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Cervical Cancer
DR KHALID H. WALI SAIT (FRCSC)
ASSOCIATE PROFESSOR OF GYNECOLOGICAL
ONCOLOGY
King Abdulaziz University Hospital, Jeddah,
Saudi Arabia
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
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
Female Genital Tract Malignancy
 World Wide
Uterus
Cervix
Ovary
Vulva
Vagina
F.Tube
 Saudi
Ovary
Cervix
Uterus
Vulva
Vagina
F.Tube
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 disease
 Screening Test
 Metaplasia
 Dysplasia
 Neoplasia
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
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
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 discharge
 Pain
 Asymptomatic
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
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 Hospital, Jeddah,
Saudi Arabia

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Cervical+cancer+for+student+final

  • 1. Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia
  • 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. 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. Female Genital Tract Malignancy  World Wide Uterus Cervix Ovary Vulva Vagina F.Tube  Saudi Ovary Cervix Uterus Vulva Vagina F.Tube
  • 5. Cervical Cancer Prevention  Education About early symptom of cancer cervix  Avoid Risk Factors  Screening and Vaccine
  • 6.  Risk Co Factor: HIV HPV 16,18 SMOKING MULTIPPLE SEXUAL PARTNER ? BCP
  • 7. Cancer Cervix  Has an easily identified pre-invasive disease and be diagnosed and treated before become an invasive disease  Screening Test
  • 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. 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.
  • 12. Objective Of Colposcopy  Exclude invasive disease  Select the most appropriate area for biopsy
  • 13.
  • 14. Cancer of the Cervix Clinical presentation  Abnormal vaginal bleeding  Postmenopausal Vaginal bleeding  Vaginal discharge  Pain  Asymptomatic
  • 15. 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
  • 16. Cancer of the Cervix Treatment of patients  Radical Hysterectomy and lymphadnectomy  Radiation Therapy and chemotherapy
  • 17. Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Editor's Notes

  1. 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
  2. 29
  3. 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
  4. 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