Malignant müllerian mixed tumor of the vagina

　　1

　　What are the causes of the onset of malignant vaginal mullerian mixed tumorPathogenesis:

　　1. Carcinosarcoma:The tumor contains both cancer and sarcoma components, with adenocarcinoma being more common, and the sarcoma being uterine homologous components such as smooth muscle and fibrous tissue.

　　2. Adenocarcinoma:The epithelial component is benign or hyperactive glandular epithelium, but the stromal component is a low-grade malignant sarcoma.

　　What complications can malignant vaginal mullerian mixed tumor easily lead to

　　Malignant vaginal mullerian mixed tumor mainly manifests as vaginal bleeding, accompanied by increased vaginal discharge, which may have a foul smell. The vaginal wall mass can grow in polypoid form, with a broad base, and can also invade the muscular layer for growth. The size of the mass is 4-10 cm. In two cases secondary to vaginal endometriosis, not only is the endometriotic lesion unresponsive to medication, but the lesion also progressively increases in size.

　　1. Prevention

　　1. Actively treat diseases, such as vaginal leukoplakia, chronic inflammation, and ulcers.

　　2. For any irregular vaginal bleeding or abnormal leukorrhea, an early and clear diagnosis should be made, and active treatment should be carried out.

　　3. After treatment for vaginal cancer, it is necessary to have a follow-up examination once every 3 to 6 months, and cytological examination should be performed. If vaginal bleeding or abnormal leukorrhea occurs again, seek medical attention immediately.

　　2. Prognosis

　　The prognosis of malignant vaginal mullerian mixed tumor is poor, while the prognosis of adenocarcinoma patients is relatively good.

　　The following examinations need to be done for patients with malignant vaginal mullerian mixed tumor:
　　Laboratory examination:
　　Tumor marker examination, secretion examination, and tissue pathological examination.
　　Other auxiliary examinations:
　　Colposcopy.

　　1. Food therapy recipe for malignant vaginal mullerian mixed tumor

　　During radiotherapy for tumor, symptoms such as nausea and vomiting may occur, and the following food therapy recipes can be tried:

　　1. Radish and plum juice

　　Ingredients: 250g of fresh radish, 2 plums.

　　Usage: Cut the fresh white radish into thin slices, boil it with plum, remove the dregs and take the juice, add a little salt for seasoning, and drink it.

　　2. Steamed Crucian Carp

　　Ingredients: One crucian carp (500g), 60g of bamboo shoots, 30g of mushrooms, 25g of scallions, and 25g of ginger.

　　Usage: Remove the scales, gills, and internal organs of the crucian carp, clean them, place them in a bowl, and place the bamboo shoots, mushrooms, scallions, and ginger in order on the fish, steam for 20 minutes, then pour 500ml of water into the pot, adjust the taste after the water boils, and eat it.

　　3Red Radish Porridge

　　Ingredients: 250g of red radish, 100g of glutinous rice.

　　Usage: Wash the red radish clean, cut it clean, and cook it with glutinous rice together, add a moderate amount of ginger powder and hawthorn powder after boiling, and it is ready to eat.

　　4Other

　　Ingredients: 10g of dried Buddha's hand, 100g of glutinous rice.

　　Usage: Take 10g of dried Buddha's hand, decoct the juice, add 100g of glutinous rice and cook it into porridge, add appropriate amounts of rock sugar and scallion for seasoning and eat it.

　　Second, what foods are good for the body when eating vaginal malignant mixed mullerian tumors

　　1. Have a variety of foods, with grains as the mainstay. A variety of foods should include grains and tubers, animal foods, beans and their products, vegetables and fruits, and pure caloric foods, etc., in 5 major categories.

　　2. Eat more vegetables, fruits, and tubers to maintain cardiovascular health, increase disease resistance, prevent cancer, and prevent eye diseases.

　　3. Eat milk, beans, and their products every day. Calcium is generally lacking in the Chinese diet, only half of the recommended supply. Milk products contain a high amount of calcium and are as good a source of protein as bean products.

　　4. Eat a moderate amount of fish, poultry, eggs, and lean meat, and eat less fatty meat and animal oil. Animal protein has a comprehensive amino acid composition and a high content of lysine; fish contains unsaturated fatty acids that can reduce blood lipids and prevent thrombosis formation.

　　5. After cancer radiation therapy, there is often injury to Yin and fluid depletion, with symptoms such as dizziness, irritability, insomnia, bitter taste in the mouth, thirst, red tongue with yellow coating or glossy tongue, and thready and rapid pulse. It is optional to take products that clear the lung, nourish the stomach, and moisten the fluid, such as snow pear, water chestnut, watermelon, winter melon, mung bean, mushroom, and silver ear, which are sweet, cold, and light.

　　6. After radiation therapy, there may be symptoms such as dry mouth and tongue, red tongue with little coating, indicating fluid depletion. They can eat more nourishing and moistening sweet and cool foods, such as lotus root juice, water chestnut juice, pear juice, mung bean soup, winter melon soup, and watermelon.

　　7. During chemotherapy, patients' immune function may decrease, white blood cells may decrease, and appetite may decrease. They can eat foods that help increase white blood cells, such as river crabs, eels, and beef, as well as健脾开胃 foods such as hawthorn and radish.

　　8. After surgery, patients may have deficiency of Qi and blood, and can eat more yam, jujube, longan, and lotus seeds to nourish Qi and blood.

　　Three, it is best not to eat certain foods for vaginal malignant mixed mullerian tumors

　　1. Avoid foods that may cause heat, such as mutton, shrimp, crabs, eels, salted fish, and black fish.

　　2. Avoid spicy foods such as chili, Sichuan peppercorns, scallions, garlic, and white wine, as well as other刺激性 foods and drinks.

　　3. Avoid caffeine and other stimulating drinks.

　　4. Avoid eating foods containing carcinogens, such as vegetables containing strong carcinogens like nitrites, moldy foods, preserved, smoked, grilled, and fried foods.

　　1. Prevention

　　Regular physical examinations, early detection, early treatment, and good follow-up.

　　The traditional Chinese medicine treatment method for vaginal malignant müllerian mixed tumor should refer to 'Yizong Jingshen. Gynecology Xinfayaojue': 'For the treatment of various kinds of masses, it is necessary to first examine the strength of the body, the urgency of the disease, and then treat it. If a person is weak, the Qi and blood are deficient, and the disease is severe, it is necessary to strengthen the body first and then treat the disease; if both the body and the syndrome are real, it is necessary to attack the disease first.' Therefore, in the early stage, when the body is strong and the pathogen is strong, the treatment should focus on attacking the toxin and expelling the pathogen, and at the same time, strengthen the body; in the middle stage, when the body is weak and the pathogen is strong, the treatment should combine attack and supplementation; in the late stage, when the body is not strong enough to resist the pathogen, it is necessary to strengthen the body and regulate, mainly to alleviate symptoms, and then enhance the body quality, control the development of the disease, and寓攻于补. However, it is necessary to combine symptom, tongue coating, and pulse to differentiate and treat, seeking the root cause of the disease.

　　2. Differential Diagnosis and Treatment by Type

　　1. Liver Channel Damp-Heat Type

　　Symptoms: Red and white vaginal discharge, yellow and smelly, vaginal bleeding, irritability and bitterness in the mouth, chest tightness and胁胀, dry mouth and reduced appetite, red tongue with greasy coating, rapid or wiry and fine pulse. Commonly seen in early and middle-stage patients.

　　Treatment Method: Clear Heat and Drain Dampness, Soothe the Liver and Harmonize the Spleen.

　　Prescription: Modified Longdan Xiegan Decoction. Longdancao 30g, Chaihu 10g, Zhizi 15g, Huangqin 15g, Shengdi 15g, Zexie 15g, Cheqianzi 10g, Danggui 15g, Gancao 10g, Banzhilian 15g, Bajieshan 15g, Yiyiren 30g, Fuling 15g, Baizhu 15g. Add Suanlang 10g if the tongue is dark; add Chishao 10g and Yinchen 15g if bitter in the mouth and restless in the heart; add Baihua She Tong Cao 15g and Yuxingcao 30g if there is severe heat-toxin. Decocted for oral administration, 1 dose per day.

　　2. Qi Stagnation and Blood Stasis Type

　　Symptoms: Fatigue, dark complexion, emaciated body, rough skin, firm masses that do not move when pushed, pain that resists palpation, vaginal bleeding, various colored vaginal discharge, foul smell, poor defecation and urination, yellow urine, purple and dark tongue with ecchymosis, fine and涩脉 or wiry and fine pulse. Commonly seen in vaginal sarcoma.

　　Treatment Method: Regulate Qi and Promote Blood Circulation, Dissolve Stasis and Disperse Masses.

　　Prescription: Modified Guizhi Fuling Wan. Guizhi 30g, Fuling 10g, Chishao 15g, Taoren 15g, Danpi 15g, Danggui 20g, Chuanxiong 15g, Suanlang 10g, Yizhu 10g, Chuanlianzi 15g, Longkui 15g, Muyao 10g. Decocted for oral administration, 1 dose per day.