Cervical Cancer

Question 1

What are risk factors for Cervical Cancer?

Answer 1

HPV 16 and 18
Smoking
HIV
Many sexual partners
High parity
Lower socioeconomic status
COCP

Question 2

What are symptoms of cervical cancer?

Answer 2

Unexplained vaginal bleeding
Abnormal vaginal discharge- can be bloody
Dyspareunia
Pelvic pain
Abnormal cervical appearance

Question 3

What is the screening process?

Answer 3

Aged 25-49 years 3 yearly screening process
50-64 5 yearly

Test for HPV first and if positive then cytology done

Question 4

What is the management of a negative HPV test?

Answer 4

Return to normal recall
Unless had treatment for test of cure/ borderline changes previously detected

Question 5

What is the management of a positive HPV test?

Answer 5

Cytology

If abnormal
- colposcopy

If normal cytology
- repeat in 12 months time

Question 6

What is the management of a repeat HPV test?

Answer 6

If HPV negative- return to normal recall
If HPV positive and normal cytology- repeat 12 months later

12 months later
- HPV negative- return to normal recall
- HPV positive- colposcopy

Question 7

What should be done if the sample was inadequate?

Answer 7

Repeat after 3 months- if 2 consecutive inadequate samples then colopscopy

Question 8

What is the treatment for CIN?

Answer 8

LETZ procedure is most common