Several misconceptions about cervical cancer

  Cervical cancer is a common malignant tumor in women, and we all know about its harmful effects, but in the usual online consultation, we found that many women have one-sided knowledge about cervical cancer, and some of the views are even wrong.    Myth 1: Women who have a good life will not develop cervical cancer.  In the clinic, there are often high-risk HPV patients who confide in me: “Dr. Liu, I usually live a good life, I have a husband and never have sex outside, how can I still be infected with HPV?” There are many ways to get infected with HPV, and sexual transmission is only one of the largest. Clinical surveys show that women who have sex too early, especially those who have sexual experience before the age of 18 or have many sexual partners and often have unclean intercourse, are prone to cervical cancer; while women who marry late, have a single sexual partner and pay attention to sexual hygiene are the low-risk group for cervical cancer. However, this is not absolute insurance, because the factors that trigger this malignant disease are multifaceted, and any woman who has sex may suffer from this disease. Therefore, regular gynecological checkups are another safeguard after cleanliness.  Myth 2: Cervical cancer favors middle-aged and elderly people, young people do not need to worry about getting cervical cancer.  After the founding of China, the census data in China shows that 55-65 years old is the high incidence age group of cervical cancer. However, in recent years, the incidence of cervical cancer tends to be younger, especially cervical cancer under the age of 35 is on the rise. According to clinical data, the number of cervical cancer patients under 35 years old has increased from 1.22% in the 1970s to 9.88% in the late 1990s, and this proportion has been increasing in recent years. In my clinic, the youngest cervical cancer patient is 19 years old, and in 2004, the China Cancer Research Foundation introduced cervical cancer screening guidelines: women who have been sexually active for more than three years or who are sexually active over the age of 21 should be screened for cervical cancer once a year. Therefore, as long as women have sex, they should pay attention to it. Cervical cancer is not the patent of middle-aged and elderly people.   Myth 3: Cervical cancer cannot be prevented.  Many women think that cervical cancer cannot be prevented. In fact, cervical cancer is the only disease with a clear cause, preventable and curable up to now. Infection with HPV (human papillomavirus) is a prerequisite for the formation of cervical cancer. After knowing the exact cause, HPV test and TCT (cervical cytology smear) can be done regularly to screen for precancerous lesions. The cure rate for cervical precancerous lesions is as high as 98%, and once it develops into cancer and spreads to other organs, only 20% of women can survive for more than five years.  Myth 4: Vaccination is equivalent to wearing a bulletproof vest and being unscrupulous.  There are more than 200 different types of HPV (human papillomavirus), which are classified into high-risk and low-risk HPV according to their carcinogenicity, among which the high-risk HPV types are 16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68 and 82. There are three types of HPV vaccines currently available in the United States, namely bivalent, quadrivalent and ninevalent. The highest nine-valent vaccine only prevents the nine high- and low-risk types of HPV 6, 11, 16, 18, 31, 33, 45, 52, 58, and does not prevent 100% of cervical cancer. Therefore, regular checkups are still needed after vaccination and cannot be done once and for all.   Myth 5: Cervical cancer will be fine after surgery.  Some patients lack medical knowledge and are not aware of the metastatic and invasive nature of malignant tumors, and that tumor cells can be transferred to the whole body through lymph and blood. After surgery, one should not be blindly optimistic, and post-operative treatment is also very important. Neglecting the follow-up treatment will affect the normal survival of patients, and some patients are worried about the toxic side effects of radiotherapy and chemotherapy, so they choose to give up the follow-up treatment.  In fact, these views are wrong. Having surgery for cervical cancer does not mean that it has been cured, and it may recur, and if the surgical excision is not complete, it may also metastasize and spread. Therefore, patients should understand that cervical cancer should be treated in a long-term and systematic way. After cervical cancer surgery, adjuvant treatment, radiotherapy and Chinese medicine therapy should be taken according to the specific situation. Chinese medicine treatment has now become an important treatment means after cervical cancer surgery, which can not only prevent the recurrence of the disease, but also enhance the body’s ability to resist diseases and help the body to recover its body functions rapidly. Therefore, regular review after cervical cancer surgery is very necessary.