The cervix is the lower, narrow part of the uterus (womb) that opens into the vagina. Show
Cervical Cancer PreventionThe cervix is the lower, narrow part of the uterus (womb), located between the bladder and the rectum. It forms a canal that opens into the vagina, which leads to the outside of the body. Early detection of cervical problems is the best way to prevent cervical cancer. Routine pelvic exams and Pap tests can detect cell abnormalities that can be treated before they turn cancerous. Women who are 21 or older should have regular checkups, including a pelvic exam and Pap test. If an infection is found during a Pap test, doctors can treat the infection and perform another Pap test at a later time. If a pelvic exam or Pap test suggests something other than an infection, your doctor may do a repeat Pap test and other tests to determine the exact problem. Guidelines for Pap Tests
HPV VaccinesHPV is a sexually transmitted disease. There are currently three vaccines that prevent the strains of HPV responsible for most cases of cervical cancer:
These vaccines can only be used to prevent certain types of HPV infection before a person is infected. They cannot be used to treat an existing HPV infection. Both vaccines are administered as a series of three injections over a six-month period. To be most effective, one of the vaccines should be given before a person becomes sexually active. Cervical Cancer SymptomsSymptoms of cervical cancer usually do not appear until abnormal cervical cells become cancerous and invade nearby tissue.
The symptoms of cervical cancer may resemble other conditions or medical problems. Consult a doctor for an accurate diagnosis. The link between HPV and cervical cancer is bigger than the link between smoking and lung cancer. At a recent Tedx Talk in Boston, Cornelia Liu Trimble, M.D., professor in the Johns Hopkins Departments of Gynecology and Obstetrics, Pathology and Oncology, spoke about her work in creating vaccines to treat HPV and effectively prevent cervical cancers. Watch now Cervical Cancer CausesPrecancerous conditions of the cervix occur when there are cervical cells that look abnormal but are not yet cancerous. However, the appearance of these abnormal cells may be the first evidence of cancer that develops years later. Precancerous changes of the cervix usually do not cause pain and, in general, do not cause any symptoms. They are detected with a pelvic exam or a Pap test. Squamous intraepithelial lesions (SILs) is a term that refers to abnormal changes in the cells on the surface of the cervix:
According to the National Cancer Institute, changes in these cells can be divided into two categories:
If abnormal cells on the surface of the cervix spread deeper into the cervix, or to other tissues or organs, the disease is then called cervical cancer, or invasive cervical cancer. Cervical cancer occurs most often in women younger than 50. It is different from cancer that begins in other parts of the uterus and requires different treatment. Most cervical cancers are squamous cell carcinomas and adenocarcinomas. The mortality rates for cervical cancer have declined sharply as Pap screenings have become more prevalent. Some researchers estimate that noninvasive cervical cancer, also referred to as carcinoma in situ, is nearly four times more common than invasive cervical cancer. Cervical Cancer Risk Factors
When it comes to sexual and reproductive health, it can be hard to know what’s “normal” and what may be a sign of a potential health problem. Even if you feel embarrassed about certain issues, your gynecologist has seen and heard it all and is there to help you, not to pass judgment. Read more Cervical Cancer DiagnosisWhen cervical problems are found during a pelvic examination or abnormal cells are found through a Pap test, a cervical biopsy may be performed. There are several types of cervical biopsies that may be used to diagnose cervical cancer, and some of these procedures that can completely remove areas of abnormal tissue may also be used for treatment of precancerous lesions. Some biopsy procedures only require local anesthesia, while others require a general anesthesia. Several types of cervical biopsies include:
Gynecologic Cancer Surgery at Sibley Memorial Hospital in Washington, D.C.
Gynecologic Cancer Surgery Team at Sibley Treatment for cervical cancerSpecific treatment for cervical cancer will be determined by your doctor based on:
Treatment may include:
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