1 / 76

Cervical Cancer

Cervical Cancer. Cervical Cancer. Dr. Swapna Chaudhary M.S. (MUM) Consultant Obstetrician & Gynaecologist Infertility Specialist. Cervix. Cervix. Cervix constitutes lower 1/3 rd of uterus. Epidemiology. Epidemiology. 5 lac new cases / year around world. Epidemiology.

flynn-moon
Download Presentation

Cervical Cancer

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cervical Cancer

  2. Cervical Cancer Dr. SwapnaChaudhary M.S. (MUM) Consultant Obstetrician & Gynaecologist Infertility Specialist

  3. Cervix

  4. Cervix • Cervix constitutes lower 1/3rd of uterus

  5. Epidemiology

  6. Epidemiology • 5 lac new cases / year around world

  7. Epidemiology • 5 lac new cases / year around world • 80% in developing countries

  8. Epidemiology • 5 lac new cases / year around world • 80% in developing countries • Commonest gynecological malignancy in India

  9. Epidemiology • 5 lac new cases / year around world • 80% in developing countries • Commonest gynecological malignancy in India • 2nd is breast cancer

  10. Risk Factors / Causes

  11. Risk Factors / Causes • Multiple sexual partners (> 1)

  12. Risk Factors / Causes • Multiple sexual partners (> 1) • Young age at marriage / first intercourse

  13. Risk Factors / Causes • Multiple sexual partners (> 1) • Young age at marriage / first intercourse • Early childbearing / Multiparity

  14. Risk Factors / Causes • Multiple sexual partners (> 1) • Young age at marriage / first intercourse • Early childbearing / Multiparity • Prior STDs (HSV II, genital warts, vaginal infections)

  15. Risk Factors / Causes • Multiple sexual partners (> 1) • Young age at marriage / first intercourse • Early childbearing / Multiparity • Prior STDs (HSV II, genital warts, vaginal infections) • Cigarette Smoking

  16. Risk Factors / Causes • Multiple sexual partners (> 1) • Young age at marriage / first intercourse • Early childbearing / Multiparity • Prior STDs (HSV II, genital warts, vaginal infections) • Cigarette Smoking • Immunodeficiency

  17. Risk Factors / Causes • Multiple sexual partners (> 1) • Young age at marriage / first intercourse • Early childbearing / Multiparity • Prior STDs (HSV II, genital warts, vaginal infections) • Cigarette Smoking • Immunodeficiency • Human Papiloma Virus (HPV) – transforms normal cell into malignant cells

  18. Age Groups

  19. Age Groups • Cervical Intraepithelial Neoplasia (CIN) 35 years

  20. Age Groups • Cervical Intraepithelial Neoplasia (CIN) 35 years • Invasive Cervical Cancer 45 - 55 years

  21. Symptoms

  22. Symptoms • CIN (dysplasia): Asymptomatic

  23. Symptoms • CIN (dysplasia): Asymptomatic • Invasive Cancer • No classic presentation

  24. Symptoms • CIN (dysplasia): Asymptomatic • Invasive Cancer • No classic presentation • Abnormal bleeding -- intercycle -- post coital -- post menopausal

  25. Symptoms • CIN (dysplasia): Asymptomatic • Invasive Cancer • No classic presentation • Abnormal bleeding -- intercycle -- post coital -- post menopausal 3. Foul smelling vaginal discharge

  26. Chronic backache / pelvic pain

  27. Chronic backache / pelvic pain Late sign -- weight loss -- mild fever -- anemia

  28. Dysplasia / CIN

  29. Dysplasia / CIN • Precancerous stage

  30. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer

  31. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer • Age of presentation – 35 yrs

  32. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer • Age of presentation – 35 yrs CIN

  33. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer • Age of presentation – 35 yrs CIN

  34. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer • Age of presentation – 35 yrs CIN I mild

  35. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer • Age of presentation – 35 yrs CIN I II mild mod

  36. Dysplasia / CIN • Precancerous stage • First series of changes leading to cancer • Age of presentation – 35 yrs CIN I II III mild mod severe

  37. 25 % patients progress from CIN 1 to CIN 3 in 2 yrs

  38. 25 % patients progress from CIN 1 to CIN 3 in 2 yrs • 40 % patients of CIN 3 progress to Cancer over 10 – 15 yrs.

  39. Pap Smears

  40. Pap Smears • Non invasive OPD procedure

  41. Pap Smears • Non invasive OPD procedure • No pain / no discomfort

  42. Pap Smears • Non invasive OPD procedure • No pain / no discomfort • No anesthesia required

  43. When to Get Pap Smears

  44. When to Get Pap Smears • ACOG Recommendations

  45. When to Get Pap Smears • ACOG Recommendations • 1st Pap Smear at age when patient becomes sexually active (or by age 18)

  46. When to Get Pap Smears • ACOG Recommendations • 1st Pap Smear at age when patient becomes sexually active (or by age 18) • Yearly pap smears thereafter

  47. When to Get Pap Smears • ACOG Recommendations • 1st Pap Smear at age when patient becomes sexually active (or by age 18) • Yearly pap smears thereafter • Others contend that monogamous women with no history of abnormal pap smears can have them done every 3 years

  48. When to Get Pap Smears • ACOG Recommendations • 1st Pap Smear at age when patient becomes sexually active (or by age 18) • Yearly pap smears thereafter • Others contend that monogamous women with no history of abnormal pap smears can have them done every 3 years • After 40 – yrly pap test for 3 yrs – if normal then 3 yrly.

  49. Routine screening can stop at age of 60 yrs provided….

  50. Routine screening can stop at age of 60 yrs provided • Previous 2 normal smears

More Related