Shoulder to Shoulder: Cervical Cancer Screening

Cervical Cancer Screening Alternatives for the Developing World Edith H. Harte MD October 22, 2003

Focus of Presentation: Cervical Cancer Screening ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cervical Cancer Incidence Key Facts ,[object Object],[object Object],[object Object]

Cervical Cancer Incidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cervical Cancer ,[object Object],[object Object],[object Object]

Age – Adjusted Death Rate for Cervical Cancer in US

Characteristics of Cervical Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Stages of Cervical Cancer ,[object Object],[object Object],[object Object],[object Object]

Risk Factors for Cervical Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other Risk Factors ,[object Object],[object Object],[object Object],[object Object]

Role of HPV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rational for Cervical Cancer Screening ,[object Object],[object Object],[object Object]

OBJECT ,[object Object],[object Object],[object Object]

How to Evaluate a Screening Test ,[object Object],[object Object],[object Object]

Pap Screening Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pap Screening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alternative Strategies for Detecting Cervical Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]

Visual Inspection with Acetic Acid (VIA) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Precedents for VIA ,[object Object]

VIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

Biology of the Transformation zone ,[object Object],[object Object],[object Object],[object Object],[object Object]

Transformation Zone ,[object Object],[object Object]

Normal Squamocolumnar Junction ,[object Object],[object Object],[object Object]

Squamocolumnar Junction with Squamous Metaplasia ,[object Object],[object Object],[object Object],[object Object],[object Object]

VIA Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VIA Disadvantages ,[object Object],[object Object],[object Object],[object Object]

How to Screen GYN Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gyn History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How to Perform VIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Normal VIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

Normal VIA ,[object Object],[object Object]

Abnormal VIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cervical Dysplasia ,[object Object],[object Object]

Cervical Dysplasia ,[object Object],[object Object],[object Object]

Severe Dysplasia ,[object Object],[object Object]

Features of early cancer lesions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Invasive Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]

What Needs to be Done in Santa Lucia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Have We Done this Week? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shoulder to Shoulder: Cervical Cancer Screening

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Shoulder to Shoulder: Cervical Cancer Screening