Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Cancer Of Cervix Epidemiology Incidence is / % of all cancer in women The most common cancer killer for women in developing countries

Cancer in Women World Wide Breast Colo-rectal Cervix and Uterus Lung Leukemia- Lymphoma Ovary Saudi Breast Thyroid Leukemia – Lymphoma Colo-rectal Ovary Liver Cervix Uterus

Female Genital Tract Malignancy World Wide Uterus Cervix Ovary Vulva Vagina F.Tube Saudi Ovary Cervix Uterus Vulva Vagina F.Tube

Cervical Cancer Prevention Education About early symptom of cancer cervix Avoid Risk Factors Screening and Vaccine

Risk Co Factor: HIV HPV 16,18 SMOKING MULTIPPLE SEXUAL PARTNER ?BCP

Cancer Cervix Has an easily identified pre-invasive disease and be diagnosed and treated before become an invasive disease Screening Test

Metaplasia Dysplasia Neoplasia

Changes in Terminology L SILHPV CIN I HPV Mild Dysplasia H SILCIN IIModerate Dysplasia H SILCIN IIISevere Dysplasia Carcinoma insitu

Management Of Pap Smear Result Pap smear is simply a lab test it is the responsibility of the physician to interpret the result in the context of a given patient and her particular circumstances

Objective Of Colposcopy Exclude invasive disease Select the most appropriate area for biopsy

Cancer of the Cervix Clinical presentation Abnormal vaginal bleeding Postmenopausal Vaginal bleeding Vaginal discharge Pain Asymptomatic

Cancer of the Cervix FIGO Staging ( clinical ) I - Tumour confined to the cervix II- Upper 2/3 vagina / parametrium. III- Lower 1/3 vagina / pelvic side wall or hydronephrosis IV- Adjacent organ / Distant metastasis

Cancer of the Cervix Treatment of patients Radical Hysterectomy and lymphadnectomy Radiation Therapy and chemotherapy

Cervical Cancer DR KHALID H. WALI SAIT (FRCSC) ASSOCIATE PROFESSOR OF GYNECOLOGICAL ONCOLOGY King Abdulaziz University Hospital, Jeddah, Saudi Arabia