Cervical Cancer
DR KHALID H. WALI SAIT (FRCSC)
ASSOCIATE PROFESSOR OF GYNECOLOGICAL
ONCOLOGY
King Abdulaziz University Hos...
Cancer Of Cervix
Epidemiology
 Incidence is 15-30 /100000
 2.6 % of all cancer in women
 The most common cancer killer ...
Cancer in Women
 World Wide
Breast
Colo-rectal
Cervix and Uterus
Lung
Leukemia-
Lymphoma
Ovary
 Saudi
Breast
Thyroid
Leu...
Female Genital Tract Malignancy
 World Wide
Uterus
Cervix
Ovary
Vulva
Vagina
F.Tube
 Saudi
Ovary
Cervix
Uterus
Vulva
Vag...
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 disea...
 Metaplasia
 Dysplasia
 Neoplasia
Changes in Terminology
HPV
Mild Dysplasia
HPV
CIN I
L SIL
Moderate
Dysplasia
CIN II H SIL
Severe
Dysplasia
Carcinoma insit...
Management Of Pap Smear Result
 Pap smear is simply a lab test
it is the responsibility of
the physician to
interpret the...
Objective Of Colposcopy
 Exclude invasive disease
 Select the most appropriate area for
biopsy
Cancer of the Cervix
Clinical presentation
 Abnormal vaginal bleeding
 Postmenopausal Vaginal bleeding
 Vaginal dischar...
Cancer of the Cervix
FIGO Staging ( clinical )
 I - Tumour confined to the cervix
 II- Upper 2/3 vagina / parametrium.
...
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
ONCOLOGY
King Abdulaziz University Hos...
Cervical+cancer+for+student+final
Cervical+cancer+for+student+final
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  • 1920 colposcopy 1930 was used in Europe USA ACCSP SHORT FOCAL LENGTH CAN NOT DO BIOPSY LONG FOCAL LENGTH NOT COMFORTABLE PERFORM BIOPSY 5 % UNSATSF COLPOSCOPY
  • 29
  • 1920 colposcopy 1930 was used in Europe USA ACCSP SHORT FOCAL LENGTH CAN NOT DO BIOPSY LONG FOCAL LENGTH NOT COMFORTABLE PERFORM BIOPSY 5 % UNSATSF COLPOSCOPY
  • 1920 colposcopy 1930 was used in Europe USA ACCSP SHORT FOCAL LENGTH CAN NOT DO BIOPSY LONG FOCAL LENGTH NOT COMFORTABLE PERFORM BIOPSY 5 % UNSATSF COLPOSCOPY
  • Cervical+cancer+for+student+final

    1. 1. Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia
    2. 2. Cancer Of Cervix Epidemiology  Incidence is 15-30 /100000  2.6 % of all cancer in women  The most common cancer killer for women in developing countries
    3. 3. 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
    4. 4. Female Genital Tract Malignancy  World Wide Uterus Cervix Ovary Vulva Vagina F.Tube  Saudi Ovary Cervix Uterus Vulva Vagina F.Tube
    5. 5. Cervical Cancer Prevention  Education About early symptom of cancer cervix  Avoid Risk Factors  Screening and Vaccine
    6. 6.  Risk Co Factor: HIV HPV 16,18 SMOKING MULTIPPLE SEXUAL PARTNER ? BCP
    7. 7. Cancer Cervix  Has an easily identified pre-invasive disease and be diagnosed and treated before become an invasive disease  Screening Test
    8. 8.  Metaplasia  Dysplasia  Neoplasia
    9. 9. Changes in Terminology HPV Mild Dysplasia HPV CIN I L SIL Moderate Dysplasia CIN II H SIL Severe Dysplasia Carcinoma insitu CIN III H SIL
    10. 10. 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
    11. 11. Objective Of Colposcopy  Exclude invasive disease  Select the most appropriate area for biopsy
    12. 12. Cancer of the Cervix Clinical presentation  Abnormal vaginal bleeding  Postmenopausal Vaginal bleeding  Vaginal discharge  Pain  Asymptomatic
    13. 13. Cancer of the Cervix FIGO 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
    14. 14. Cancer of the Cervix Treatment of patients  Radical Hysterectomy and lymphadnectomy  Radiation Therapy and chemotherapy
    15. 15. Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia

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