1. Cervical Cancer
DR KHALID H. WALI SAIT (FRCSC)
ASSOCIATE PROFESSOR OF GYNECOLOGICAL
ONCOLOGY
King Abdulaziz University Hospital, Jeddah,
Saudi Arabia

2. Cancer Of Cervix
Epidemiology
 Incidence is 15-30 /100000
 2.6 % of all cancer in women
 The most common cancer killer for
women in developing countries

3. Cancer in Women
 World Wide
Breast
Colo-rectal
Cervix and Uterus
Lung
Leukemia-
Lymphoma
Ovary
 Saudi
Breast
Thyroid
Leukemia–
Lymphoma
Colo-rectal
Ovary
Liver
Cervix
Uterus

4. Female Genital Tract Malignancy
 World Wide
Uterus
Cervix
Ovary
Vulva
Vagina
F.Tube
 Saudi
Ovary
Cervix
Uterus
Vulva
Vagina
F.Tube

5. Cervical Cancer
Prevention
 Education About early symptom of
cancer cervix
 Avoid Risk Factors
 Screening and Vaccine

6.  Risk Co Factor:
HIV
HPV 16,18
SMOKING
MULTIPPLE SEXUAL PARTNER ?
BCP

7. Cancer Cervix
 Has an easily identified pre-invasive
disease and be diagnosed and treated
before become an invasive disease
 Screening Test

8.  Metaplasia
 Dysplasia
 Neoplasia

9. Changes in Terminology
HPV
Mild Dysplasia
HPV
CIN I
L SIL
Moderate
Dysplasia
CIN II H SIL
Severe
Dysplasia
Carcinoma insitu
CIN III H SIL

10. Management Of Pap Smear Result
 Pap smear is simply a lab test
it is the responsibility of
the physician to
interpret the result in the
context of a given
patient and
her particular circumstances

12. Objective Of Colposcopy
 Exclude invasive disease
 Select the most appropriate area for
biopsy

14. Cancer of the Cervix
Clinical presentation
 Abnormal vaginal bleeding
 Postmenopausal Vaginal bleeding
 Vaginal discharge
 Pain
 Asymptomatic

15. Cancer of the Cervix
FIGO Staging ( clinical )
 I - Tumour confined to the cervix
 II- Upper 2/3 vagina / parametrium.
 III- Lower 1/3 vagina / pelvic side wall
or hydronephrosis
 IV- Adjacent organ / Distant metastasis

16. Cancer of the Cervix
Treatment of patients
 Radical
Hysterectomy and
lymphadnectomy
 Radiation Therapy
and chemotherapy

17. Cervical Cancer
DR KHALID H. WALI SAIT (FRCSC)
ASSOCIATE PROFESSOR OF GYNECOLOGICAL
ONCOLOGY
King Abdulaziz University Hospital, Jeddah,
Saudi Arabia