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Sunday, August 21, 2011

Cervix Cancer

it is a common cancer of developing countries. it occurs in sexually active women. age around 35(peak) and 55 years.
Risk factors
1. intercourse at an early age
2.multiple sex partners
3.Intercourse with a male having multiple  sexual partners
4.OCPs
5.Cigarette smoking
6. Low socio-economic condition
7. Genital infections
8.Lack of circumcision of male partners
9. HPV infection (papilloma virus)
10. Immunocompromizatiom
11. If pre-malignent condition of cervix

Symtoms
1. may be asymptomatic
2. but usually irregular per vaginal bleeding often post coital bleeding
3. Creamy white, foul smelling discharge
3. irregular cyclic bleeding
5complication symptoms-- renal failure, pelvic pain, backache, painfull micturation, difficulty in defecation etc.
6. general symptoms-- anorexia, weakness, loss of weight

Investigation
1. cytology
2. schiller test
3.colonoscopy guided biopsy
4.pap's smear

TREATMENT

General
1. improvement of nutrition
2.correction of anaenia
3. control of infection

Specific
it depends on staging.
in early stage hysterectomy is done and late stage radiotherapy and chemotherapy is given.

Advice
Every women do pap's smear in every year for early detection

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