Cervical Cancer Flashcards
cervical cancer
cancer of cervix
what is the most common histology type
squamous cell carcinoma
risks
HPV (16 + 18) smoking multiple sex partner/early sex high parity pill
signs
abnormal vaginal bleeding anytime
discharge
abnormal examination
vaginal discomfort
investigations
colposcopy
CT pelvis/abdomen
management
for non-invasive and mild cancers:
radical trachelectomy
nodal clearance
invasive:
hysterectomy
radio/chemo
what is the gold standard treatment
hysterectomy
when does the screening process start
25 yrs
how often do patients get a screening
25-50yrs:
every three years
50-64yrs>
every 5 years
what is done during the screening process
HPV testing
what happens if the HPV is positive or negative
negative:
back to routine testing
positive:
sent for cytology
what happens if the cytology is normal or abnormal
normal:
repeat HPV in 12 months and again at 24 months if still positive
if positive still, then colposcopy
abnormal:
colposcopy
what happens if the sample is inadequate
take another within 3 months
if two samples after is still inadequate, refer for colposcopy
what is the staging system used
FIGO
how long is a cervical smear delayed in pregnancy
3 months post partum
