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Cervical
Cancer
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The Facts
Cervical cancer is a rapid, uncontrolled
growth of severely abnormal cells on the cervix. This cancer is the
second most common cancer in women worldwide; only breast cancer is
more common. If cervical cancer is not treated, it will spread from
the cervix to the vagina, then into deeper tissues around the uterus.
As it progresses, it can cause problems with kidney and bowel function.
Spread may also occur to the liver and lungs.
The incidence of cervical cancer has
decreased in developed countries around the world because of an
increase in the use of Pap test screening and appropriate follow-up
treatment. In developing countries, however,
progress has not been as dramatic.
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Symptoms
- Early on, there may be no symptoms
but the Pap smear test is abnormal
- Abnormal vaginal bleeding e.g.
when something comes in contact with the cervix, such as
during sexual intercourse or insertion of a diaphragm
- Menstrual periods may be heavier
and longer
- Pain during sexual intercourse.
- Abnormal vaginal discharge
containing mucus or tinged with blood
- Pain in the pelvic area
- Painful or difficult urination
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Causes
Cervical Cancer is
caused by severe abnormal changes in the cells of the cervix. The most common
cause of these abnormal changes is infection with human papilloma virus (HPV).
This virus is found in most women who have developed
cervical cancer but most women who have the virus never go on to develop
cervical cancer.
Other factors that may result in abnormal cervical
cell changes include:
- Smoking or having a history of smoking.
- Having an impaired immune system
- Being infected with HIV
- Using birth control pills for more than 5 years.
Treatment
Early cervical cell
changes (dysplasia) can be treated using either freezing or heat and this can
reduce the risk for further abnormal cell changes.
Treatment for cervical cancer may include
surgery, radiotherapy, chemotherapy or a combination of these three
methods. The choice of treatment and the long-term outcome (prognosis) of women
with cervical cancer depend on the type and stage of cancer.
Prevention
The
Pap test is the most effective screening test for cervical cancer. Pap tests
done at regular intervals almost always detect cervical cell changes before the
changes become cancerous. Regular screening for and treatment of cervical cell
abnormalities can prevent the abnormal cell changes from developing into cancer.
The National Cancer Institute's summary points for cervical cancer screening are
shown below:
- Cervical
cancer screening should begin approximately three years after a woman
begins having sexual intercourse, but no later than at 21 years .
- Women
should have a Pap test at least once every three years.
- Women,
especially those at higher than average risk of cervical cancer, due
to factors such as HIV infection, etc., should seek expert medical
advice about when they should begin screening, how often they should
be screened, and when they can discontinue cervical screenings.
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For
further information about cervical cancer and cervical cancer screening, please
call the National Cancer Institute's Cancer Information Service toll-free at
1-800-4 CANCER
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