Expert Obstetrics and Gynecology Classes for our FMGE Students led by Dr. Vidhya

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

  IV a – Bladder / bowel mucosa

  IV b – Distant metastasis

  In short, I B3 , II a2, II b , III, IV – Inoperable Chemoradiation