Cervical Cancer DR KHALID H WALI SAIT FRCSC

Cancer Of Cervix Epidemiology n n n Incidence is 15 -30 /100000 2. 6

Cancer in Women n World Wide Breast Colo-rectal Cervix and Uterus Lung Leukemia. Lymphoma

Female Genital Tract Malignancy n World Wide Uterus Cervix Ovary Vulva Vagina F. Tube

Cervical Cancer Prevention n Education About early symptom of cancer cervix Avoid Risk Factors

n Risk Co Factor: HIV HPV 16, 18 SMOKING MULTIPPLE SEXUAL PARTNER BCP ?

Cancer Cervix n n Has an easily identified pre-invasive disease and be diagnosed and

Changes in Terminology HPV Mild Dysplasia HPV CIN I L SIL Moderate Dysplasia CIN

Management Of Pap Smear Result n Pap smear is simply a lab test it

Objective Of Colposcopy n n Exclude invasive disease Select the most appropriate area for

Cancer of the Cervix Clinical presentation n n Abnormal vaginal bleeding Postmenopausal Vaginal bleeding

Cancer of the Cervix FIGO Staging ( clinical ) n n I - Tumour

Cancer of the Cervix Treatment of patients n Radical Hysterectomy and lymphadnectomy n Radiation

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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 n n n 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 n World Wide Breast Colo-rectal Cervix and Uterus Lung Leukemia. Lymphoma Ovary n Saudi Breast Thyroid Leukemia– Lymphoma Colo-rectal Ovary Liver Cervix Uterus

Female Genital Tract Malignancy n World Wide Uterus Cervix Ovary Vulva Vagina F. Tube n Saudi Ovary Cervix Uterus Vulva Vagina F. Tube

Cervical Cancer Prevention n Education About early symptom of cancer cervix Avoid Risk Factors Screening and Vaccine

n Risk Co Factor: HIV HPV 16, 18 SMOKING MULTIPPLE SEXUAL PARTNER BCP ?

Cancer Cervix n n Has an easily identified pre-invasive disease and be diagnosed and treated before become an invasive disease Screening Test

n Metaplasia n Dysplasia n Neoplasia

Changes in Terminology HPV Mild Dysplasia HPV CIN I L SIL Moderate Dysplasia CIN II H SIL Severe Dysplasia CIN III H SIL Carcinoma insitu

Management Of Pap Smear Result n 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 n n Exclude invasive disease Select the most appropriate area for biopsy

Cancer of the Cervix Clinical presentation n n Abnormal vaginal bleeding Postmenopausal Vaginal bleeding Vaginal discharge Pain Asymptomatic

Cancer of the Cervix FIGO Staging ( clinical ) n n 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 n Radical Hysterectomy and lymphadnectomy n Radiation Therapy and chemotherapy

Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia