Departments
Radiation Oncology
Radiation Oncology
External radiotherapy
Volumetric Modulated Arc Therapy (VMAT)
Image Guided Radiation Therapy (IGRT)
Intensity Modulated Radiation Therapy (IMRT)
Stereotactic Radiation Therapy (SRT)
Stereotactic Radio Surgery (SRS)
Stereotactic Body Radiation Therapy (SBRT)
Three-Dimensional Conformal Radiation Therapy (3-D CRT)
Respiratory Gating
Internal Radiotherapy
Remote After Loading High Dose Rate Brachytherapy (HDR Brachytherapy)
Medical Oncology
Medical Oncology
Chemotherapy
Hormonal Therapy
Immunotherapy / Biological Therapy
Targeted Therapy
Neutropenic Care
Nutritional Therapy
Surgical Oncology
Surgical Oncology
Neuro Oncology
Head and Neck Oncology
Breast Oncology
Thoracic Oncology
Gynaec Oncology
Cosmetic and Reconstructive Surgery
G. I. Oncology
Uro Oncology
Musculo-skeletal Oncology
Gynaec Oncology
Gynaec Oncology
Cancer of Cervix
Cancer of Ovary and Fallopian Tube
Cancer of Uterine Cavity
Cancer of Vulva
Cancer of vagina
Cancer of Persistent Gestational Trophoblastic Tumor (GTNs)
Anesthesiology & Critical
Radiology & Imaging
Pathology & Transfusion
Pathology & Transfusion
Histopathology
Cytopathology
Haematology
Biochemistry
Serology
Clinical Pathology
Microbiology
Transfusion Medicine
Emergency Services
Nursing Services
Our Doctors
- Featured Doctors in Popular Specialties.... ........ Read more
Cancer of Cervix or Cervical Cancer
High risk Women: low socioeconomic status; women with poor personal hygiene, multiparity, early age of sexual intercourse, multiple sexual partners. Smoking, folate deficiency and other associated vulvo-vaginal infections (herpes simplex), HIV infections, immuno-deficiencies conditions are cofactors.Causative Agent: The main cause of cervical cancer is human papilloma virus (HPV). It is passed from one person to another during sex. These viral infections clears off in most by itself, but persist in some due to unknown reasons and results into cancer.
Sign & Symptoms
Abnormal vaginal bleeding
Post coital bleeding
Persistent discharge Per vaginum
In neglected cases (very late stages: stage IV):- persistent bleeding or bowel and bladder pressure symptoms, incontinence of urine or faeces, severe backache/bone pains.
Stage of cervix cancer
Pre-malignant stage: CIN2/3
Pre-invasive stage( 0 stage): carcinoma in situ
Stage I-IV: depending upon increasing spread of disease tumor is classified into higher stages
Diagnostic test
Early stage: Colposcopy directed biopsy( OPD procedure)
Late stages: Direct Punch biopsy (OPD Procedure)
Treatment
Very early stages( early micro-invasion): LEEP, Cold or laser knife conisation, simple hysterectomy
Late early Stages (stage IA2, IB1,IB2 , IIA): Surgical treatment in form of Radical hysterectomy cancer; that is removal of cervix with adjacent tissues and draining lymph nodes ( Wertheim's hysterectomy with retroperitoneal lymph node dissection) with or without adjuvant tailored pelvic radiotherapy. Late stages( Stage IIB to III B): Radiotherapy with concurrent chemotherapy
Very late stages (Stage IV): Palliative RT
Prognosis
Stage IA : 95-98%
Stage IB : 79-90%
Stage II : 70-77%
Stage III : 45%
StageIV : 12-22%
Prevention: regular Pap's smear in reproductive age group women after marriage, HPV DNA testing, if suspicious for abnormality is found colposcopy and directed biopsy is done. Recently introduced HPV vaccine is FDA approved for school going girls (9-15yrs) for prevention of cancer cervix, but it is not to be replaced by regular Pap's smear.
Photograph of Specimen removed of Radical Hysterectomy with pelvic Lymph node dissection
Follow us on