Cervical Cancer - Medtick

Cervical Cancer

What is it?

When cells in the cervix muscle grow and multiply abnormally (cervix is entrance to the womb from the vagina).

  • The cervix is located at the neck of the womb and is connected to the vagina.
  • It is made up of different cells: on the outer surface, at the top of the vagina, the layer is called the ectocervix and is made up of skin-like cells, whereas glandular cells, which produce mucus, cover the lining of the inside of the cervix and are called the endocervix. 
  • Changes to the ectocervix and glandular cells in this area over time can lead to cancer of the cervix, or cervical cancer, which normally develops slowly (e.g. over several years).
  • Commonly affects women under the age of 35 years old.
  • This condition can occur after menopause.

There are Two types:

Squamous cell carcinoma

  • Cells on the outer layer of cervix on top of vagina affected.
  • The most common is squamous cell carcinoma (originating in the ectocervix), which accounts for around 70-80% of diagnoses.

Adenocarcinoma

  • Cells inside the cervix glands (harder to diagnose).
  • Arising from cells in the endocervix; however, these are less common and account for around 20% of diagnoses[

Others:

  • Very rare: adenosquamous carcinoma, small cell and clear cell cancer

This cancer can spread to other parts of the body:

Stage I

  • Tumors have invaded the cervix

Stage II

  • Tumors have spread beyond the cervix.

Stage III

  • Tumor spreads to the upper two-thirds of the vagina and to the regions around the uterus and maybe the kidney.
  • The kidney may become enlarged and possibly blocking urine flow.
Stage IV
  • Tumor spreads beyond the region of the cervix to involve the wall of the bladder and/or rectum, or spreads to other regions of the body such as the lungs, liver, or bones.

Diagnosis Results

  • A positive test for a high-risk HPV does not mean that a woman will go on to develop cervical cancer. It does, however, indicate that she is at greater risk than a woman who tests negative
  • In most women, the immune system successfully deals with any initial HPV infection; this happens before the HPV can completely incorporate itself into the cell DNA and disrupt cell reproduction, leading to cervical intraepithelial neoplasia.
  • Regular cervical screening can pick up the changes that could progress to cancer.

Symptoms normal develop at late stage, hence important to have regular cervical smear screening test. Please see your medical doctor to find out when it is due.

Vaccination

The vaccine does not eradicate HPV risk—none of the HPV vaccines currently available protect against all types of HPV infection. It is important that vaccinated women continue to have regular cervical screening.

Causes

  • Unknown
  • Age (Highest incidence rate is in women aged 30–34 years. This then drops until age 50–54 years and then falls again beyond 80 years).
  • HPV (Human Papilloma Virus)
  • Females who have multiple partners (more likely to catch STD: HPV) male and/or female
  • Cervical intraepithelial neoplasia (pre cancer condition that causes changes in cervix)
  • Nonattendance for cervical screenings (smear test)
  • Family history: Specifically, abnormalities HLA-DRB1*13-2, HLA-DRB1*3(17), and HLA-B*07 genes have been identified in association with a familial incidence of cervical cancer
  • Abnormalities in the genes that code for interleukin 6 (IL -6), a protein that helps the immune system function
  • Adenoid cystic carcinoma (ACC)
  • Weak immune system
  • Smoking
  • Females who have sexual intercourse at young age (condition takes years to develop, or to a lack of condom use among teenagers)
  • Increased risk when women under 17 years old who have a child
  • Women who have three or more children
  • H.I.V.
  • Smoking
  • Not having the HPV vaccine

Medication

  • Taking contraceptive medication greater than 10 years
  • Diethylstilbestrol

Vitamins, herbals and minerals

Symptoms

  • Unusual vaginal bleeding (include new bleed in menopause)?
  • Abdominal pain and/or are constant violently vomiting or vomiting longer than two days (one day if a child)?
  • Periods heavier than usual?
  • Bleeding between periods?
  • Pain and discomfort during sexual intercourse?
  • Vaginal discharge?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Unexplained weight loss?
  • Unknown lumps or swellings on any part of body?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait phone, for an ambulance if have or develop:

  • Severe Dehydration symptoms
  • Peritonitis
  • Constipation
  • Blood in your urine (haematuria)
  • Loss of bladder control (urinary incontinence)
  • Bone pain
  • Swelling of one of your legs
  • Severe pain in your side or back caused by swelling in your kidneys, related to a condition called hydronephrosis (a condition where one or both kidneys become stretched and swollen as the result of a build-up of urine inside them)
  • Kidney infection
  • Changes to your bladder and bowel habits.

H.I.V test

  • A H.I.V test should be offered if one has this condition.

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Cervical Cancer in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

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  • Verywell Health

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