Cervical  cancer is the second largest among the cancers that affect women,  preceded only by breast cancer.
As  part of the family of cancer care, however, a very special place  because it is entirely preventable and curable if detected and treated  very early.
The onset of cervical  cancer is not usually a sudden event, but it is often characterized by a  slow gradual evolution, that is, progressive changes of the mucosa  lining the neck that turns from normal (for reasons not always  recognized) gradually altered until you  get cancer.
In other words, the  tumor onset of dysplastic lesions that, therefore, represent a  transition stage (optional) to cancer.
And 'this particular pattern of development which allows in  most cases, early diagnosis with consequent improvement in survival and  quality of life.
Here, therefore,  that clarifies the meaning of the prevention of malignant tumors:  monitor and treat those injuries that we know to be precancerous.
The identification and treatment of precancerous  lesions is what the doctor may do a preventive of cancer.
This preventive action, the gynecologist is in a  state of benefits compared to other specialists for easy accessibility  examination of the genital organs and the presence of techniques are  sufficiently safe and simple in execution.
MEDICAL EXAMINATION
For  the reproductive system to the basic tenet is the pelvic examination be  performed at least once a year.
It  not only allows a first orientation, but it represents a key moment of  the doctor-patient relationship and allows, among other things, to  evaluate associated diseases: fibroids, ovarian cysts, etc. is not  detectable with the techniques described below.
PAP SMEAR TEST OR VAGINAL
Designed  and developed by a greek doctor who emigrated to the  U.S., Papanicolaou  (1943), has  been and remains the  first test used on a large scale for the early detection  of cervical cancer.
The simple and painless  test involves taking a bit of vaginal discharge that is then analyzed under a microscope by  trained personnel.
The sampling is performed with the woman in the gynecological position:  it lasts a moment, but it can save a life.
The ideal is to run it  once a year.
Colposcopy
Invented  by a German gynecologist,  Hinselmann (1925),  is to observe the cervix,  stained with specific  substances, through a special microscope.
It's not annoying and is an examination performed by the physician specialist, allows to locate precisely the lesions and to give, many times, an  immediate response.
Screening  of cervical cancer not only  occupies a central position,  but also allows a more  effective execution of the other tests: Pap Tests and Targeted Biopsy.
It can  be done at any time between two periods. At least once a year to all women, as it is  essential for effective  prevention.
For  the cervix, the combination  of the two methods (Pap smear and colposcopy)  improves the accuracy of the  findings, nearly in this case, 100%.
VULVOSCOPIA
Similar to  the media and dyes  for colposcopy is essential for the identification of viral lesions  of the vulva. Useful for a deeper study of diseases of the vulva.
Or ISTEROISCOPIA MHC
Of more recent origin, paternity French, Hamou (1979) is an examination performed with a thin probe,  much less of a pencil, which can no special problems, including outpatient, be introduced into the uterus to look at where they can not nor colposcopy or Pap tests, examinations,  on the other hand, are used  ONLY for the prevention  of cancer in that part  of the uterus that protrudes  into the vagina: the neck.
It is an investigation that is proving  useful to better define  certain forms of cancer of  the neck and is  increasingly valid for  the early diagnosis of  tumors of the uterus  BODY especially frequent from 50 years of age and that are increasing in number in  relation to changing socio-economic  conditions and the  average elongation.
BIOPSY
If the colposcopy or the smear or Mhc have shown  lesions to be studied  further, is carried out testing (biopsy)  of a small piece of  tissue is then analyzed under a microscope.
It is only based on recent data that can be given the diagnosis of malignant disease  that is well-remembered-if  diagnosed in time, it is perfectly curable.
But above all it is important to know that with the  combination of the above  tests can even be cancer,  many times, PREVENTED.
COMPLEMENTARITY 'OF  DIFFERENT DIAGNOSTIC  PROCEDURES
"Arricchiamoci  of our respective differences"  (Paul Valery).
No method of medical  investigation is foolproof against cancer, even  the microscopic.
We must not give blind trust to any of them in isolation. The  safest is to use different with the double purpose of comparison between them  at first and objectivity,  then, their  differences through the  "personality" of some cancers  of the uterus.
The diagnostic error gets caught in the filter of the different tests because  he never has a perfectly  straight course, or at least  it is infinitely less  likely that it has against multiple filters into one.
Very often the suspects are unfounded,  other times they are unfortunately  a reality index of malignancy.
The  situation is then  addressed with a sense  of awareness and  responsibility.
But it is absolutely not the case for despair:  science has made great  progress in the field of  therapy and now can lead to complete cure a great number of sick women.
The treatment of choice  is still surgery,  flanked by the radiotherapy and chemotherapy.
The wise use of these resources is one of the secrets of successful treatment.
Saturday, August 13, 2011
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