Cancer du col de l'utérus : accès libre

Abstrait

Treatments for Cervical Cancer: Issues Now and in the Future

Jeine L Wilas

Cervical cancer is a major cause of mortality and unseasonable death among women in their most productive times in tableland medium- resourced countries in Asia, Africa and Latin America, despite the fact that it's an eminently preventable cancer. While cytology webbing programmes have redounded in a substantial reduction of cervical cancer mortality in developed countries, they've been shown to have a wide range of perceptivity in utmost routine settings including in developing countries. Although liquid- grounded cytology improves sample acceptability, claims on bettered perceptivity remain controversial. mortal papillomavirus testing is more sensitive than cytology, but whether this gain represents protection against unborn cervical cancer isn't clear. Lately, in a randomized trial, the use of visual examination with 4 acetic acid was shown to reduce cervical cancer prevalence and mortality. Cryotherapy and large circle excision of the metamorphosis zone are effective and safe treatment styles for cervical intraepithelial neoplasia. The clinical stage of cancer is the single most important prognostic factor and should be precisely estimated in choosing optimal treatment between surgery and radiotherapy, with or without chemotherapy. At the public health position, health care structure, affordability and capacity for initiating and sustaining vaccination and webbing programmes are critical factors in cervical cancer control. On the other hand, an informed guru can use the multiple openings in routine primary care relations for forestalment, webbing, early discovery and prompt referral for treatment.