Do patients with cervical cancer have to have their uterus removed?

With the development of medicine and the continuous improvement of treatment level, years of efforts have finally given women with uterine cancer another choice-radical hysterectomy-to remove the cancerous cervix and leave a normal uterine body. The preservation of uterine body not only means the preservation of reproductive function, but also the guarantee of quality of life at a deeper level-said Huxiang Chinese medicine oncologist.

What is a radical hysterectomy? Simply put, the uterus is divided into two parts, which are located on the upper conical cervix and the lower wide uterine body. Radical cervical surgery is to remove the sacrum ligament, main ligament and part of the upper vagina around the cervix, keep the uterine body and reconnect the uterine body with the vagina. Compared with the normal pelvic cavity after operation, the structure of pelvic cavity has not changed much, thus eliminating tumor focus and minimizing the influence of operation.

The advantages of this surgical method are obvious:

(1) preserved the uterine body, thus preserving fertility and normal menstrual cramps;

(2) The ovaries and fallopian tubes are not affected, and there is no interference with endocrine.

(3) There is no obvious change in pelvic anatomy after operation, which has no great influence on sexual life;

1999 started radical hysterectomy, and successful pregnancy and delivery have been reported after operation. There is no unified understanding about the indications of radical hysterectomy, that is, which patients are suitable for this operation. It is generally believed that young patients, especially those with fertility requirements, should choose radical hysterectomy if the lesion is in the early stage (stage 0 or stage ia), which can not only eradicate the lesion, but also maintain the reproductive function without affecting the quality of life. Therefore, early cervical cancer does not necessarily require hysterectomy. It depends on the severity of the disease and the specific situation of the lesion.