Cervical Cancer: Do You Know Your Risk?
Reviewed By:
Joanne Poje Tomasulo, M.D., ACOG
Holding the number three spot on the list of common
gynecological cancers, cervical
cancer can be prevented and cured when detected early. On a
yearly basis, about 11,000 women in the United States are diagnosed
with cervical cancer, and more than 3,800 die from the disease,
according to the American Cancer Society. Across the globe, close
to 500,000 women are affected by this malignancy. In some parts of
the world, cervical cancer is the most commonly found cancer in
women, according to the National Cervical Cancer Public Education
Campaign.
However, most cases of cervical cancer are preventable, either with
a recently developed vaccine or with regular screenings for
cervical cancer. Both the vaccine and the screening are related to
the greatest risk factor for cervical cancer, the human
papillomavirus (HPV).
Most cases of cervical cancer are caused by some strain of HPV.
There are more than 100 types of HPV, some of them common viruses
frequently found on the skin as warts. Others are transmitted
through skin to skin and sexual contact, where they can contribute
to HPV infection.
HPV exposure on the cervix may cause no problems or may cause an
infection that clears on its own. In a few cases, HPV infection of
the cervix can initiate changes that eventually develop into
precancerous lesions, which may develop into cervical cancer if
left untreated.
HPV infections generally do not produce symptoms, so people do not
know they have the virus, and more importantly, do not realize they
can pass it to other people through sexual contact. Your risk for
contracting HPV increases with sexual activity. Although using
condoms can reduce the risk of transmission, they cannot completely
prevent HPV. Most risk factors for HPV are associated with sexual
activity, including an early age for sexual activity, number of
sexual partners and having unprotected sex. In addition, having
another sexually transmitted infection such as chlamydia or HIV
also increases the risk of contracting HPV.
Despite the fact that HPV is so common, it is one of the few
carcinogens that can be stopped or managed before it becomes
cancer. For years, doctors have been able to manage HPV and its
potential damage through regular Pap smears. More recently, a
vaccine introduced in 2006 can prevent infection from the strains
of HPV that cause most cases of cervical cancer.
The Pap smear is an extremely simple test. During a pelvic
examination, a doctor scrapes the cervix to gather cells, which are
put on to a slide or are dipped in a fluid mixture especially for
the test. A technologist or pathologist examines the cells under a
microscope, where lesions or changed cells can be identified. Pap
tests can detect precancerous lesions, also known as cervical
intraepithelial neoplasia (CIN), which if untreated can lead to
cancer.
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