Tuesday, March 24, 2015

Stop in time "cervical cancer"

Cancer of the cervix (also known as cervical cancer) is recognized as one of the most common forms of cancer among women. He entered the group of diseases that can be treated and cured if treated early in the early stages.

Dr. Goc göksu
Obstetër- Gynecologist
American Hospital
038 221 661/045 500 910
Cervix is ​​the lower part of the uterus and cervix also called. The fetus grows in the upper part (in bulk) of the uterus. Cervix connects the body of the uterus with the vagina major cells that are on the surface of the cervix are Squamoze cells (in ektocerviks) and glandular cells (in endocerviks).Limit where unite these cells called transformasioni areas, where most cervical cancers are formed in this area. These cells do not instantly transformed into cancer, but once developed gradually changing with prekanceroze (CIN neoplazicervikale intraepiteljale, SIL lesions squamoze intraepiteljale and dysplasia) that this could turn into cancer.
Symptoms and signs of cervical cancer
, cervical cancer usually at an early stage does not give any symptoms.Cancer usually grows until invasive stage (stage progressive) and affects the surrounding tissue provides no symptoms. And when you reach the stage symptoms are usually invasive vaginal bleeding and bleeding after relations. Usually invasive cancers diagnosed in women who have not made ​​a regular Pap test. Timely diagnosis of cervical cancer helps the prevention and suppression in times of illness.
All women should Pap test at age 21, women aged 21 to 29 years old have to repeat Pap test every 3 years. After age 30 to age 65. Pap smear should be done once in 3 years shall also once in 5 years Pap test should be combined with the HPV test.
Women who were removed uterus does not need to be checked, but those uterus removed due to lesions prekanceroze should continue to be under control. Women who were removed uterus and was left CERVIX (histerektomisupra-cervical) should be checked according to the above recommendations.
Even those who have made the HPV vaccine should be subject to such checks regularly. Those who have abnormal Pap test should be repeated once every 6 months or once a year.
To have a Pap test as accurate should:
- The best time is to take Pap test after 5 days of menstruation.
- Do not have sex for 48 hours.
- Not to be used any buffer or vaginal drug for 48 hours.
The main factors that increase the risk of cervical cancer
* HPV (Human Papilloma Virus) is the main cause and found in 99.7% of cases of cervical cancer.
* sexual activity at a young age, the risk of cervical cancer is before age 18. 2 times greater than the starting sex after age 21 years.
* Sexual activity with more than one partner in cases where more than 6 partner risk increases threefold.
* Sexual activity with a high risk partner (who may have HPV)
* History of sexual transmission diseases (chlamydia, herpesgenital)
* Previous Story cellular changes prekanceroze
* immunosuppression (HIV)
Treatment of cervical cancer
is performed surgical therapy (surgery) or radiotherapy. Cancer of the cervix is sensitive radio and radio therapy can be used at any stage, even in phases where the operation can not be performed.
Micro-invasive cancer in stage 1A ideal therapy is the removal of the uterus (hysterectomy). In stage 1A2 should be removed and lenfatike glands around. For patients who are in the early stage and who wish to be pregnant can be used and procedures Konizasion (removal of the cervix in the cone) or trakelektomi (total removal of the cervix).
The possible complications of these two procedures are not complete removal of cancerous cells and the risk of a premature birth.
In Phase 1B1 and 2A (smaller than 3 cm) performed radical hysterectomy + removal of glandular lenfatike and if the result of the pathology indicates high risk, need and radiotherapy.
Can cervical cancer be prevented?
These cell changes can be diagnosed prekanceroze Pap test, so being treated with appropriate therapy prevented their progresimi cancer. Not all prekanceroze transformed into cancer lesions and take several years (a long time) to be transformed into cancer. Diagnostic tests are Pap test and HPV tests defining.

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