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JOY AWALEMEDICAL SURGICAL SEMINAR

CERVICAL CAN-CER

-A malignant neoplasm of the cervix or cervical area

DEFINITION

CAUSEHUMAN PAPILLOMA VIRUS

RISK FACTORS : -Sex at young age.

Smoking

Multiple sexual partners.

Depressed im-mune system.Family history.

Long term use of contraceptives Pills

Having sex with the person infected with

HPV

TYPES OF CERVICAL CANCER

SQUAMOUS CELL CARCINOMA

ADENOCARCINO-MAS

SIGNS & SYMPTOMS

Abnormal vaginal bleeding

Bleeding or pain after sexual intercourse

Bleeding after menopause

Heavier and larger menstrual pe-riods

Unusual vaginal discharge

Discomfort while urinating

Pelvic pain

Leg pain

Weight loss

Constant fatigue

PHYSICAL SIGNS : -

The cervix bleeds on touch.It is friable.It is fixed and lost it mobility.Induration of cervix.

PATHOPHYSIOLOGY

PATHOPHYSIOLOGY

PATHOPHYSIOLOGY

STAGING OF CERVICAL CANCER

DIAGNOSTIC EVALUATIONS

1. PHYSICAL EXAMINATION

2. PV EXAMINATION

2. PAP SMEAR TEST

COLPOSCOPY

BIOPSY

BIOPSY

Other investigations to determine the extent of tumor:- 1.CT Scan. 2.MRI. 3.Cytogram. 4.Barium X-ray studies.

TREATMENT

CHEMOTHERAPY

SURGICAL MANEGMENT

LASER SURGERY

L.E.E.P

CRYOSURGERY

HYSTERECTOMY

RADIATION THERAPY

EXTERNAL PELVIC RADIATION

INTERNAL PELVIC RADIATION

PREVENTIVE MEASURESAvoidance of early marriages.Avoid early and frequent intercourse.Strictly avoid monogamous relationships.Restriction of number of children.Improvement of genital hygiene.Periodically clinical cytological screening.Good obstetric care.Avoid smokingNo harm in pregnancies.

VACCINATION

NURSING MANAGEMENTListen to the patient’s fear and concerns and offer reassurance when appropriate. encourage patient to use relaxation techniques to promote comfort during diagnostic procedures.Monitor the patient’s response to the therapy.Watch for the complications related to the therapy by listening to and observing the patient.

NURSING MANAGEMENTMonitor the lab studies and obtain frequent vital signs.Understand the treatment regimen.Give adequate fluid and nutritional intake to promote tissue healing.Explain any surgical procedure or therapeutic procedure to the patient, including what to expect both before and after the procedure.Review the possible complications of any procedure to be done.

NURSING MANAGEMENTRemind the patient to watch for and report adverse reactions.Reassure the patient that this disease and its treatment shouldn’t radically alter her lifestyle or prohibit sexual intimacy.DISCHARE TEACHING:- Explain the importance of follow up to the oncologist. Perform prescribed abdominal strengthening excercises. Avoid heavy lifting for about 2 months. Avoid activities that increase pelvic congestion. Early ambulation

PROGNOSIS