
English
Blair McNamara, MD, He made the medical review of this document.
Cervical cancer is rare in the US, it has been Less than 1% Of all cancers and Esuy treatable. In fact, if detected in early stages, the 5 -year survival rate Exceeds 91%.
«Cervical cancer in the United States should be able Monica Vetter, MDA certain gynecological oncologist of Norton Cancer Institute.
Although routine tests They can prevent Almost all cervical cancers, almost 1 in 4 women They were not up to date with their cervical cancer tests in 2019. And it is estimated that more than 13,800 people received cervical cancer diagnos in 2024.
Similar, Hispanic and rural areas were more likely to be late with their tests. And a Study of 2022 He determined that 1 in 4 Hispanic and black women had black women are also more prone to have higher cervical cancer rates in more advanced stages when they receive the diagnosis diagnosis and greater multi -multi.
Members of the LGBTQ+ community also son most prone to delays in the tests and have more possibilities that medical care is proven incorrectly that they do not need cervical cancer tests.
Leeward: Eliminate obstacles to cervical cancer tests for the LGBTQ+ >> community
Cervical cancer treatment
If you have cervical cancer, probablent will refer to a Gynecological oncologistA doctor who specializes in the treatment of female reproductive system cancer. The treatment could include surgeries, chemotherapy, radiature, directed therapy and immunotherapy. The best treatment for you depends on Various factorsIncluding the cancer stage and if you are emarazare in the future.
Surgery

Surgery, along with other treatments, can affect your ability to Emarazte in the future. Surgeries that retain fertility, that is, conizacia or radical uterine cervicectomy, son options for cervical cancers of early stages.
Conical biopsy
The Conical biopsyAlso called Conization, it is a surgical option for precancerous cells and cervical cancers in temples tapas that potentially allow them to embark. A conical biopsy extracts a large tamamo of tissue and can also eliminate abnormal cells so that cancer is not turned in the future. «I tell patients to imagine that I try to get an ice cream ball from the center of their cervix,» Vetter said.
There are three types of conical bossias:
- Surgical chronic biopsy, which uses a scalpel
- The laser with laser, which uses a laser
- The Electro -surgical removal with ASA (LEEPfor its acronym in English), which uses a hot metal handle to extract cervical tissue for a biopsy.
LEEP can be performed in an office using local anesthesia, while conical biopsies are made in an operating room, possibility under general anesthesia.
Radical uterine cervicectomy
Dependent of the slope and characteristics of your cancer, your surgeon could recommend a uterine cervicectomy Instead of a conization. A simple uterine cervicectomy removes only the cervix and a radical extracts the cervix and adjacent tissues. Your surgeon could also recommend the removal of nearby lymphéric nodes. The uterine cervicectomies allow the possibility of future masters because the uterus stays in place. These procedures are performed in an operating room under general anesthesia.
Hysterectomy
Hay various types of Hysterectomies They can use to treat cervical cancer. None of them allows the Emarazos option in the future.
In a total or simple hysterectomy, the surgeon removes the uterus, including the cervix. Usual ovary are left in place. This type of hysterectomy can be used to treat certain types of cervical cancer in very early stages.
Radical Hirterectomies Son Son surgeries more accurate that remove the uterus and the uterine neck as well as the tissue that surrounds the cervix and the upper part of the vagina. The ovary do not remove. Radical Hirterectomies have more potential collateral effects than total Hispysterectomies, which as complaces of the intestines or bladder.
Hirterectomies can be performed through the abdomen or vagina and can be Abitas surgeries o Invasive minimamete surgeries, including laparoscopic or robotic assistance. Dependent of the stage of your cervical cancer, your surgeon could recommend an open surgery because it is the safest option for a hysterectomy. Your surgeon may explain the risks and benefits of the different routes of Hirterectomy in your case.
Chemotherapy and radiotherapy

Chemotherapy is a treatment that uses drugs to eliminate or stop the growth of cancer cells. Usualmme is applied by infusions IV.
The radiotherapy Use high -energy X -rays to eliminate cancer. Radiation can administer with EQUIS ray machines, which is called external radiotherapy or with small capsules that are placed in the cervix or in nearby places, which is called internal or implant radiation.
Radiation is provided in combination with chemotherapy, which is called chemosradiotherapy because it is more effective than broadly. Chemotherapy and broadcasting are sometimes used individually or together with a hysterectomy and chemioorradiotrapia can be used for tumors that son too large for arectomy. Sometimes chemiorradiotrapy is curacive.
Chemotherapy alone is provided if you can’t facilitate other treatments or if you have a Recurrent cervical cancerthat is to say that it reappears despite treatments with surgeries or chemioorradiotrapia. Unbalance, it is not possible pregnant with whether you had chemoorradiotrapia due to Daro that the radio It causes the uterus.
Immunotherapy
Immunotherapy uses Your body immune system To combat cancer and frequenting is used with chemotherapy, particular if you have stage 4 cancer when you received your diagnosis. IV medium infusion is provided, it works because it eliminates the ability of cancer to hide from immunological cells and improve the ability of your immune system to destroy cells.
Not all son ideal candidates for immunotherapy, but if you are you can make the therapy react to cancer, you can keep In remission for longer. Your ability to conceive after an immunotherapy will depend a delip of treatment you had. Some treatments interfere with your fertility and others have a high possibility of causing birth defects.
Directed pharmacotherapy
The Directed pharmacotherapy USA Some directed pharmacotherapies use infusions IV and other pyresldoras. Some directed therapies They are also considered Immunotherapies
Frequently directed pharmacotherapy is used for recurring diseases. More research is needed to formatter in what forms the directed pharmacotherapy affects fertility.
The examination is key

«The incidence or cancer rate in advanced stages is increased and we must do a better job for people to have preventive examinations,» Vetter said. «Perform your timely [pruebas de] Papanicolaou. If you have rare symptoms, such as vaginal bleeding after sexual intercourse or bleeding between menstrual periods, make them evaluate. When cervical cancer is detected early, there is a very high healing rate. «
This educational resource was prepared with Merck’s support.
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