Cervical cancer is one of the leading cancers in women and it is said to be preventable if it is detected early. Girls of the age 11 and 12 can be given a vaccine and a pap smear test schedule for the prevention of cancer.
Women, at the age of 21, or within three years of the starting sexual activity, should start taking the Pap smear test and it should be repeated every two till the age of 30 and every 3 years thereafter.
Early detection of cancer can lead to its surgical removal and it is usually the most preferred way of treatment but not every woman has to undergo it. The different stages for the cervical cancer surgery are - Laser surgery, conization, cryosurgery, simple hysterectomy, radical hysterectomy and radical trachelectomy.
The first alternative is loop electrosurgical excision procedure (LEEP) which includes the usage of high frequency electrical current to cut and remove the diseased tissue. This procedure is done by administering local anesthetic to numb the cervix and a wire loop is inserted in the vagina. Tissue sample is removed for examination and deeper tissues are used to evaluate the endocervical canal.
The other alternative for cervical cancer surgery is laser surgery which uses a laser beam directed through the vagina instead of a knife to burn the abnormal cells or remove the tissues for biopsy.
Colonization is also an option which is a surgical procedure which includes removal of a cone-shape tissue from the cervix and similar to LEEP, it uses a heated wire or a scalpel or laser, which is also known as cone knife cone biopsy. This one is beneficial as woman's ability for pregnancies can be preserved in major cases.
Hysterectomy is an option which involves many kinds of procedures and it aims to eliminate the cancerous tissue by uterus removal. Those who try for pregnancy can be rest assured as the ovaries are intact after the hysterectomy procedure. If the woman cannot bear children even after ovaries are retained after hysterectomy, she would not go into premature menopause.
Women with cervical cancer usually have either a total (simple) hysterectomy or a radical hysterectomy. The total hysterectomy includes the removal of uterus and cervix but it leaves intact the vagina, lymph nodes and the parametrium. Radical hysterectomy, unlike simple hysterectomy, is the removal of uterus, cervix, parametrium and the supporting ligaments, upper vagina and the local lymph nodes (with a procedure called lymphadenectomy). If the fallopian tubes and ovaries are also removed with radical hysterectomy, the procedure is known as bilateral-salpingo-oopherectomy.
One should be aware about different surgery options and discuss with their surgeons.
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