Cervical smooth muscle tumors

　　Primary cervical smooth muscle tumors originate from the stromal muscle tissue or vascular muscle tissue within the cervix, and the exact etiological factors are still under investigation. Clinical and laboratory examinations suggest that they may be related to estrogen. They are rare before puberty and more common during the reproductive age, with most tumors atrophy after menopause. The estrogen receptors and estrogen content in the tumor tissue are higher than those in normal muscle tissue. Estrogen has the effect of promoting the proliferation and hypertrophy of cervical smooth muscle tissue.

　　Cervical smooth muscle tumors can induce infection, cervical canal obstruction affecting spermatogenesis and leading to infertility.

　　In the early stages of pregnancy, myomas can cause abortion, and the incidence of abnormal fetal positions is high, with placenta previa or placental abruption occurring more frequently.

　　During labor, uterine weakness can lead to prolonged labor, even dystocia. Obstruction of the birth canal can cause difficult labor.

　　Cervical myomas are often asymptomatic and are occasionally discovered during gynecological examinations for other reasons. Submucosal cervical myoma patients often have irregular vaginal bleeding, excessive menstrual volume, uterine cavity hemorrhage, secondary infection, poor urination, and neuralgia. Common symptoms of cervical smooth muscle tumors include:

　　1. Vaginal bleeding: Submucosal cervical myoma patients often have irregular vaginal bleeding, with varying amounts, and during the menstrual period, it is manifested as menorrhagia.

　　2. Increased vaginal discharge: Suspended cervical myomas can cause increased vaginal discharge, which may appear as yellow watery or bloody, and may have an odor if secondary infection occurs.

　　3. Compression symptoms: The myoma pushes the uterine bladder depression and the bladder apex upwards, squeezing the bladder, causing the bladder trigone to twist and tilt, even displacing the ureter, leading to urinary circulation obstruction, and resulting in bladder wall congestion and mucosal edema. Patients may experience symptoms such as frequent urination, dysuria, urinary retention, and poor urination. If complications such as infection occur, cystitis may develop. Compression of the lower end of the ureter by the myoma or displacement of the bladder trigone can cause ureteral obstruction, leading to hydronephrosis, pyelonephritis, and other complications. Rectal compression symptoms are rare, but if the myoma fills the small pelvic cavity and is accompanied by adhesions, it can cause constipation, difficulty in defecation, and urgency. Occasionally, cervical myomas can compress the spinal nerves at the pelvic floor, causing lower limb pain and sciatica. Large cervical myomas can block the cervical canal, making menstrual discharge difficult, leading to uterine cavity hemorrhage and fallopian tube hemorrhage.

　　4. Abdominal mass: A large cervical fibroid occupies the entire pelvic cavity, and the uterus may be pushed into the abdominal cavity. Patients may sometimes feel a hard mass in the abdomen with poor mobility.

　　Uterine fibroids are a common benign tumor in female reproductive organs. Research has found that about 20% of women aged 30 to 50 have uterine fibroids. To prevent uterine fibroids, the following points should be followed:

　　1. Do not indulge in promiscuity

　　Excessive sexual放纵, especially having sexual relations with multiple men, makes the uterus the first victim. If there is an unclean sexual relationship, pathogens can enter the uterine cavity through the vagina, causing endometrial infection.

　　2. Prevent postpartum uterus prolapse

　　If not paying attention to rest after childbirth, frequently squatting or doing heavy work, which increases abdominal pressure, the uterus may shift downward from its normal position along the vagina. Consult a physician.

　　3. Practice positive contraception

　　According to the survey, women who have had more than three abortions have a significantly increased risk of uterine disease and harm. If there are repeated induced abortions, it is easy to cause uterine cavity infection, cervical or uterine cavity adhesion, leading to secondary infertility. Compared with more than a decade ago, uterine fibroids are increasingly prevalent among middle-aged women in their thirties and forties, especially among those who are childless, have irregular sexual life, and are melancholic. Gynecological experts say that the specific cause of uterine fibroids is not yet fully clear, but research shows that excessive hormone secretion is a common and fundamental cause of uterine fibroids. And these three behavioral patterns in women are the main culprits for endocrine disorders and excessive hormone secretion.

　　4. Seek medical attention for abnormal menstrual cycle and leukorrhea in time

　　If there is an increase in leukorrhea or abnormal menstrual bleeding, seek medical attention promptly, and undergo relevant examinations to achieve early detection and early treatment.

　　5. Reduce high-fat foods

　　High-fat foods promote the generation and release of certain hormones, and the formation of uterine fibroids is related to a large amount of estrogen stimulation. It is recommended to adhere to a low-fat diet, drink plenty of water, and avoid spicy, alcoholic, and frozen foods.

　　Routine examinations for cervical fibroids include: laparoscopy, hysteroscopy, gynecological examination, vaginal secretion examination, colposcopy, gynecological ultrasound, vaginal secretion, hormone level examination, tumor marker examination, and more.

　　Ultrasound:The cervical region shows a low echoic solid mass with clear boundaries, insufficient blood supply, and the cervix line may shift forward or backward.

　　Cervical biopsy:Cell proliferation is active, the number of cells at medium or above is excessive. Mitotic figures are increased ≥10/10HPF and there is atypical nuclearity in diffuse moderate to severe nuclei.

　　Uterine cavity exploration:Explore the length and direction of the uterine cavity, which can generally be accurately diagnosed.

　　Hysterosalpingography:It can show the number and size of submucosal fibroids and can locate them. Therefore, it is of great help in the early diagnosis of submucosal fibroids. Vaginal secretion examination, hormone level examination, tumor marker examination.

　　Dietary regimen suitable for patients with uterine cervical smooth muscle tumors:
　　1. Eliminating tumor eggs:2 eggs, 5 wall lizards of traditional Chinese medicine, 9 grams of curcuma, boil in 400 grams of water, peel the eggs after they are cooked, discard the medicine and eat the eggs, take 1 time per night.
　　Effect: Dispersing nodules, relieving pain, removing wind and calming. Suitable for Qi stagnation and blood stasis type.
　　2. Two fresh soups:120 grams of fresh lotus root sliced, 120 grams of fresh grass root chopped, boiled in water to make juice as tea.
　　Effect: Nourishing yin and cooling blood, removing blood stasis and hemostasis. Suitable for those with abundant menstrual blood and blood-heat stasis type.
　　3. Silver ear and lotus root starch soup:Silver ear 25 grams, lotus root starch 10 grams, and appropriate amount of rock sugar. After the silver ear is soaked and expanded, add appropriate amount of rock sugar and cook until soft, then add lotus root starch and serve.
　　Effect: It has the effects of clearing heat, moisturizing dryness, and hemostasis. It is suitable for those with abundant menstrual blood and bright red blood color.