Cervical cancer

Cervical Cancer Overview:

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Aetiology:

4 of the 80 Human Papilloma Viruses have been implicated in causing Cervical Cancer

+ Causes

  • Human Papilloma Virus

+ Pathophysiology

  • Cervical cancer is usually a squamous cell cancer (85%) less often an adenocarcinoma.
  • 3 Stages of Cervical Intraepithelial Neoplasia (CIN):
    • CIN 1 = Mild dysplasia
    • CIN 2 = Moderate Dysplasia
    • CIN 3 = Severe Dysplasia

+ Risk Factors

  • Human Papilloma Virus

Symptoms:

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Diagnostic Considerations:

Cervical cancer is often asymptomatic, which is the reason regular screening is recommended. Regular pap smears will assess the possibility of cervical dysplasia and is the best form of prevention for this condiiton. If caught early, treatment has a high success rate.

  • Dysplasia is asymptomatic
  • Invasive cancer may also be asymptomatic
  • Abnormal vaginal bleeding (intermenstrual, postmenopausal, postcoital contact bleeding)
  • Pelvic pain, leg pain, back pain
  • Dyspareunia
  • Hematuria

Diagnosis is made via PAP smear initially, later followed by colposcopy and biopsy.


 

Differential Diagnosis:

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Cautions:

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Author:

Justin Cooke

The Sunlight Experiment

Updated: Novermber 2017


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