Cervical cancer awarness program On World Cancer Day At Atmiya Institue of Science And Technology

1. Dr.Darshna Pandya
Ashutosh Maternity & Surgical Hospital

3. Introduction
 Cervix
• Lower Narrow Part Of Uterus
• Opens Up in vaginal & forms birth
Canal
 Pre Cancer
• Healthy Epithelial-CellsChanges &
Grow Out Of Control.
 Dysplasia
 Some Of Abnormal Cell Go Away
without treatments—but may turn
Cancerous
 CIN
• Cervical Intraepithelial neoplasia
 Carcinoma
• Squamous cell ca 80-90% Squamous EPI.
• AdenoCarcinoma 10-20% Collumner EPI.
cervix

8. Incidence
 1000000 New Cases
Every year.
 370000 death
 In Female Most
Common Is Breast
Cancer Followed By
Cervical Cancer

9. Cervical Cancer
Conquer The Cancer
 Basic Awareness
 Reasons
 Symptoms And
Signs
 Diagnosis
 Treatments
 Prevention
 Vaccination

10. Reasons
 Early Age Of Sexual Exposer
 Smoke
 Repeated Pregnancy
 Use birth control pills for a long time-High Oestrogen
Pill.
 Poor Hygiene.
 Are HIV positive or have a weakened immune system
 Age -45 to 48
64to70
 Multiple Sex Partner
 HPVVirus Infection.

11. भारत वर्ष : ववभभन्न प्रकार के एचपीवी
वाइरस की प्रसार दर
0.8
0.3
0.3
0.4
0.4
0.7
1.3
1.3
1.8
1.9
3.6
5
5.4
6
63.3
15.6
0 10 20 30 40 50 60 70 80 90 100
X
Other
59
66
68
39
73
52
51
56
31
58
35
33
45
18
16
HPVtype
Prevalence (%)

12. Symptom & Signs
 Asymptomatic in early
Stage.
 Foul SmellingVaginal
Discharge.
 Post Coital Bleeding
 Intermittent Spotting
 Dyspariunea
 Pelvic pain
 Weight Loss
 PMB
 Anorexia
 Incontinence Of Urine & Stool

13. Diagnosis
VIAMicroscopy

14. Peptest
 Position-Lithotomy
 P/S Examination
 Stain :-Lugol’s Iodine Or
AceticAcid.
 Cytology Of Suspected
Area DoneWith Help Of
Scarping Of CellsWith
Spatula Or Cytobrush.
 Age :-35Years
 Intreval Every 3Years.

15. Biopsy
Open biopsy
Colposcopy:-loop electrosurgical biopsy
Cone biopsy

16. Diagnosis
HPV –DNATesting
USG
CT Scan
PET Scan
MRI

18. Prevention
 Delaying first intercourse
till age of 20
 Avoid Multiple Sex Partner
 No Smoking
 Safe Sex-Use
Condom

19. vaccination
 Cervarix:-Bivalent
Protect Against HPV-
16&18
 0-1-6
 Gardasil:-Quadrivalent
6, 11, 16, and 18-HPV &
Other Low RiskVariant
 0-1-6
 New Regimen 0-6 for
age 9-16.

20. Treatments

23. Radiotherapy
INTERNAL EXTERNAL

25. DIET
 Vitamin –A,B12,C,E
Supplement
 Beta-Carotene Rich
Food
 Plenty of Fluid
 Rest