Singer Ding Dang is about to hold a concert in Kaohsiung this weekend. She recently went on the radio to build momentum. She revealed that she had a full-body health checkup last year and found out that she almost contracted cervical cancer and had a “minor surgery.” In addition, she also found polyps on her ovaries. Doctors said that cervical precancerous lesions are divided into mild, moderate and severe, and they do not necessarily need to be treated. If they are mild, a high proportion of them will heal on their own, so they only need to be observed. Ovarian polyps may be a misnomer, they may be ovarian cysts, and there is also a high proportion of physiological cysts, as long as they are tracked.
Ding Dang’s health checkup last year revealed cervical pre-cancer and ovarian lesions.
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During an interview yesterday (3/5) on the radio to promote the weekend concert, Ding Dang mentioned that last year she found that the cervical cancer index was very high and that she found polyps on her ovaries. Her manager explained for her that it was because the cervical smear test found that she had cervical cancer. The pre-cancer of the cervix was close to the highest numerical level, so I had a minor surgery and did not need to be hospitalized. Fortunately, it was discovered and treated early. In addition, she also talked about the discovery of ovarian polyps, and the doctor euphemistically explained the cause of her disease: “Women of this age, if they do not take good care of their bodies and do not have physical sexual relations, they should be careful.” After hearing this, she couldn’t laugh or cry.
Chen Jianhan, the attending physician at the Department of Obstetrics and Gynecology at Dalin Tzu Chi Hospital in Chiayi, said that the artist said she “almost got cervical cancer” and that she “had a minor surgery and didn’t need to be hospitalized.” Although she didn’t know her actual condition, it was clinically true. , often diagnosed with moderate to severe cervical precancerous lesions or severe risk, cervical discectomy is necessary, which is commonly known as “cervical large section surgery” in the medical field. This treatment only requires outpatient surgery and is really not expensive. Requires hospitalization.
Cervical precancerous lesions are divided into three levels and do not necessarily require surgery
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Chen Jianhan explained that not all cervical precancerous lesions require surgery. Precancerous lesions are divided into three levels. The first level is low-grade squamous intraepithelial lesions (low-grade SIL), which is mild or called low-grade lesions. , a high proportion of patients with low-grade lesions will heal on their own, so if the diagnosis is level one, doctors will recommend follow-up examinations every six months.
The second grade of cervical intraepithelial neoplasia is a moderate lesion that may not invade deeper for months or years, so more intensive follow-up examinations are recommended. However, if the second grade of cervical intraepithelial neoplasia is Between the first and third levels, you can consider whether a large cervical section is needed. However, if it belongs to the third level of cervical intraepithelial neoplasia, which may be moderate and severe metaplasia and carcinoma in situ, which is called a high-grade lesion, it is recommended to perform cervical discectomy. Dingdang may belong to this level, so Perform what is called “minor surgical treatment.”
Although patients who have undergone discectomy have had the diseased parts and parts infected with human papillomavirus removed, they still need to be closely followed up and examined in the future, and they must quit smoking and drinking. If necessary, it is recommended to receive the HPV vaccine, which can reduce the risk of recurrence. Chen Jianhan said that with the current domestic policy of promoting HPV vaccination for middle school girls, the number of cervical lesions due to human papillomavirus infection is expected to be significantly reduced in the future.
Ovarian cysts are mostly physiological and can be tracked and observed first
As for the ovarian polyps mentioned by Ding Dang, Chen Jianhan said that due to the structure, polyps rarely grow in the ovaries, and they are usually ovarian cysts. Menstruating women are prone to physiological ovarian cysts due to the menstrual cycle. Therefore, if an ovarian cyst within 3 to 4 centimeters is found during a physical examination, the doctor will usually use ultrasound to check the texture of the cyst and whether there are any abnormal protrusions. , whether there is ascites, etc. If there are no abnormalities, follow-up will be recommended.
Physiological cysts usually disappear within 1 to 3 months. If the cyst does not disappear after 3 months, but does not become larger, it is usually considered to be benign. If you want to remove it, you can just take local excision, but if you feel that the cyst is different, you may choose to remove the ovary unilaterally.
However, Chen Jianhan said that there is no such thing as “having no physical sex life will lead to ovarian cysts”, but he also recommended that women should pay attention to the health of their reproductive organs even if they do not have sex, and have regular smear examination, gynecological examination, and ultrasound examination to understand Uterine and ovarian health. Even if you have stopped menstruating and have no need for reproduction, your reproductive organs are prone to disease in old age, so you should pay more attention to check-ups.
◎ Image source/provided by Hit Fm network
◎ Consulting expert/Dr. Chen Jianhan
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2024-04-02 16:03:08
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