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Early diagnosis in cervical cancer

Cervical cancer is about 12% of all cancer disease in women, occurring around the age of 48-52 years.

Cervical cancer, most often starts from a moderate dysplasia in the cervix that progress to severe dysplasia and then a noninvasive cancer (cancer called “in situ”) that eventually install an invasive cancer .

The time needed for crossing of a moderate dysplasia to cancer “in situ” is 5-10 years and hence a more invasive cancer 3-10 years. There is therefore a long period of time, which is perfectly curable precancerous lesions and still enough time in years, in stage 0 cancer, noninvasive stage. Women should take advantage of this situation and between 35-65 years of age to submit at least three years period, a gynecological examination, and more accurate and reliable as pelvic control of 20 years performed annually.

This control is outside any sign of genital pain. Currently, unfortunately, women presenting to medical consultation after vaginal discharge and / or bleeding, especially after intercourse, pain, signs that often correspond to an advanced illness.

Procedure to ensure the prevention and diagnosis of cervical cancer screening in the early stages is mass examination of women between 35-65 years 20-65 years more, every three years, would be better once a year. The process reduces the appearance of invasive cancer at a rate of 75-80% and consequently, and mutilating and extensive operations in the genital area. The process is simple and effective and depends only on the consciousness of women, the respect that them must pay on their own health. Of course this is related to effective education made by family, school and health network.

Screening includes the following steps:

– gynecological examination;
– collection of secretions with a swab or sponge, the cervical and endocervical;
– secretion covers blade turns, the cells are examined under a microscope secretion.

The changes observed are classified into five categories:

– first 2 are inflammatory;
– from category 3 up is the alarm or even certainty for cancer.  Next is needed a colposcopic evaluation (direct examination of the cervix with optical device);
– If colposcopy shows a visible lesion a biopsy is performed with endocervical curettage.
– Confirmation of invasive cancer requires a complex treatment, surgical and radiation.

Appearance of dysplasia or carcinoma “in situ” stage 0 is solved by cryotherapy, laser therapy, conization or at most, a simple hysterectomy, if they give up fertility.

In case of less obvious lesions (10%) or in case of suspicion, a biopsy is done or conization; for diagnosis of invasive cancer, surgery is going to extended.

In conclusion, monitoring, detecting and solving simple cervical dysplasia prevent the development of invasive cancer, life-threatening ill and require complex treatment, aggressive, mutilated.

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