Cervical Cancer

DR KHALID H. WALI SAIT (FRCSC)ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGYKing Abdulaziz University Hospital, Jeddah, Saudi Arabia

Cancer Of CervixEpidemiology

Incidence is 15-30 /100000 2.6 % of all cancer in women The most common cancer killer for

women in developing countries

Cancer in Women World Wide

Breast Colo-rectal Cervix and Uterus Lung Leukemia-Lymphoma Ovary

Saudi Breast Thyroid Leukemia–Lymphoma Colo-rectal Ovary Liver Cervix Uterus

Female Genital Tract Malignancy

World Wide Uterus Cervix Ovary Vulva Vagina F.Tube

Saudi Ovary Cervix Uterus Vulva Vagina F.Tube

Cervical Cancer Prevention

Education About early symptom of cancer cervix

Avoid Risk Factors Screening and Vaccine

Risk Co Factor: HIV HPV 16,18 SMOKING MULTIPPLE SEXUAL PARTNER ? BCP

Cancer Cervix Has an easily identified pre-

invasive disease and be diagnosed and treated before become an invasive disease

Screening Test

Metaplasia

Dysplasia

Neoplasia

Changes in Terminology

HPVMild Dysplasia

HPVCIN I

L SIL

Moderate Dysplasia

CIN II H SIL

Severe DysplasiaCarcinoma insitu

CIN III H SIL

Management Of Pap Smear Result

Pap smear is simply a lab test it is the responsibility of the physician to interpret the result in the context of a given patient and her particular circumstances

Objective Of Colposcopy

Exclude invasive disease Select the most appropriate area

for biopsy

Cancer of the CervixClinical presentation

Abnormal vaginal bleeding Postmenopausal Vaginal bleeding Vaginal discharge Pain Asymptomatic

Cancer of the CervixFIGO Staging ( clinical )

I - Tumour confined to the cervix II- Upper 2/3 vagina / parametrium. III- Lower 1/3 vagina / pelvic side

wall or hydronephrosis IV- Adjacent organ / Distant

metastasis

Cancer of the Cervix Treatment of patients

Radical Hysterectomy and lymphadnectomy Radiation Therapy

and chemotherapy

Cervical Cancer

DR KHALID H. WALI SAIT (FRCSC)ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGYKing Abdulaziz University Hospital, Jeddah, Saudi Arabia