Ten days ago, I was referred by a classmate to operate on a patient with stump cervical cancer. To be honest, its incidence is not high; however, with the increase of cervical cancer incidence, it cannot but draw our attention. After the hysterectomy, a woman’s menstruation disappears, and psychologically, a fluke mentality is created, as if everything is fine after the hysterectomy. In fact, it is not, there are often latent lesions, the cervix is not still there? Zhang Weiyang, Department of Obstetrics and Gynecology, Second Hospital of Jilin University
The patient, 53 years old, had a subtotal hysterectomy for fibroids 12 years ago and had never had a gynecological examination since. They hurriedly went to a major hospital in Yanji, which is closer to their home, but the reality made them more anxious and worried, advising to go to Beijing for treatment and feeling the seriousness of the disease. Just in the nick of time when the patient and her family were at their wits’ end, they found me through my classmates. I am not a famous doctor, but I did not let them down. I not only received them warmly, but also gave the patient a correct diagnosis of cervical cancer stage IIa and was able to treat it surgically, which put a stone under the hearts of the patient and her family.
I lived up to the expectation of giving the standardized surgery for cervical cancer in only 2 hours, and the family was very satisfied and I felt very accomplished. Although cervical stump cancer is difficult compared with ordinary cervical cancer and the local anatomical relationship has changed, there is no difficulty that cannot be overcome if you master the surgical skills and have a strong sense of responsibility and strictly master the surgical indications.
Some people may say that since cervical cancer may still occur if the cervix is preserved, it would be better to remove the whole uterus in the first place. That would be too impersonal, and one should not waste food for fear of choking. The best procedure must be done according to the disease and age. However, for patients with preserved cervix to have good post-surgical guidance, the cervical lesions will still occur and regular gynecological examinations, especially cervical liquid-based cytology, must be done.