How to identify cervical cancer by symptoms?
- Have you noticed a whitish vaginal discharge with a mixture of blood?
- Do you experience frequent pain during intercourse?
- There was pain in the field of a small basin, a loin, a sacrum?
- Have you any problems urinating?
- Has the character of menstruation changed - duration, amount?
Address the expert as soon as possible. Visit the gynecologist!
What is cervical cancer?
Cervical cancer is a malignant tumor that occurs in the cervix. The disease is the second most common female oncology after breast cancer. Basically, there are two histological types of the disease: squamous cell carcinoma (approximately 85% of cases) and adenocarcinoma (15%).
If a patient visits a doctor immediately upon detecting first symptoms, the prognosis is favorable. Therefore, it is important not to waste time and to seek help from a specialist.
Causes of cervical cancer
As with other cancers, the causes of cervical cancer are age, exposure to radiation and chemical carcinogens. The risk group is 35-55 years old women and patients diagnosed with precancerous conditions: cervical dysplasia, HPV and cervical ectropion (erosion). Such conditions are dangerous because of their ability to transition into cancer, on average, the transformation takes from 2 to 15 years.
In most cases, cervical cancer is caused by infections with high oncogenic risk, for example, human papillomavirus (HPV).
What is the difference between erosion, dysplasia and cervical cancer?
Disease | Cervical erosion | Cervical dysplasia | Cervical cancer |
Characteristics | A benign disease. A damaged mucous tissue of the part of the uterus that connects to the vagina | Damage to the cellular structure on the surface of the cervix or in its canal. An intermediate state between cancer and abnormal development of cells, yet not dangerous | Malignant tumor of the lower part of the uterus with the transformation of the integumentary epithelium of the cervix |
Methods of treatment | Medications: a course of broad-spectrum antibiotics, anti-inflammatory drugs, immunomodulators. Erosion of large size is treated with cauterization | Destruction of the dysplasia by radiofrequency ablation (RFA), laser coagulation, freezing with liquid nitrogen | Surgical intervention, radiotherapy, chemotherapeutic treatment, targeted therapy |
Prognosis of recovery | There is no direct threat to life, in 99% of cases, it is cured without side effects | With the help of professionals and complex treatment, it is cured in most cases. Untreated dysplasia can lead to the development of cancer | Treatment, begun at stage 1, provides a 5-year survival rate in 98% of cases. The second stage is 60-75%, 3rd - 30-40%, 4th stage - less than 10% |
Doctors identify the following factors that provoke the development of oncology:
- early sex life, pregnancy, and childbirth (before turning 16);
- a large number of sexual partners;
- frequent abortions;
- chronic inflammatory processes in the genital organs;
- smoking;
- long-term use of hormonal drugs;
- weak immunity.
If the first symptoms appear, discomfort in the genital area, please contact a qualified specialist for assistance.
What are the symptoms of cervical cancer?
Stage of the disease | Description | Symptoms |
Stage 1 | the tumor is in the body of the uterus | often asymptomatic with minor discomfort in the genital area |
Stage 2 | the body and cervix are affected | vaginal bleeding, incl. after sexual intercourse; pain during intercourse and urination |
Stage 3 | the tumor extends to the surrounding tissue, uterus, metastases in the vagina | pain in the area of the small pelvis, waist, sacrum, changes in the menstruation |
Stage 4 | cancer spreads to other organs of the pelvic area, into the bladder and rectum | metastases throughout the body, depending on their location, pain can be observed in the chest, lungs, pelvis, rectum, etc. |
Early diagnosis of cervical cancer
Early diagnosis is concentrated on detecting the tumor before the first clinical symptoms of the disease. Methods of screening include:
- gynecological examination;
- PAP test (Pap smear test);
- testing for HPV;
- colposcopy.
When conducting colposcopy, there is the possibility of taking a biopsy - the only accurate way to determine the disease. A biopsy is also performed after a Pap test for if it is necessary to confirm/disprove the diagnosis. Several types of biopsies are used to detect cervical cancer:
- fine needle biopsy;
- endocervical curettage;
- wedge-shaped biopsy (conization).
Indications for a specific type of biopsy for the patient are determined exclusively by the doctor.
Diagnosis
To make an accurate diagnosis, the doctor conducts a comprehensive examination of a patient. It includes all these methods: gynecological examination, PAP test, testing for the presence of HPV, colposcopy with biopsy. At the discretion of the doctor, other methods can be additionally used: ultrasound, CT, MRI. They make it possible to pinpoint the localization of the tumor and the processes that accompany them. PET-CT is also used to determine the stage.