Carcinoma of the Cervix (Cervical Cancer)

Worldwide, cervical carcinoma is the second most common cancer among women. This cancer and the precancerous changes of the cervix are now largely viewed as a spectrum of sexually transmitted diseases given the initiating role of the venereally transmitted Human Papillomavirus (HPV) identified in over 90% of cases worldwide.

Cervix Cancer Test - Papanicoalau
A Cost-Effective Screening Device

While the Papanicolaou test has been confirmed as a cost-effective screening device, it is underutilized in non-industrialized countries, as well as in the developed countries.

In the United States, cervical cancer incidence and mortality has reduced by 70% due to pap smears, but cervical cancer remains the sixth leading cause of cancer death, trailing lung, breast, colorectal, ovarian, and endometrial malignancies.

Colombia
Costa Rica
German DR, India
China, Singapore
Japan, England, France
US Hispanic
US Black
US White
Israel, Shanghai
42 per 105 women
26
22
19
11
30
10
7
4
From Mohar, Cancer Invest.,18(6), 2000

The incidence among Caucasian US women plateaus in the third decade at about 10/100,000, and remains at the same rate throughout life. Among Hispanic US women, it increases with age up to 40 per 105 women into the seventh decade before it plateaus, with an average of 30 per 105 women.

For more cervical cancer information, contact your AOA physician 972.276.9902.

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This PDF covers all of this material:

Carcinoma of the Cervix

  • Human Papilloma Virus and Other Risk Factors
  • Prevention and Risk Modification
  • Symptoms of Invasive Cancer
  • Diagnosis of Cancer
  • Pathophysiology of Cancer
  • Cancer Staging
  • Therapy
    • FIGO Stage Ia1 lesions under 3mm
    • Stages Ia2, Ib1 and IIa
    • Stages Ib2
    • Stages IIb to IVa
    • Stage IVb
  • Recurrent Disease
  • Cervical Carcinoma During Pregnancy
  • Prognosis

Practical Summary of 2005 ACOG Practice Bulletin: Management of Abnormal Cervical Cytology and Histology
 

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