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Cervical Cancer

Bringing you comprehensive information about different types of Cervical Cancer

Cervical Cancer

Bringing you comprehensive information about different types of Cervical Cancer

AOI > Cancer Types > Cervical Cancer > Screening

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    Cervical Cancer Screening

    Screening for cervical cancer has begun with the Papanicolaou (Pap) test. The prevalence and mortality of cervical cancer has reduced in countries that took Pap test screening. Besides the Pap test, screening approaches now include tests for high-risk HPV strains which are important in cervical cancer pathogenesis. The most important determinants of the progression to cervical cancer are infection with high-risk HPV strains and history of HPV infection.

    Screening guidelines and screening approaches balance the advantages of early detection of treatable lesions and decreased incidence and mortality of cervical cancer. Potential risks and benefits vary with age, medical history, and risk factors.

    How often should I be screened for cervical cancer?
    Scientific evidence, risks, and benefits of cervical cancer screening have been considered by different organisations. The American Society for Clinical Oncology (ASCO) suggests the following recommendations for screening cervical cancer:

    • All women in their lifetime receive at least 1 HPV test for cervical cancer screening
    • Ideally, women aged between 25 to 65 should be tested for HPV once every five years
    • Women aged 65 or older or with hysterectomy can stop screening if their HPV test results were mostly negative over the past 15 years
    • Women who are 65 years of age and have tested positive for HPV can continue to screen until they are 70.

    Why cervical cancer screening is important?

    Decisions on cervical cancer screening are becoming increasingly individualised. It is important to discuss in cervical cancer screening with your health care team or a health care provider about how often you will seek screening, and which tests are most suitable.

    The following tests and procedures are used in cervical cancer screening:

    HPV test: The procedure is carried out by collecting sample of cells from the cervix and the same sample can be used in the Pap test. This sample is screened for HPV strains most commonly associated with cervical cancer. HPV testing can be carried out alone or in conjunction with a Pap test. This test can also be conducted by obtaining the sample of cells from a woman’s vagina.

    Pap test: The Pap test also known as Pap smear test is the most common test for early changes in the cell which can lead to cervical cancer. A Pap examination requires extracting a sample of cervical cells. At the same time as a bimanual pelvic exam it is performed as a part of gynecological check-up. A Pap test can be combined with HPV test for better results.

    Visual Inspection with Acetic acid (VIA): VIA is a screening test that is performed with few tools and a naked eye. A dilution of white vinegar shall be added to the cervix during VIA. The health care provider also checks for lesions on the cervix, which when exposed to vinegar will turn translucent. This screening procedure is particularly useful in regions where there is minimal access to medical treatment.

    Cervical cancer screening can be performed during an appointment with a primary care physician or a gynecology specialist.

    What are the benefits and risks of screening?

    Every test or procedure has pros and cons. It is important to be aware of them before getting any test, so that you make a right decision in getting treated for cervical cancer.

    Benefits:

    • Screening reassures you if the diagnostic results are normal
    • Screening can prevent cervical cancer by detecting the changes in the body if left untreated
    • Screening helps to detect cancer early before you have symptoms so that the treatment is easy
    • Screening helps to detect how the cancer spread at early stage so that it can be treated easily
    • Early detection may mean less medication and less recovery time
    • The sooner you diagnose the cancer, the greater the chance of survival

    Risks:

    • Test results sometimes suggest you have cancer even if you don’t (called a false positive)
    • The test cannot detect cancer even though it occurs (called a false negative)
    • Getting screening tests may lead to more tests and procedures that are harmful (overdiagnosis)
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