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It is the easiest gynecologic cancer to prevent through screening and early vaccination
Who is at risk?
Women who have ever had sex
Who is at risk?
Women who do not have Pap tests
Women with immune problems including those who: Use steroid medications on a regular basis Have organ transplant Are undergoing chemotherapy Are infected with HIV
Women who smoke.
Smoking all by itself increases the risk of HPV infection and cervical precancer lesions, and doubles the risk of getting cervical cancer
Women aged 30 years and older who have had three consecutive Pap smear results that are negative can be screened at intervals of every 3 years.
Additionally women aged 30 and older, who have a negative Pap smear and negative HPV testing, can be screened every 3 years with repeat Pap smear and HPV testing.
A speculum (thin duck-billed instrument made of metal or plastic) is inserted into vagina to see the cervix
You may have brief discomfort which is usually mild
You may call for your results. Be sure to know your result.
If you have an abnormal result, it is extremely important to follow-up for the recommended testing
Even after a normal Pap test, it is still important to report any symptoms of abnormal vaginal bleeding, discharge or pain to your doctor, and call to be seen right away
300,000 HSIL (High-Grade precancerous lesions 1.25 million LSIL (Low-Grade precancerous lesions) 2-3 million ASC (Atypical Squamous Lesions 50-60 million women screened
What is a colposcopy?
Colposcopy: Use of a magnifying instrument Application of a vinegar-like solution onto the cervix Source: This is a copyrighted image of the California Family Health Council, Inc. and may not be Shows abnormalitiesreproduced in any way without the expressed written of the California Family Health Council. that cant be seen permission California Department of Health Services "What You Know if your Pap Test is Abnormal"- Your with the naked eye Should Colposcopy Exam, Donna Bell Sanders (Education Feels like getting a Programs Associates 1995; Campbell, CA). Pap test, but takes a longer time
You can significantly decrease your chances of getting cervical cancer if you get the vaccine before initial sexual contact
The benefit of the vaccine declines with increased HPV exposure
If you started having sex, you can still get the vaccine, but the benefit from the vaccine may be lower because you may have already been exposed to HPV
The vaccine does not work to eliminate current HPV infections The vaccine only prevents certain types of HPV infection
Early vaccination, regular Pap tests and HPV tests when recommended by a healthcare provider will provide you with your best protection against cervical cancer
Older than 26
Cervical cancer vaccines are not FDA approved for women over the age of 26. Since there is no proven benefit to HPV vaccination for women over 26, your insurance carrier may not pay for the vaccine. Regular Pap tests and gynecology visits will still effectively reduce your risk for cervical cancer.
Cervical Cancer
Gynecologic oncologist is specially trained in the comprehensive surgical care and medical treatment of female reproductive cancers; a gynecologic oncologist can manage your care from diagnosis through completion of treatment and follow-up care.
IIA1: clinically visible lesion less than 4 cm* IIA2: clinically visible lesion greater than 4 cm*
Source: FIGO Annual Report on The Results of Treatment in Gynaecological Cancer Journal of Epidemiology and Biostatistics, (2001) vol. 6 no. 1, page 14. *Mutch D. The new FIGO 2009 staging system for cancers of the vulva, cervix, endometrium and sarcomas Gynecologic Oncology, (2009) vol. 115, no. 3, pgs 325-328
Treatment requires: 1. External radiation 2. Internal radiation 3. Low dose chemotherapy given at the same time
Stage I
Stage II Stage III Stage IVA
81-96%
65-87% 35-50% 15-20%
Re-establishing Wellness
Restoring wellness is a gradual process Some women find strength from: Friends and family Support groups Spiritual work Counseling Exercise The challenges and the journey are different for each woman with cervical cancer
Wendy Brewster, MD
Karen Carlson Mildred R. Chernofsky, MD Thomas Cox, MD
Saralyn Mark, MD
F.J. Montz, MD (1955-2002) Mitchell Morris, MD Karl Podratz, MD, PhD
Karen Riordan
Debbie Saslow, PhD Evelyn Schulman Alice Spinelli, MSN, ARNP
Beth Karlan, MD
Alan Kaye Herschel Lawson, MD
Joan Walker, MD
Leslie Walton, MD Thomas Wright, Jr., MD
Gynecologic Cancer Foundation 230 W. Monroe Suite 2528 Chicago, IL 60606 800-444-4441
www.wcn.org info@thegcf.org