Cervical cancer is a cancer arising from the cervix. It is due to the abnormal growth of cells that have the ability to invade or spread to other parts of the body. Early on there are typically no vaginal bleeding, pelvic pain or pain during sexual intercourse a symptoms. Later symptoms may include: abnormal vaginal bleeding, pelvic pain or pain during sexual intercourse.
Human papillomavirus (HPV) infection appears to be involved in the development of more than 90% of cases; most people who have had HPV infections, however, do not develop cervical cancer. Other risk factors include: smoking, a weak immune system, birth control pills, starting sex at a young age and having many sexual partners, but these are less important. Cervical cancer typically develops from precancerous changes over 10 to 20 years. There are a few types of cervical cancer. About 90% aresquamous cell carcinomas, 10% are adenocarcinoma and a small number are other types. Diagnosis is typically by cervical screening followed by a biopsy. Medical imaging is then done to determine whether or not the cancer has spread.
HPV vaccines protect against two high risk strains of this family of viruses and may prevent up to 65 to 75% of cervical cancers. As there still is a risk of cancer, guidelines recommend continuing regular Pap smears. Other methods of prevention include: never having sex and the use of condoms. Cervical cancer screening using the Pap smear or acetic acid can identify precancerous changes which when treated can prevent the development of cancer. Treatment of cervical cancer may consist of some combination of surgery, chemotherapy and radiotherapy. Five year survival rates in the United States are 68%. Outcomes, however, depend very much on how early the cancer is detected.
Worldwide, cervical cancer is both the fourth most common cause of cancer and the fourth most common cause of death from cancer in women .In 2012, it was estimated that there were 528,000 cases of cervical cancer, and 266,000 deaths. This is about 8% of the total cases and total deaths from cancer. Approximately 70% of cervical cancers occur in developing countries. In low income countries it is the most common cause of cancer death. In developed countries, the widespread use of cervical screening programs has dramatically reduced rates of cervical cancer. In medical research, the most famous cell line known as HeLa was developed from cervical cancer cells of a woman name Henrietta Lacks.
Human papillomavirus (HPV) infection appears to be involved in the development of more than 90% of cases; most people who have had HPV infections, however, do not develop cervical cancer. Other risk factors include: smoking, a weak immune system, birth control pills, starting sex at a young age and having many sexual partners, but these are less important. Cervical cancer typically develops from precancerous changes over 10 to 20 years. There are a few types of cervical cancer. About 90% aresquamous cell carcinomas, 10% are adenocarcinoma and a small number are other types. Diagnosis is typically by cervical screening followed by a biopsy. Medical imaging is then done to determine whether or not the cancer has spread.
HPV vaccines protect against two high risk strains of this family of viruses and may prevent up to 65 to 75% of cervical cancers. As there still is a risk of cancer, guidelines recommend continuing regular Pap smears. Other methods of prevention include: never having sex and the use of condoms. Cervical cancer screening using the Pap smear or acetic acid can identify precancerous changes which when treated can prevent the development of cancer. Treatment of cervical cancer may consist of some combination of surgery, chemotherapy and radiotherapy. Five year survival rates in the United States are 68%. Outcomes, however, depend very much on how early the cancer is detected.
Worldwide, cervical cancer is both the fourth most common cause of cancer and the fourth most common cause of death from cancer in women .In 2012, it was estimated that there were 528,000 cases of cervical cancer, and 266,000 deaths. This is about 8% of the total cases and total deaths from cancer. Approximately 70% of cervical cancers occur in developing countries. In low income countries it is the most common cause of cancer death. In developed countries, the widespread use of cervical screening programs has dramatically reduced rates of cervical cancer. In medical research, the most famous cell line known as HeLa was developed from cervical cancer cells of a woman name Henrietta Lacks.
Signs and Symptoms
The early stages of cervical cancer may be completely free of symptoms. Vaginal bleeding, contact bleeding, or (rarely) a vaginal mass may indicate the presence of malignancy. Also, moderate pain during sexual intercourse and vaginal discharge are symptoms of cervical cancer. In advanced disease, metastases may be present in the abdomen, lungs or elsewhere.
Symptoms of advanced cervical cancer may include: loss of appetite, weight loss, fatigue, pelvic pain, back pain, leg pain, swollen legs, heavy bleeding from the vagina, bone fractures, and/or (rarely) leakage of urine or feces from the vagina.
Symptoms of advanced cervical cancer may include: loss of appetite, weight loss, fatigue, pelvic pain, back pain, leg pain, swollen legs, heavy bleeding from the vagina, bone fractures, and/or (rarely) leakage of urine or feces from the vagina.
Treatment
Common types of treatments for cervical cancer include:
- Surgery
- Radiation therapy
- Chemotherapy (chemo)
- Targeted-therapy
Prevention
Vaccination: There are two HPV vaccines (Gardasil and Cervarix) which reduce the risk of cancerous or precancerous changes of the cervix and perineum by about 93% and 62%, respectively.
Nutrition: Vitamin A is associated with a lower risk as is vitamin B12, vitamin C, vitamin E, and beta-carotene.
Condoms: Condoms are thought to offer some protection against cervical cancer.
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