Expert Obstetrics and Gynecology Classes for our FMGE Students led by Dr. Vidhya
Kings International Medical Academy is pleased to announce that Dr. Vidhya was invited to lead Obstetrics and Gynecology classes for our FMGE students. Obstetrics and Gynecology is a branch of medicine that specializes in the care of women during pregnancy and childbirth and in the diagnosis and treatment of diseases of the female reproductive organs. Today’s topic is about Cancer Cervix. Let’s learn about it a bit more in detail, shall we?
Cancer Cervix
- Average age of diagnosis: 49 years
Most common cause of death in cervical cancer is uremia
Risk Factor:
- HPV Infections
- Multiparity
- Early age of sex intercourse
- Multiple sex partners
- Vaginal birth
- STD ( HIV/ Herpes)
- Immunocompromised
- Smoking
- Combined oral contraceptives
Histopathological types
Squamous carcinoma – 80 %
Adenocarcinoma – 20%
Serous Carcinoma
Clear cell carcinoma
Mucinous Carcinoma
Staging
Clinical + Imaging
CT scan
MRI
Sigmoidoscope
Stage I: same place – I A: less than 5 cm
I B: more than 5cm
Stage II: Adjuvant areas
Stage III: Uterus ( parametrium) , ovary , endometrium – peritoneal
Stage IV: Distant
Treatment – Surgery
Staging with their treatments
IA – A1: < 3 mm – microinvasive – Conization enough
A2: 3 – 5 cm – Radical hysterectomy
IB – B1 – less than 2cm – Trachelectomy or Radical hysterectomy
B2 – (2 – 4 cm) – Radical hysterectomy
B3 – 4 cm – Chemoradiation
II A – upper 2/3 vagina A1 – < 4 cm
C2 – Paraaortic nodes
IV a – Bladder / bowel mucosa
IV b – Distant metastasis
In short, I B3 , II a2, II b , III, IV – Inoperable Chemoradiation
