Cancer Prevention

Cancer Awareness Campaign

We in India lack the awareness for the cancer signs & symptoms and my aim is to let each of our mother's and sister's know, what they must be aware and cautions, so as to consult expert Doctor on time and get cured of the dreaded Cancer.

Cancer Vaccine & Prevention

Cancer of the Cervix

Cancer of the Cervix

Cancer of the cervix, also called cervical cancer, it is one of the leading cancer amongst women in India. Cancer is an unwanted purposeless and unchecked growth of any body tissue, with a capability of spreading to other areas. Most cervical cancers begin in the cells lining the cervix. The normal cell lining of cervix gradually changes under effect of HPV virus to pre-cancerous & then to cancerous cells in 10 to 20 years.The changes can be easily detected by simple Pap Smear test.

The cervix is the lower, narrow part of the uterus (womb). The uterus, a hollow, pear-shaped organ, is located in the lower abdomen. The cervix forms mouth of uterus and it opens into the vagina, which leads to the outside of the body.

Who is at risk in developing cancer of the cervix?

Researchers have identified certain risk factors that increase the chance that cells in the cervix will become abnormal or cancerous.

  • Initiation of sexual intercourse before age 18
  • Multiple sexual partners
  • High risk male factors
  • Sexually transmitted disease
    • Human papilloma virus (HPV)
    • Herpes simplex virus II (HSV-II)
  • Human immunodeficiency virus (HIV)
  • Poor genital hygiene
  • Tobacco use in any form
  • Immunodeficiency states
  • Multiple pregnancies

Signs and Symtopms of Cervical Cancer

Precancerous & Preinvasive Lesions
  • Asymptomatic
  • Diagnosed on pap smear or pelvic exam
Invasive Lesions

Early stage have no symptoms and hence go undetected to advance stages.

Earliest Symptoms
  • Inter-menstrual bleeding
  • Post-coital bleeding
  • Post-menopausal bleeding
  • Blood stained vaginal discharge
Advanced Disease
  • Pelvic/Back pain
  • Excessive bleeding per-vaginum
  • Per-vaginal foul smelling discharge
  • Swelling of lower extremities

How can cancer of the cervix be diagnosed?

If any of above symptoms consult an expert. After detail history and clinical examination with support of some tests the expert will advise further treatment. A 3 yearly Pap Smear is advocated in women whose previous Pap has come negative.

Pap Smear
Pap Smear
  • Easy to perform
  • Very quick
  • Painless
  • Clinic procedure: Does not need admission
  • No complications
  • Widely available (even in PHC)
  • Cheap
  • Effective in early diagnosis
Pap Smear

If a Pap Smear report is abnormal and no visible growth on the cervix then a small microscope (Colposcope) is used to examine the cervix in detail and take a precise biopsy of the affected abnormal tissue which may be a pre-cancerous lesion. LEEP and Conization are helpful in the diagnosis and treatment of such pre-cancerous lesions.

Early Detection

Earlier the pre-cancerous & cancerous tumor diagnosed hence Cheaper, less invasive treatment needed and more life for the patient.

How can cancer of the cervix be treated?

Treatment depends on a number of factors, age, location and size of the tumor, including the stage of the disease and the general health of the patient. There are three common modes of cancer treatment, and they are used either in combination or one after other :

  • Surgery
  • Radiation therapy
  • Chemotherapy
Follow-up care

Follow-up care is the most important thing after treatment completion and routine follow up as per expert advice is indicated to help patient to have a disease free life.

Types of Cervical cancer vaccine available in market

Ideal age is 9 years to 26 years in girls, can be given till 45 years.

Cervarix (GSK Company)
Cervarix
  • Bivalent 16,18
  • Dose: 0, 1, 6 months
Gardasil (Merck Company)
Gardasil
  • Quadrivalent 6, 11, 16, 18
  • Dose: 0, 2, 6 months

Primary prevention of Cervical Cancer