When the term “cancer” is mentioned, I am afraid many people will be afraid of cancer. The reason for this is that people do not know enough about cancer and often think that cancer is an incurable disease and suffering from cancer is the end of life. In fact, with the development of medical technology, many cancers can become curable after treatment, and the key to self-healing lies in timely detection and intervention. The key to self-cure is timely detection and intervention. How to achieve early detection and early treatment is to develop the good habit of regular medical checkup. Since I am a chief gynecologist, I will talk about the three common cancers in gynecology: cervical cancer, endometrial cancer and ovarian cancer, hoping that our women can pay attention to their health and treat every day with a vibrant body and a positive attitude. Cervical cancer: Of these three major malignancies with the highest incidence in women that I mentioned, cervical cancer takes the first place. Which women are prone to this disease? Generally speaking, women who have intercourse too early and have too many partners day are prone to hpv infection, and that has a higher chance of cervical cancer. Hpv and TCT, which are mandatory tests for women, should be familiar to everyone. In fact, both of them are screening items for cervical cancer, but do you know the difference between them? Hpv is a kind of human papillomavirus (HPV), which is clinically found to be the culprit of cervical lesions and cervical cancer, and TCT is what we usually call cervical cancer screening, also called liquid-based thin layer cytology, through which we can find out if there is a tendency of cancer. Compared with traditional cervical smear, it is more comprehensive and effective. To sum up, HPV test is mainly to see if there is any virus that causes lesions, while TCT test is mainly to check if there is any lesion in the woman’s cervix, TCT is the result and HPV is the cause, so generally doctors will have both tests done at the same time, so that the two results can be put together for comprehensive analysis, in order to know if there is any lesion in the cervical epithelium under the infection of high-risk HPV virus, in order to Regular screening can usually detect the tendency of lesions at an earlier stage. The mortality rate of cervical cancer is not as high as that of endometrial cancer and ovarian cancer, so regular screening is essential to prevent cervical cancer. Endometrial cancer: The more common age of onset of endometrial cancer is in perimenopausal and menopausal women, but according to our clinical summary, the age of onset of endometrial cancer has become younger and younger in recent years. In addition, women with adenomyosis, uterine fibroids and endometrial hyperplasia have a higher chance of developing cancer. Why? Because the occurrence of endometrial cancer is mainly related to the stimulation of estrogen and the change of hormone level after menopause. Adenomyosis, leiomyoma and endometrial hyperplasia are also hormone-related, or can be caused by some supplements or drugs containing estrogen. Since most of the patients I see are adenomyosis patients, I have found 2 or 3 cases of cancer every year in recent years, and these patients are basically non-menopausal patients. Once cancer occurs, the uterus and ovaries will have to be completely removed, and post-operative radiotherapy and chemotherapy may be required, so life preservation is the main concern at this time! What are the signs of endometrial cancer: Generally, we need to pay attention to the following aspects: 1, women who are already menopausal but have bleeding again; 2, women who are not menopausal, pay attention to whether there is incessant bleeding, prolonged menstruation, enlarged uterus and increased CA125. To exclude endometrial cancer, cervical cancer, etc. The early or late detection of the lesion is directly related to the prediction of the final outcome of the cancer, and simple gynecological examination and ultrasound can not play a confirming role. Ovarian cancer: Ovarian cancer, which has a low incidence, can occur at any age. It is one of the most troublesome gynecologic cancers. The cause of ovarian cancer is unknown and there are no symptoms in the early stage, but in the middle and late stage, there will be bloated stomach, indigestion, lumps, increased waist circumference… Some patients may also show signs of gradual loss of weight and anemia. Functional tumors may present with drenching bleeding or postmenopausal bleeding. So it is difficult to prevent and there is no precursor. Most of the women are already in the middle and late stage when they are found. Therefore, it is recommended that married women with children should have annual uterine abdominal ultrasound and ca125 and HE4 to rule out ovarian cancer. The best way to prevent the three major gynecological tumors: regular medical checkups, early diagnosis, early detection and early treatment. Cancer can also be controlled. Do you remember the mandatory annual cancer checkups for women include: TCT, HPV test, ultrasound, CA125, HE4?