Cervical Cancer

What is cervical cancer?
The uterus is made up of two parts. The upper part, called "the body of the uterus", is where a baby grows. The lower part, called the "cervix, connects upper part to the vagina, or birth canal. Cervical cancer occurs when abnormal cells on the cervix grow out of control. There are two main types of cervical cancer

·         Adenocarcinoma develops from the glandular cells that line the cervical canal (endocervix). Adenocarcinoma starts in the cervical canal and can be more difficult to detect using cervical screening tests.

·         Squamous cell carcinoma is the most common type of cervical cancer, and develops from flat cells that cover the outer surface of the cervix at the top of the vagina.

What causes cervical cancer?
Cervical cancer is caused by several types of a virus called human papillomaviruses (HPV). The virus spreads through sexual contact. Most women's bodies are able to fight HPV infection. But sometimes the virus leads to cancer.

Cervical cancer symptoms
Cervical cancer symptoms can mimic so many other medical conditions and can go unnoticed. Many women pass these symptoms off as PMS or ovulation pains, for example. When symptoms of cervical cancer are present, they usually do not appear until the cancer is more advanced. Many times, however, cervical cancer has no symptoms. This does vary from woman to woman. Symptoms of cancer of the cervix include:

Abnormal bleeding - Bleeding can be heavy or light during the month.

Irregular bleeding - Bleeding between regular menstrual periods, after sexual intercourse, douching, or pelvic exam may indicate irritation of the cervix during these activities. While a healthy cervix may have a very small amount of bleeding, many conditions may cause bleeding after activities like sex.

Pain during urination - Bladder pain or pain during urination can be a symptom of advanced cervical cancer and usually occurs when cancer has spread to the bladder.

Pelvic pain - Pelvic pain that is not related to the normal menstrual cycle can range from a dull ache to sharp pains that can last hours. Pelvic pain can be mild or severe.

Unusual heavy discharge - Increased vaginal discharge may be foul smelling, watery, thick, or contain mucus and varies from woman to woman.

Later symptoms of cervical cancer
Symptoms that may occur when cervical cancer has progressed include:

• anemia (due to abnormal vaginal bleeding)
• leakage of urine or fecal content into the vagina (fistula)
• ongoing pelvic, leg, or back pain
• urinary problems (kidney or ureter blockage)
• weight loss

Cervical cancer treatment
Cervical cancer can often be cured when it's found early. It is usually found at a very early stage through a Pap test. Different types of treatment are available for patients with cervical cancer. Some treatments are standard (the currently used treatment), and some are being tested in clinical trials. If you have any questions about your treatment, don't be afraid to ask your doctor for more information. It often helps to make a list of questions and to take a close friend or relative with you.

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