Archive for October 2010
Internships cervical cancer symptoms
cervical cancer in women of middle age or older, but it can be diagnosed in women of childbearing age are <> cervical cancer stages symptoms / had tumors> cervix are classified as preinvasive where the lower third of the epithelium abnormal cells or invasive which includes the thickness of the epithelium contains abnormal proliferation of cells.
Cervical cancer develops in the lining of the cervix, the lower part of the uterus (womb), which in the vagina. Cervical cancer spreads not always, but most frequently the lungs, liver, bladder, vagina and / or rectum.
cause
cervical cancer almost always develops cell changes caused by human papillomavirus (HPV) that causes the spread through genital skin contact during sexual activity. Cervical cancer appears more frequently in women who smoke. Sexual activity that increases the risk of HPV infection and HIV and cervical cancer include the following: Having multiple sexual partners or sex with a partner promiscuity, history of sexually transmitted diseases, sex at a young age
. Signs and symptoms
The early stages of cervical cancer may be completely asymptomatic. The symptoms of cancer of the cervix extended to include loss of appetite, weight loss, fatigue, pelvic pain, back pain, leg pain, single Diagnostic
The Papanicolaou smear (Pap) was used to detect precancerous lesions in asymptomatic women during the last 50 years. Although the Pap smear is an effective screening test requires confirmation of a diagnosis of cancer of the cervix or pre-cancer, a biopsy of the cervix. Cervical intraepithelial neoplasia, the precursor of cancer of the cervix, is often diagnosed in the examination of cervical biopsies by a pathologist.
Other risk factors
Women with a diet of fruit and vegetables may be at increased risk for cancer of the cervix. Research results suggest that the risk of cancer of the cervix goes up, the longer a woman takes oral contraceptives, but the risk is again stopped by OCs. Women who had many full term pregnancies are at increased risk for cancer of the cervix.
Prevention
cervical cancer, women should be avoided most easily, as there is a vaccine and a screening test is available. The vaccine called Gardasil protects against the most dangerous types of HPV and the recently published results show that new cervical tumors eventually up to 97% in areas where introduced and maintained the vaccine can be reduced.
Treatment
Cervical cancer treatment depends on the stage, size and shape of the tumor, age and general health of the woman and her desire for children in the future. Appropriate treatment also depends on accurate clinical classification. Pre-invasive stages with a total excisional biopsy, cryosurgery or laser destruction are discussed. Invasive cancer cell treatment may hysterectomy and radiotherapy
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Internal radiation therapy uses a device filled with radioactive material in the vagina near cancer of the cervix in women down. Some chemotherapy drugs for cancer of the cervix are used 5-FU, cisplatin, carboplatin, ifosfamide, paclitaxel and cyclophosphamide.
Thirty-five percent of patients with invasive cervical cancer have persistent or recurrent disease after treatment. can be recurrent cervical cancer early detected successfully treated with surgery, radiotherapy, chemotherapy or a combination.
Survival
happiness in life 5 years for cancer that has spread within the walls of the cervix but not outside the cervix area is 92%. However, the survival rate dropped steadily after 5 years as the cancer spreads to other areas. Recently, the combined use of cisplatin and topotecan has been shown to improve survival that much compared to cisplatin alone. If you combine all the steps together, the survival rate after five years, over 73%.
Since cancer metastases in other parts of the body, the prognosis drops dramatically because treatment of local lesions is generally more efficient than whole-body treatments such as chemotherapy
Do you have fibromyalgia?
all diagnostic criteria, particularly those that can not be based on a similar test or blood marker, there were problems with the implementation of the criteria in 1990. The authors of the new threshold, led by Friedrich Wolf, MD, argued, Wichita, KS. 1
tender points are rare in primary care, which produce most of the diagnoses of fibromyalgia conducted the doctors were not trained to carry out the review of sensitive issues and some refuse to faire.En just outside research, clinical diagnosis of fibromyalgia practitioners often symptoms rather than tender points. So, why not standardize the diagnostic process, so that all doctors use the same procédures.L focus on the numbers before the offer covers the importance of other common symptoms such as fatigue, sleep and cognitive disorders.
Twenty years experience with a number of diagnostic criteria needed to inform its shortcomings. Research has shown that there is a serious gender bias in the 1990s, as the criteria that makes it much harder for men to get this diagnosis and the available criteria developed treatments.2 tender also have a poor job of measuring the severity Mapping of the symptoms or the efficacy of new treatments. Although new diagnostic criteria away with the concept of the tender point and consider the most common symptoms of fibromyalgia, it is unclear whether primary care physicians to find the simplest. The new ACR fibromyalgia criteria must still be regarded as preliminary. However, patients should be aware that Wolfe and the Committee proposes to the CAB.
To start, writes Wolfe online with the new criteria in Arthritis Care reports and research, has two explanations without makeup on Fibromyalgia: should not
“The ACR criteria for diagnosis as a recognition of the legitimacy and existence of the view fibromyalgia criteria are neutral on this point. “3 He goes on, indicating that” wars of fibromyalgia, “whether a genuine fibrosis shows state or just the end of the spectrum, as some people have to react badly need (this is what Wolfe calls fibromyalgianess) remain unresolved.4 “… We can now study fibromyalgianess fibromyalgia and without the requirement of belief in their existence. “Does this mean to enter that Wolfe and other non-believers, the study of fibromyalgia? Time will tell. With the new criteria, which adds a handy list of symptoms, Wolfe,” … It is now possible, widespread pain, fibromyalgia, fibromyalgianess also the entire spectrum of disease-related symptoms, simple and inexpensive investigation in search of the investigation. “But this form of” study “is not likely to lead to new biomarkers or effective treatments, which fibromyalgia patients need most.
Paper for the development of new ACR criteria for fibromyalgia diagnosis was fibro at 829 patients (75 percent, the criteria developed for tenders) and 829 control subjects with other non-inflammatory rheumatism (eg the base osteoarthritis, neck, and degenerative diseases of the return, regional pain syndromes, etc.). For the purpose of developing new criteria, it is a relatively small group of subjects and could explain why the authors call them “preliminary.”
The new criteria appear as a list of symptoms of a page that are best suited for use in primary care. An evaluation of the tender points is not necessary even if a complete physical examination is always some other diagnostic tests, the causes for the symptoms of fibromyalgia patients to identify additional recommended. Instead, the number of tender points, patients (or their physician) can add 19 parts of the body where pain during the last week has been experienced. This number is the index of general pain (IPG) and is called one of the two scores props to a doctor for a diagnosis of fibromyalgia.
The second part of the mark required to diagnosis of Fibromyalgia judge includes assessing a person’s symptoms. The end result is a score of symptom severity score or the SS, the diagnosis is based on the relative assessment of both the score and the score WPI SS. Overall, it takes into account the widespread nature of your pain and other annoying symptoms.
The biggest problem with the new criteria is that the authors do not specify, should be the severity of the pain, to check “yes” for this area. What if the pain is only a dull do not specify pain or intermittent? The criteria the intensity or the amount of pain that one must have in a given area in the past week to deserve an answer “yes.” quantification of the symptoms of SS score is still unclear. In the Indeed, in patients carefully selected to control non-fibromyalgia average of 3 on a scale of 0 to 12, not far from the SS score for Fibro.
On the other hand it is possible that these new criteria, the number of patients with fibro diagnosed by diluting the so-called “fibromyalgia.” Most likely, people with chronic diseases, painful diseases, no widespread pain is to meet the new criteria for the diagnosis.
Now, we have presented new preliminary criteria to load we compete with this new scoring system in the following table. The survey is open to all. You do not need to fibromyalgia, participating in the survey and have about the new criteria. It is not the place of a professional diagnosis, but gives you an idea of ??what is proposed.
take the survey, feel that your medication can be a great help, or you can have a good week, which could ultimately classify some patients with fibromyalgia as a carrier the disease experience. One objective of this criterion is to be for health care providers able to track your progress. Even if you are asked about your symptoms last week, then it must be assumed that they persisted for at least three consecutive months, the criteria . You have the opportunity to meet, at the end of the investigation are available Please let us know what you think
To survey now
Wolfe F, et al. Arthritis Care Res DOI 10.1002/acr.20140 [Epub ahead of print] February May 23 2010.Katz JD et al. Genre Med 7:19-27, Arthritis Care Res DOI 2010.Wolfe F. 10.1002/acr.20156 [Epub ahead of print] Februar May 23 2010.Wolfe F. Arthritis Rheum 61:715-6 2009th
Fibromyalgia network and founder of the American Fibromyalgia Syndrome Association (AFSA). As a patient with fibro a scientific background, she is able to translate everything from technical and scientific discoveries everyday practical ideas and make them understandable to the patient.