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Tuesday, April 29, 2008

CANCER of the UTERUS and CERVIX

Routine screening has decreases the incidence of cervical cancer in recent years. Called the “Pap smear”, this screening tool developed by Dr.Papanicoleau has allowed for the early detection of change in the cells of the cervix. Being less common in nuns, in Jewish women, and in those with less sexual activity, this type of cancer merits great interest from a preventive standpoint. A virus similar to the Herpes virus that causes cold sores has been implicated in the development of some of these cancers.
More and more nurses, as well as many midwives are learning how to take these smears, thus increasing the acceptance of the pap smear to many women as well as making the procedure more available. It certainly should be part of an annual examination from the time of marriage on through life. Early diagnosis with surgical removal of the uterus and cervix can well be curative.
Cancer of the lining of the womb (endometrium) is less common, but is still taking many lives. This has definitely been related to the use of estrogens, the female hormone used traditionally to lighten symptoms of the menopause.
Avoidance of these hormone preparations, as well as prompt medical treatment in the event of unusual menstrual flow can provide the early diagnosis needed. An outpatient procedure, using techniques similar to the pap smear (e.g. Vabra aspiration, or the Pipelle) can with less expense and discomfort provide the reassurance needed to evaluate this bleeding.