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Cervical Cancer Health Feed

Importance Of Regular PAP Smear Test!

Regular pap tests i.e., Tests which look for any signs of cervical cancer should be conducted regularly so that it can be detected at its initial stage and can be treated accordingly.

Cervical Cancer - How To Detect It?

Cervical Cancer - How To Detect It?

What is Cervical Cancer?

Cancer is a disease in which cells in the body grow out of control. When these abnormal cells are present in the cervix, it is called cervical cancer, or cancer of the cervix.

Screening Prevents Cervical Cancer and Saves Lives:

The Pap test can find abnormal cells in the cervix. These cells may, over time, turn into cancer. This could take several years to happen. If the results of a Pap test show there are abnormal cells that could become cancerous, a woman can be treated. In most cases, this treatment prevents cervical cancer from developing.

Pap tests can also find cervical cancer early. When it is found early, the chance of being cured is very high. The most important thing you can do to avoid getting cervical cancer is to have regular Pap tests.

Any woman who has a cervix can get cervical cancer, especially if she or her sexual partner has had sex with several other partners. Most often, cervical cancer develops in women aged 40 or older. Abnormal cells in the cervix and cervical cancer don’t always cause symptoms, especially at first. That’s why getting tested for cervical cancer is important, even if there are no symptoms.

What is the Pap Test?

The Pap test, also called the Pap smear, is a cervical cancer screening test. It is not used to detect other kinds of cancer. It is done in a doctor’s office or a clinic.

During the test, the doctor or nurse uses a plastic or metal instrument, called a speculum, to widen the vagina. This helps to examine the vagina and the cervix, and collect a few cells from the cervix. These cells are placed on a slide and sent to a laboratory to be checked for abnormal cells.

Who Should Have a Pap Test?

Doctors recommend that women begin having regular Pap tests and pelvic exams at age 21, or within three years of the first time they have sexual intercourse – whichever happens first. After a woman has a Pap test each year for three years in a row, and test results show there are no problems, she can then get the Pap test once every 2-3 years.

Who Does Not Need to be Tested?

The only women who do not need regular Pap tests are:

  1. Those over age 65 who have had regular Pap tests with normal results
  2. Women who do not have a cervix. This includes women whose cervix was removed as part of an operation to remove the uterus. (The surgery is called a hysterectomy.) However, a small number of women who have had this operation still have a cervix and should continue having regular Pap tests. If you’re not sure whether you have a cervix, speak to your doctor about it.

How Do I Prepare for the Pap Test?

To prepare for the Pap test, doctors recommend that for two days before the test you should avoid:

  1. Douching
  2. Using tampons
  3. Having sexual intercourse
  4. Using birth control foams, creams, or jellies or vaginal medications or creams

Try to schedule your Pap test for a time when you are not having your menstrual period.

When Will I Get the Results?

It can take up to three weeks to receive Pap test results. Most results are normal. There are many reasons that Pap test results can be abnormal, and usually, it does not mean you have cancer.

Cervical Cancer - A Preventable Disease, But Not Prevented!

Cervical Cancer - A Preventable Disease, But Not Prevented!

Did you know that?

  1. Cervical Cancer  (cancer of the mouth of the womb) is one of the commonest cancers among Indian women.
  2. Yearly 5 lakh cases occur worldwide - of these 1.3 lakh are from India alone!
  3. In our country, early symptoms are often ignored. Therefore about 75% come in advanced, incurable stages and about 78,000 women die of this disease every year in India!
  4. All this, in spite of the fact that cervical cancer is a preventable and curable disease!!

How can we prevent Cervical Cancer?

  1. Awareness of  Symptoms:
    • Persistent Discharge
    • Abnormal bleeding (In between periods, after intercourse or after menopause)
    •  Such symptoms should be reported to your doctor without delay.
    • However, there may be no symptoms in the very early or pre-cancer stages, hence a regular check-up and Pap’s test is mandatory for all women
       
  2. Pap’s test: can detect this disease in its “pre-cancer stage”. At this stage, the treatment is simple and highly effective. The disease will be eradicated and full-blown cervical cancer is thus prevented. However, in this very early “pre-cancer” stage, there are no symptoms. Hence, regular check-ups and Pap’s smears, even if you have no complaints at all, are the only way to detect it in this very early stage.
    Remember:  
    • Regular Pap’s test can detect the disease in the pre-cancer stage.
    •  Proper and prompt treatment of this pre-cancer will prevent cancer.
       
  3. Co-Test: Here along with Pap’s test, the sample is also tested for the HPV virus.
     
  4. Vaccination:
    ​We now know that most cervical cancers are caused by infection with certain viruses (high-risk HPV). Infection with HPV occurs through sexual intercourse and most women are affected at some stage or another. Although in most cases it is cleared by our immunity, in 10-15% women it may persist. This persistent infection with high-risk HPV viruses may lead to cervical cancer after some years.
    •  Vaccines are now available to prevent infection from some of these high-risk HPV  viruses. If taken before sexual debut, they provide 70-80% protection from cervical cancer. This vaccine is recommended for girls between ages 9 and 14 and up to 26 years.
    • However, the vaccinated women must still continue with regular Pap test, as the protection offered by the vaccination is not 100%

What can I do to protect myself from this killer disease? 

  1. Strongly consider vaccination for recommended ages
  2. Have regular  Pap’s smear & check-up, even if you have no problem
  3. Report any abnormal bleeding or discharge to the doctor
  4. Avoid teen marriages and multiple partners. Practice safe sex and barrier contraceptives to reduce the risk of HPV infection
  5. Avoid smoking or second hand smoke
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Cervical Cancer Vaccine - Know Procedure Of It!

Cervical Cancer Vaccine  - Know Procedure Of It!

Some forms of cancer such as cervical cancer can be prevented by vaccines. Cervical cancer is the second most common form of cancer that affects women. The vaccine that prevents cervical cancer is known as the human papilloma virus(HPV) vaccination. Let's take a look at a few things you should know about this vaccination.

What is HPV?
There are over a hundred types of HPV. While some of them affect the genital area and can cause abnormal tissue growth that leads to cervical cancer others can cause anal cancer, genital warts, skin warts, cancer of the head and neck and vaginal cancer. 

When should you have the vaccination?
The human papilloma virus or HPV vaccination is most effective when administered to preteen and teenage girls. This vaccine protects them for the next ten years against the disease. One of the reasons, the HPV vaccination is given so early is that the virus can be spread easily by sexual activity. Having the vaccination early can protect them from a HPV infection. The vaccine is also said to be more effective when given to girls who have not yet been infected by a strain of HPV. 

How is the vaccination given? 
The HPV vaccination is given in the form of three injections spread over six months. The second dose is given two months after the first dose and the final dose is administered six months after the first dose. There is more than one name for the HPV vaccination. Gardasil and cervarix are the most common amongst these. Many doctors suggest no matter which one you choose, the same vaccination be used for all three doses. 

How effective is the vaccination?
Along with protecting against cervical cancer, the HPV vaccine also protects women against vaginal, anal and oropharynx cancer. Some of the vaccines also protect against genital warts. However, the vaccination cannot be used to treat existing HPV infections and is less effective when given to women who have already been infected with a strain of the virus. 

Is there anyone who should not have this vaccine?
The HPV vaccine is not recommended for pregnant women. Do not have the vaccination if you are already suffering from a severe illness. The vaccination is also not recommended for women who are allergic to yeast or latex. 

What are the side effects of the HPV vaccination?
The HPV vaccination has minor side effects that may include mild soreness at the injection site, a headache or low fever. Some women may also feel dizzy or faint after the injection. Nausea, vomiting, diarrhea and abdominal pain are some of the other side effects associated with this vaccination.

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My pap smear shows severe inflamed severe. Can anyone help me out to understand the seriousness of the problem?

Inflammation on a Pap smear can be found in a patient of any age and may be attributable to a benign infection — such as Candida vaginitis — that need be treated only if the patient is symptomatic. Sexually transmitted infections can also cause an inflammatory reaction on the cervix and should be treated accordingly. Lets discuss your concern in detail so that we can provide you with the best medication plan.
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I am diagnosed with cervical erosion. Gone for pap smear test. Awaiting the report. Very much worried about the results. Can anyone help me out to calm my mind. Please help me to cure my problem asap.

Erosion by itself is not a problem. Important is clinical picture and pap's smear. Majority turn out to be normal
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Total Laparoscopic Radical Hysterectomy (TLRH) - All About It!

Total Laparoscopic Radical Hysterectomy (TLRH) - All About It!

Cervical cancer is one of the most common types of cancer in females. It is also one of the leading causes of death in women. Women in developed and developing countries, both are burdened alike from cervical cancer. Ineffective diagnosis, lack of awareness, neglect, ignorance, focus on other health issues, and insufficient attention to female health are the leading factors that are causing the graph to get steeper.

Cervical cancer can easily be detected in its early stages so that timely and appropriate treatment is possible. However, due to faulty and ill-equipped healthcare facilities, regular screening tests are not conducted. This leads to a delayed diagnosis and treatment, that aggravates the situation. Radical Hysterectomy is considered as the most important mode of treatment of cervical cancer. However, the clinical stage of cancer and its severity determine the plan of the treatment. It can either be only the surgery or a combination of surgery, chemotherapy and radiation depending upon the situation.

Total Laparoscopic Radical Hysterectomy (TLRH) is a minimally invasive procedure that shows promising results in the early treatment of cervical cancer. It is a safe and effective procedure. The procedure is associated with faster recovery, less loss of blood, faster return of bowel function post operation, fewer abdominal wall infections, better cosmetic result, and reduced febrile morbidity. Thus, it is preferred for Abdominal Hysterectomy. However, it consumes more time during the procedure itself.

Total Laparoscopic Hysterectomy includes detaching the entire uterine cervix from the body through laparoscopy and suturing the vaginal cuff with its surrounding supporting structures. The uterus is then removed through the abdomen or through the vagina.

When is it needed?

Total Laparoscopic Radical Hysterectomy is required when there is an evidence of cervical cancer. It is determined before the procedure by a biopsy done by the gynecologist. This surgery removes the primary source of cancer. It is also determined whether cancer has spread to any other or surrounding tissue.

Hence, a Radical Hysterectomy removes the uterus, cervix, and extra tissue around the cervix. If the cells in this tissue are non-cancerous, it is called ‘clear margins’ which is a good sign regarding the success of the surgery.

Before the Procedure:

A series of tests might be required to plan the surgery. These include blood profile tests, ultrasound, CT scans, MRIs, Echocardiography, Pulmonary Function Tests, etc.

Advantages:

  1. There are no large incisions in the abdomen because of the laparoscopic approach rather than the open surgery.

  2. There is less amount of blood loss during this type of surgery.

  3. There is less risk of infection.

  4. There is reduced febrile morbidity.

  5. There is less risk of adhesions. Adhesions refer to the sticking together of organs or tissues inside the body due to scarring.

  6. Bowel function returns to normal quickly in this case.

  7. There is less need for pain medication (analgesic) post-surgery.

  8. Shorter time is required to be spent staying at the hospital.

  9. There is a shorter recovery time involved and the patient is allowed to resume normal daily activities in a very short period of time, for example, generally within a month. However, heavy lifting should be avoided.

  10. There is an increase in patient comfort.

Take Away:

Total Laparoscopic Radical Hysterectomy (TLRH) is the most favored method for the treatment of cervical cancer in women. It is minimally invasive and easier to manage to post the procedure.

Cervical Cancer - How To Detect It?

Cervical Cancer - How To Detect It?

Cervical cancer occurs when abnormal cells on the cervix grow out of control. The cervix is the lower part of the uterus that opens into the vagina. Cervical Cancer is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.

Most cervical cancer is caused by a virus called human papillomavirus, or HPV. You can get HPV by having sexual contact with someone who has it. There are many types of HPV virus. Not all types of HPV cause cervical cancer. Some of them cause genital warts, but other types may not cause any symptoms.

Most adults have been infected with HPV at some time. An infection may go away on its own. But sometimes it can lead to cervical cancer. That's why it's important for women to have regular screening. Screening can find changes in cervical cells before they turn into cancer. If you treat these cell changes, you may prevent cervical cancer.

Symptoms of Cervical Cancer may include:

  1. Bleeding from the vagina that is not normal, such as bleeding between menstrual periods, after sex, or after menopause.
  2. Persistent abnormal discharge.

Cervical cancer is the easiest gynecologic cancer to prevent, with regular screening tests and follow-up. Two screening tests can help prevent cervical cancer or find it early:

  1. The Pap test (or Pap smear) looks for precancers, cell changes on the cervix that might become cervical cancer if they are not treated appropriately.
  2. The HPV test looks for the virus (human papillomavirus) that can cause these cell changes.

When to Get Screened

You should start getting regular Pap tests at age 21. The Pap test, which screens for cervical cancer, is one of the most reliable and effective cancer screening tests available. The Pap test is the best way to find cervical cell changes that can lead to cervical cancer. Regular Pap tests almost always show these cell changes before they turn into cancer. It's important to follow up with your doctor after any abnormal Pap test result so you can treat abnormal cell changes. This may help prevent cervical cancer.

Treatment-

In spite of being a fatal ailment, over the years various treatments have evolved that deal with this problem effectively. Some of them are:

1. Surgery: One of the effective and oft availed treatment to cure cervical cancer is surgery. Depending on the stage on which the disease is detected, doctors may suggest for a hysterectomy or removing the pelvic nymph nodes.

2. Chemotherapy: This has emerged as the most sought after way of treating any form of cancer. The abnormal growth of cells that triggers cancer in the first place is deterred in this method by administering drugs to destroy them.

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Cervical Smear - All You Should Be Aware Of!

Cervical Smear - All You Should Be Aware Of!

A cervical smear test is often known as a Pap test and is done to establish the changes that might have occurred in cells of the cervix. A small sample of cells is taken from the surface of the cervix and is tested for any abnormalities. The sample is spread on a slide or in some cases mixed with a liquid fixative and studied under a microscope. It is one of the most popular methods to test the abnormalities in your cells and can pinpoint point cervical cancers.

About the test
A typical cervical smear or Pap test is done to identify the changes that have happened to the cells of the cervix. Diagnosing them early can be beneficial in many ways and can lower your chance of cervical cancerPAP smear or a cervical smear is a screening test for cervical cancer. For other cases, once the results of the cell growth are identified it is safe to seek other tests and medical options for diagnosis.

The procedure of typical Pap smear
The test is mostly recommended when you do not have the periods as the blood can interfere with the results. Also, before taking the test discuss with your doctor about the medications you are taking and in case you are under any birth control pills. No other special preparations are needed for the Pap test. Feel free to discuss with your doctor about the impact the test will have on you or on the painlevels, etc.The test is done by inserting a speculum into the vagina, which spreads it further. Later, a cotton swab is inserted to get the samples of cells from your cervix. The cells from the vagina are also collected in some cases and tested accordingly.

The risks involved
There no chances of risks when you go for such tests. You might feel a bit of pressure in your vaginal region and may experience a small bleeding after the testing. However, this is extremely normal. Also, there is no pain involved. If you experience heavy period and blood loss, you might experience minor discomfort when the test is being done.

The final result
Once the test is done, the results would be available usually within a week. The results can be categorized into normal and abnormal. If your cells are normal and no abnormality is found then the condition is termed as a normal result. In the case of abnormality in the cell structure, then it requires further evaluation and diagnosis to rule out cancer.

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How effective is taxol and carboplatin, As palliative chemotherapy for a recurrence of cervical cancer after concurrent chemo-radiation before 8 years?

Hello, Treatment options in recurrent cervical cancer is very limited. The management mainly depends on the primary treatment received and the site and extent of recurrence. In your case as the patient had already received chemoradiation, so in case of recurrence the only viable option remains is of carboplatin or cisplatin based chemotherapy. Despite treatment, the prognosis is guarded.
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