 6 grams, Ligusticum chuanxiong 6 grams, Glycyrrhiza uralensis 5 grams. Decoct and take one dose a day. Mainly for patients with cervical cancer due to insufficient Qi.

　　2, Smilax glabra 30 grams, Taraxacum mongolicum 30 grams, Poria 25 grams, Inula 25 grams, Atractylodes macrocephala 15 grams, Angelica sinensis 9 grams, Peony 9 grams, Bupleurum 4-5 grams, Alisma orientale 9 grams. Decoct and take one dose a day. Coix 60 grams, Cnidium monnieri 30 grams, Chrysanthemum 30 grams, Lonicera japonica 30 grams, Angelica dahurica 15 grams, Acorus calamus 15 grams. Boil with appropriate amount of water, remove dregs and soak the vagina and cervix.

　　3, Arisaema 30 grams (boiled for 2 hours first), Poria 24 grams, Lobelia chinensis 30 grams, Hedyotis diffusa 30 grams, Fructus gardeniae 12 grams, Atractylodes macrocephala 24 grams, Curcuma 15 grams, Angelica sinensis 12 grams, Cyperus rotundus 12 grams, Peony 12 grams, Citrus reticulata 12 grams. Decoct and take one dose a day.

　　4, Scorpion 10 grams, Beehive 10 grams, Snake slough 10 grams. Scorpion is soaked in cold water for 24 hours (change water 2-3 times), then dried in the sun and roasted slightly with low heat, Beehive and Snake slough are roasted slightly separately. Grind into powder, make into pills with water, 2 grams each time, twice a day.

　　5, 30 grams of Ligustrum lucidum, 30 grams of Solicaulis, 30 grams of Taxillus sibiricus, 30 grams of Dioscorea opposita, 30 grams of Houttuynia cordata, 24 grams of Paris polyphylla, 20 grams of Rehmannia glutinosa, 15 grams of Curcuma wenyujin, 12 grams of Anemarrhena asphodeloides, 12 grams of Phellodendron amurense. Decocted for oral administration, one dose per day. Used for advanced cervical cancer.

　　6, 30 grams of Taxillus sibiricus, 15 grams of Polygonatum odorum, 15 grams of Panax scberosus, 15 grams of Cynanchum otophyllum, 12 grams of Coix seed, 9 grams of Atractylodes macrocephala, 9 grams of Cibotium barometz, 9 grams of Citrus reticulata, 3 grams of Cimicifuga foetida. Decocted for oral administration, one dose per day. Indicated for significant descending qi in the cervix.

　　7, 30 grams of Houttuynia cordata, 15 grams of Solicaulis, 15 grams of Dioscorea bulbifera, 15 grams of Saururus chinensis, 12 grams of Rehmannia glutinosa, 9 grams of Anemarrhena asphodeloides, 9 grams of Alisma orientale, 15 grams of Sphagneticolus chinensis, 9 grams of Scrophularia ningpoensis, 4-5 grams of Phellodendron amurense. Decocted for oral administration, one dose per day.

　　8, 50 grams of Houttuynia cordata, 50 grams of Imperata cylindrica, 50 grams of Rock sugar. Decocted for oral administration, one dose per day, take for 7-14 doses consecutively. Indicated for rectal inflammation after radiotherapy for cervical cancer.

　　9, 6 grams of Bupleurum chinense, 6 grams of Angelica sinensis, 6 grams of Ligusticum chuanxiong, 6 grams of芍药, 6 grams of Rehmannia glutinosa, 6 grams of Ailanthus altissima, 6 grams of Ailanthus altissima. Decocted for oral administration, one dose per day. Indicated for advanced cervical cancer.

　　10, 18 grams of Panax ginseng, 18 grams of Trapa bispinosa, 9 grams of Sichuan pepper. Grind into fine powder, take 7 grams per dose, once a day, dissolved in warm water, 24 days as one course of treatment.

　　11, 6 grams of Carthamus tinctorius, 6 grams of Alum, 30 grams of Sphagnum. Decocted, first for fumigation, then for external washing of the vulva, once or twice a day, each time for 30-60 minutes. Reheat before reuse, each dose can be used for 3-4 days. Indicated for early-stage cervical cancer.

　　12, 3 grams of Laminaria japonica, 3 grams of Sargassum pallidum, 5 grams of Cyperus rotundus, 5 grams of Atractylodes macrocephala, 5 grams of Poria cocos, 6 grams of Angelica sinensis, 10 grams of芍药, 3 grams of Bupleurum chinense, 3 grams of Buthus martensii, 2 Chinese centipedes. Decocted for oral administration, 3-4 doses per week. Indicated for early-stage cervical cancer.

　　13, 30 grams of Solicaulis, 15 grams of Curcuma phaeocaulis, 15 grams of Sophora tonkinensis, 30 grams of Houttuynia cordata, 30 grams of Juglans regia branch, 15 grams of Solanum nigrum, 30 grams of Astragalus membranaceus, 30 grams of Epimedium sagittatum, 30 grams of Epimedii fructus. Decocted for oral administration, one dose per day. Indicated for middle-stage cervical cancer.

　　14, 30 grams of Prunella vulgaris, 30 grams of Sophora tonkinensis, 15 grams of Pollen, 30 grams of Paris polyphylla, 15 grams of Rubia cordifolia, 15 grams of Bupleurum chinense, 9 grams of Curcuma wenyujin, 9 grams of Sparganium stoloniferum. Decocted for oral administration, one dose per day. Indicated for cauliflower-type and erosive-type cervical cancer.

　　15, 15 grams of Angelica sinensis, 15 grams of Bupleurum chinense, 15 grams of Chicken gizzards, 30 grams of Codonopsis pilosula, 9 grams of Atractylodes macrocephala, 9 grams of芍药, 9 grams of Poria cocos, 9 grams of Citrus reticulata, 9 grams of Atractylodes macrocephala, 7 grams of Glycyrrhiza uralensis. Decocted for oral administration, one dose per day. Indicated for cauliflower-type and erosive-type cervical cancer.

　　16, 30 grams of Cantharides, 30 grams of Plantago asiatica, 30 grams of Talcum, 30 grams of Coptis chinensis. Grind into fine powder, make into pills with water, take 0.1-0.12 grams per dose, once a day.

　　17, 30 grams of Houttuynia cordata, 30 grams of Imperata cylindrica, 15 grams of Salvia miltiorrhiza, 9 grams of Angelica sinensis, 30 grams of Oyster shell, 60 grams of Houttuynia cordata, 9 grams of Rubia cordifolia, 15 grams of Codonopsis pilosula, 9 grams of Atractylodes macrocephala, 9 grams of芍药, 9 grams of Polygonum multiflorum. Decocted for oral administration, one dose per day.

　　18. 1 pigeon, an infinite amount of vinegar, 30 grams of triosteum, 30 grams of山药. Kill the pigeon and remove the internal organs, chop them up, and cook with the latter two ingredients together in water until soft, season with salt, and drink the soup and eat the meat. Suitable for other gynecological tumors in addition to cervical cancer.

　　19. 1 eel, 60 grams of fresh veronica officinalis (30 grams of dried product). Remove the internal organs from the eel and cook it with veronica officinalis (wrapped in cloth) in an appropriate amount of water for one hour, remove the medicine, season with salt and oil, and drink the soup and eat the fish. Mainly used to treat irregular menstruation and red and white leukorrhea in cervical cancer.

　　20. 250 grams of black-bone chicken, 30 grams of haematitella, 30 grams of scallion whites. First, cut the chicken into pieces and put it in a pot with haematitella, add an appropriate amount of water, and cook until the chicken is soft. Add scallion whites, salt, and oil, and cook for another 15 minutes. Drink the soup and eat the meat. Mainly used to treat red and white smelly leukorrhea and vaginal cancer.

　　21. 1 chicken, 12 grams of mugwort绒, 15 grams of fructus lycii. Kill the chicken in the usual way and remove the internal organs. Put mugwort (wrapped in cloth) and fructus lycii into the chicken abdomen, seal with bamboo skewers, add water, simmer until soft, remove the mugwort, season with salt, and drink the soup and eat the meat. Mainly used for patients with physical weakness in cervical cancer.

　　22. 60 grams of lean pork, 30 grams of fish glue, 60 grams of glutinous rice. Cut the pork and fish glue (after soaking for a day) into strips and cook with rice, season with salt and oil, and eat. Mainly used for patients with cervical and ovarian cancer who are physically weak and have no appetite.

　　23. 25 grams of mugwort leaves, 2 eggs. Boil mugwort leaves and eggs in an earthen pot (avoid using iron utensils) over low heat. Remove the shell from the eggs after they are cooked, and then boil for another 10 minutes. Mainly used to treat intermittent cold pain in the lower abdomen in cervical cancer.

　　24. 50 grams of rhizoma et radix smilacis glabra, an appropriate amount of sugar (or honey). Boil rhizoma et radix smilacis glabra in 2.5 bowls of water, simmer over low heat until 1 bowl, add sugar or honey for seasoning when using. Mainly used to treat increased leukorrhea in cervical cancer.

　　25. 20 quail eggs, half an onion, 80 grams of carrots, 80 grams of asparagus, 4 tomatoes, and 1 green pepper. Boil the eggs and use the shells. Cut the vegetables into small pieces. Boil the carrots just until tender. In the bowl, put in 200 milliliters of soup base, 40 grams of sugar, 45 milliliters of vinegar, 15 milliliters of wine, 20 grams of tomato sauce, 5 milliliters of sesame oil, 10 grams of soy sauce, and mix well. Put 30 milliliters of oil in the pot, heat it, and then add the eggs and vegetables, stir-fry for a second, and then pour in the sauce and cook for a while. It is mainly used to treat anemia caused by chronic hemorrhage from cervical cancer.

　　26. 300 grams of lamb, 1 fresh river fish (500 grams), and 1 white radish. Cut the lamb into large pieces and place it in boiling water, cook with sliced radish for 15 minutes, discard the soup and radish. Put the lamb in a pot, add water (about 2/3 of the pot capacity), scallions, ginger, and wine, and cook until fully cooked. If the soup is too little, add some boiling water. After the fish is fried with soybean oil, put it in the lamb pot and cook for 30 minutes. Add salt, coriander, green onions, and garlic sprouts to the soup, and it becomes a delicious lamb and fish soup. Mainly used for postoperative recuperation after cervical cancer surgery.

　　27. Bamboo shoot porridge: Boil 100 grams of glutinous rice with an appropriate amount of water, and then add 30-60 grams of bamboo shoot powder and a little brown sugar, continue to cook into porridge. Therefore, eating porridge made from bamboo shoot powder can not only invigorate the spleen and benefit the Qi, but also can be used as an auxiliary dietary prevention and treatment measure for esophageal cancer, gastric cancer, breast cancer, and cervical cancer.

　　Second, what foods are good for pregnant women with cervical cancer

　　1. In the early stage of cervical cancer, there is generally little impact on digestive function. The focus should be on enhancing the patient's ability to resist diseases and improve immunity, and as much as possible to provide nutrients, such as proteins, sugars, fats, vitamins, etc. When the patient has a lot of vaginal bleeding, some foods for replenishing blood, stopping bleeding, and anti-cancer should be taken, such as lotus root, Job's tears, hawthorn, black fungus, Chinese plum, etc. When the patient has a lot of watery leukorrhea, it is advisable to take tonics, such as turtle, pigeon eggs, chicken, etc. When the patient has a lot of thick and smelly leukorrhea, it is advisable to eat light and diuretic foods, such as Job's tears, red beans, white mugwort root, etc.

　　2. After surgery, diet should focus on supplementing qi and blood, and nourishing essence, and can eat such foods as yam, longan, mulberry, goji, pork liver, turtle, sesame, donkey hide glue, etc.

　　3. During radiotherapy, diet should focus on nourishing blood and moistening the yin, and can eat such foods as beef, pork liver, lotus root, black fungus, spinach, celery, pomegranate, water chestnut, etc.; if radioactive cystitis and radioactive proctitis occur due to radiotherapy, then dietary adjustments with清热利湿, nourishing yin, and detoxifying effects should be given, such as watermelon, Job's tears, red beans, bamboo shoots, lotus root, spinach, etc.

　　4. During chemotherapy, diet should focus on strengthening the spleen and kidney, and can use such foods as yam powder, job's tears porridge, animal liver, placenta, ejiao, turtle, black fungus, goji, lotus root, banana, etc. When there are digestive tract reactions such as nausea, vomiting, and loss of appetite, dietary adjustments should be made to strengthen the spleen and stomach, such as sugarcane juice, ginger juice, Chinese plum, banana, tangerine, etc.

　　5. In the late stage of cervical cancer, high-protein and high-calorie foods such as milk, eggs, beef, turtle, red beans, mung beans, fresh lotus root, spinach, winter melon, apple, etc. should be selected.

　　Third, what foods should pregnant women with cervical cancer avoid

　　1. Cervical cancer is caused by blood stasis, phlegm dampness, and toxic heat. The diet should avoid rich, sweet, pungent, spicy, and aromatic foods, as well as fried and baked foods that produce dampness, phlegm, and dryness, which are easy to cause bleeding.

　　2. When the patient has a lot of watery leukorrhea, avoid cold and raw foods, fruits, cold foods, and hard-to-digest foods; when leukorrhea is thick and has an unpleasant smell, avoid rich and greasy foods.

　　First, prevention

　　1. Strengthen health education: Publicize the危害 of cervical cancer, improve women's understanding of the causes and prognosis of cervical cancer, and do a good job in preventive work.

　　2. Publicize the avoidance of sexual disorder.

　　3. Publicize late marriage: The age of first sexual intercourse is more important than the age of first marriage. The incidence of cervical cancer in those who have their first sexual intercourse under the age of 18 is four times higher than those over 18.

　　4. Publicize family planning: Multiple pregnancies and deliveries can stimulate or damage the cervix, leading to abnormal proliferation of cervical epithelium, which can further develop into cancer. Since the 1960s, China has vigorously publicized and implemented family planning policies, which are suitable for preventing cervical cancer.

　　5. Publicize attention to the hygiene of menstruation and sexual life.

　　6. Remove excessive and tight foreskin of male penis to avoid the occurrence of smegma, as research shows that smegma is also a carcinogen.

　　7. Publicize the avoidance of smoking (Cao Zeyi, 1998).

　　8, Actively treat cervical erosion: moderate to severe cervical erosion, cervical polyps, cervical condyloma, cervical leukoplakia, and other diseases have a close intrinsic relationship with precancerous lesions and cancer.

　　9, Actively treat reproductive tract viral infections and condyloma acuminatum

　　10, Use condoms

　　11, Health product query for preventive cervical hysterectomy Breakline gestational cervical cancer traditional Chinese medicine treatment methods

　　Second, traditional Chinese medicine treatment

　　1, Anticancer Tablet (Pill) is composed of Huangyaozi, Zhaoshou, Shandougen, Xiacucao, Baimianpi, Bajiangcao. Each tablet is 0.5g, 5 tablets each time, 3 times a day.

　　2, Shenrun Pill, 1 pill each time, 2 times a day, taken with warm boiled water or light salt water in the morning and evening. Suitable for patients with cervical cancer due to kidney yang deficiency.

　　3, Kang'anxin Capsule, 5 capsules each time, 3 times a day, taken orally, 30 days as a course of treatment. It has the effects of promoting blood circulation and removing blood stasis, softening hard lumps, clearing heat and detoxifying, reinforcing the healthy qi and consolidating the foundation, and is a commonly used traditional Chinese medicine for cervical cancer.

　　4, Curcuma oil injection, 10-20ml each time, diluted 10 times with 5% or 10% glucose solution, locally injected into the tumor or through arterial catheter injection, once or every other day; Curcuma alcohol injection, each vial 10ml (containing 30mg of curcuma alcohol), 10ml each time, locally injected into the tumor, once a day; Compound Curcuma injection, each vial 2ml or 5ml, 2-5ml each time, intramuscular injection, twice a day, or 100-300ml each time, intravenous injection, once a day.

　　5, Compound Cantharidin Capsule, 2 capsules each time, 3 times a day, taken orally, 30 days as a course of treatment. It is used for primary malignant gynecological tumors and is suitable for patients with cervical cancer.

　　6,鸦胆子油5％or 10％鸦胆于油，each time 4-8ml. Twice a week, local tumor injection.

　　The specific selection of traditional Chinese medicine for cervical cancer should be carried out under the guidance of experienced traditional Chinese medicine doctors, taking into account the individual differences and disease conditions of each patient with cervical cancer, and it is forbidden to take medicine blindly.

　　7, Other treatments of traditional Chinese medicine

　　(1) Acupuncture at Guanyuan, Tianchi, Dachangshu, Zusanli, Gongsun, needle retention for 20-50 minutes, once every other day. Suitable for patients with chronic illness, weakness, poor appetite, and lower abdominal pain.

　　(2) Acupuncture at Qihai, uterus, Ligou, San Yin Jiao, for auxiliary treatment of cervical cancer.

　　(3) Acupuncture at Hegu, Tianchi, Shangjuxu, Zusanli. Suitable for patients with abdominal distension, pain, and purulent stools due to cervical cancer.

　　(4) Ear acupuncture, select the uterus, external genitalia; kidney, Migen, etc. points, can be needled or buried needle or acupoint pressing. Suitable for auxiliary treatment of cervical cancer.

　　8, Traditional Chinese medicine massage therapy for cervical cancer

　　Before cervical cancer surgery, it is forbidden to use traditional Chinese medicine massage therapy in the lower abdomen. After radical surgery, the following methods can be used: friction under the季肋, side abdominal compression and push, oblique friction under the abdomen, pressing Qichi, pressing Yinlingquan, straight friction of the waist, kneading Mingmen, pressing the inner thigh. It has the effect of promoting blood circulation and removing blood stasis, and promoting postoperative recovery.

　　Traditional Chinese medicine treatment for cervical cancer has a unique treatment system and significant long-term therapeutic effects, which can be carried out independently as conservative treatment and rehabilitation therapy for advanced cases, or as an auxiliary means, participating in comprehensive treatment with surgery, radiotherapy, and chemotherapy. Traditional Chinese medicine materia medica query Breakline gestational cervical cancer Western treatment methods

　　Third, surgical treatment

　　1. The treatment of cervical in situ cancer For pregnant women diagnosed with early pregnancy and cervical in situ cancer, total hysterectomy or subtotal hysterectomy can be performed, with one ovary reserved. If the pregnant woman is young and wants to give birth, permission can be given to continue the pregnancy and close follow-up can be done, cesarean section can be performed at full term, and hysterectomy can be performed 6 to 8 weeks after delivery. If the general condition of the pregnant woman is poor and surgery is not suitable, the pregnancy can be terminated first by aspiration of the uterus, and intracavitary radiotherapy can be performed 6 to 8 weeks after the termination of pregnancy.

　　2. The treatment of cervical invasive cancer The treatment of cervical invasive cancer in pregnant women is the same as that in non-pregnant women, mainly radical hysterectomy with bilateral pelvic lymph node dissection, tumor chemotherapy or adjuvant chemotherapy, or intracavitary radiotherapy combined with external radiotherapy, or a combination of various measures. The choice of treatment plan depends on: the clinical stage of cervical cancer at the time of diagnosis, early cervical cancer is mostly treated with surgery, and middle and late stages are chosen for radiotherapy; the stage of pregnancy at the time of diagnosis of cervical cancer, in the early stage of pregnancy, treatment measures to sacrifice the fetus to preserve the mother are mostly adopted, and in the middle stage of pregnancy, the plan of preserving the fetus after the tumor treatment is adopted; the desire for the fetus, for the precious fetus, consideration can be given to preserving the fetus.

　　3. The choice of delivery method for pregnant women with cervical cancer The choice of delivery method for pregnant women with cervical cancer is still controversial. Some scholars believe that for pregnant women with stage Ia, Ila, and early Iib cervical cancer with small tumors, vaginal delivery can be chosen. As for whether vaginal delivery will promote the spread of cancer cells, there is no definitive conclusion so far, and there is no evidence to show that vaginal delivery will affect the survival rate of pregnant women with cervical cancer. However, the passage of the fetus through the cervix during vaginal delivery may accelerate the spread of the tumor and may cause bleeding and infection, so most scholars advocate the use of cesarean section for delivery. There have been reports of the implantation of cancer cells at the perineal incision site after vaginal delivery in patients with cervical cancer, so close follow-up should be done for women who have had perineal incisions, and excisional biopsy should be performed immediately if nodules are found at the incision site to avoid misdiagnosis of the tumor as an abscess.