What are the three-month review items for cervical cancer?

The three-month review items for cervical cancer mainly include colposcopy, pelvic magnetic resonance imaging, cervical cytology, human papillomavirus testing and tumor marker testing. Cervical cancer review needs to be adjusted according to the patient's condition and treatment. It is recommended to strictly follow the doctor's instructions to complete the relevant examinations.

1. Colposcopy

Colposcopy is the core item for cervical cancer review, which can directly observe the morphological changes of blood vessels on the cervical surface. Suspicious lesion areas can be identified through acetic acid test and iodine test, and combined with biopsy, it can be determined whether there is a recurrence. Vaginal medication and sexual intercourse are prohibited 48 hours before the examination to avoid affecting the accuracy of the results.

2. Pelvic MRI

Pelvic magnetic resonance imaging can clearly display the anatomy of cervical soft tissue and is of great value in assessing postoperative recurrence and lymph node metastasis. This examination is free of ionizing radiation, can be performed repeatedly, and has better soft tissue resolution than CT. People who have metal implants in their bodies need to inform their doctor in advance.

3. Cervical cytology examination

Cervical cytology examination collects cervical exfoliated cells and observes cell morphological changes. This method is simple and safe, and can detect precancerous lesions and signs of recurrence early. The examination should be performed during the non-menstrual period, and vaginal douching and the use of lubricants should be avoided 24 hours before sampling.

4. Human papillomavirus detection

HPV testing can identify persistent infections with high-risk viruses and is of great significance in predicting the risk of recurrence. High-risk subtypes such as 16 and 18 can be detected using PCR or hybrid capture technology. The test results need to be combined with the cytology test for comprehensive judgment. A simple positive does not mean recurrence.

5. Tumor marker examination

SCC antigen is a highly specific marker for cervical cancer, and dynamic monitoring of its level changes can help evaluate the effect of treatment. Broad-spectrum markers such as CEA can be used as auxiliary references. It should be noted that other factors such as inflammation may also cause markers to increase, and imaging judgments need to be combined.

During the cervical cancer review period, you should maintain a regular schedule and ensure 7-8 hours of sleep every day. In terms of diet, increase the intake of high-quality protein, such as fish, eggs, and milk, and supplement with appropriate amounts of fresh vegetables and fruits. Carry out low-intensity exercise such as walking according to your physical condition and avoid strenuous activities. Pay attention to the cleanliness of the perineum and use gentle and non-irritating care products. Vaginal dryness may occur after treatment, and medical lubricants can be used to relieve discomfort. Staying positive and having regular check-ups are crucial to preventing relapse.