This document discusses cervical cancer, including its causes, symptoms, diagnosis, prevention, and treatment. Cervical cancer is caused by abnormal cell growth in the cervix due to HPV infection. Risk factors include early sexual exposure, smoking, multiple sexual partners, and HIV infection. Symptoms may include abnormal bleeding or discharge. Diagnosis involves tests like a Pap smear, biopsy, and HPV testing. Prevention methods include vaccination, safe sex practices, and screening. Treatments include surgery, radiation therapy, and chemotherapy.

1. Dr.Darshna Pandya
Ashutosh Maternity & Surgical Hospital

3. Introduction
 Cervix
• Lower Narrow Part Of Uterus
• Opens Up in vaginal & forms birth
Canal
 Pre Cancer
• Healthy Epithelial-CellsChanges &
Grow Out Of Control.
 Dysplasia
 Some Of Abnormal Cell Go Away
without treatments—but may turn
Cancerous
 CIN
• Cervical Intraepithelial neoplasia
 Carcinoma
• Squamous cell ca 80-90% Squamous EPI.
• AdenoCarcinoma 10-20% Collumner EPI.
cervix

8. Incidence
 1000000 New Cases
Every year.
 370000 death
 In Female Most
Common Is Breast
Cancer Followed By
Cervical Cancer

9. Cervical Cancer
Conquer The Cancer
 Basic Awareness
 Reasons
 Symptoms And
Signs
 Diagnosis
 Treatments
 Prevention
 Vaccination

10. Reasons
 Early Age Of Sexual Exposer
 Smoke
 Repeated Pregnancy
 Use birth control pills for a long time-High Oestrogen
Pill.
 Poor Hygiene.
 Are HIV positive or have a weakened immune system
 Age -45 to 48
64to70
 Multiple Sex Partner
 HPVVirus Infection.

11. भारत वर्ष : ववभभन्न प्रकार के एचपीवी
वाइरस की प्रसार दर
0.8
0.3
0.3
0.4
0.4
0.7
1.3
1.3
1.8
1.9
3.6
5
5.4
6
63.3
15.6
0 10 20 30 40 50 60 70 80 90 100
X
Other
59
66
68
39
73
52
51
56
31
58
35
33
45
18
16
HPVtype
Prevalence (%)

12. Symptom & Signs
 Asymptomatic in early
Stage.
 Foul SmellingVaginal
Discharge.
 Post Coital Bleeding
 Intermittent Spotting
 Dyspariunea
 Pelvic pain
 Weight Loss
 PMB
 Anorexia
 Incontinence Of Urine & Stool

13. Diagnosis
VIAMicroscopy

14. Peptest
 Position-Lithotomy
 P/S Examination
 Stain :-Lugol’s Iodine Or
AceticAcid.
 Cytology Of Suspected
Area DoneWith Help Of
Scarping Of CellsWith
Spatula Or Cytobrush.
 Age :-35Years
 Intreval Every 3Years.

15. Biopsy
Open biopsy
Colposcopy:-loop electrosurgical biopsy
Cone biopsy

16. Diagnosis
HPV –DNATesting
USG
CT Scan
PET Scan
MRI

18. Prevention
 Delaying first intercourse
till age of 20
 Avoid Multiple Sex Partner
 No Smoking
 Safe Sex-Use
Condom

19. vaccination
 Cervarix:-Bivalent
Protect Against HPV-
16&18
 0-1-6
 Gardasil:-Quadrivalent
6, 11, 16, and 18-HPV &
Other Low RiskVariant
 0-1-6
 New Regimen 0-6 for
age 9-16.

20. Treatments

23. Radiotherapy
INTERNAL EXTERNAL

25. DIET
 Vitamin –A,B12,C,E
Supplement
 Beta-Carotene Rich
Food
 Plenty of Fluid
 Rest