Cervical cancer can be diagnosed early through regular screening. If you are sexually active, screening should be performed every 3 years until the age of 30, and subsequently every 5 years if test results are normal.
Diagnostic tests for cervical cancer include:
These screening methods aim to detect pre-cancer of the cervix – known as cervical intraepithelial neoplasia. If detected as a pre-cancer, treatment is usually via a day surgery, and it will not affect the patient’s fertility.
However, if you are presenting symptoms of cervical cancer, there is a higher chance of your condition being cancerous. To confirm the diagnosis, consult a gynaecologist to assess any obvious growths on the cervix that may need to be biopsied.
If early cancer is proven on biopsy, further testing is needed to determine the stage for cancer treatment.
Treatment depends on the stage of cervical cancer. The methods include:
Local ablative or excision procedures may be used to treat pre-cancers to remove abnormal cells before they become cancerous. These procedures include conisation, cryosurgery or cauterisation, which have minimal impact on surrounding healthy tissues.
Surgical treatment for cervical cancer is only possible if the disease is still confined to the cervix (less than Stage 2). It usually involves removing the uterus, cervix and surrounding tissue, in a procedure known as radical hysterectomy.
This has implications for the patient’s fertility, and the surrounding tissue removal makes the hysterectomy more complex compared to the hysterectomy done for other common conditions such as fibroids.
Radiotherapy uses high-energy X-rays to prevent the further growth of cancer. It may be done externally, with a machine that targets the radiation directly at the tumour, or it may be done internally using a small capsule containing radioactive material that is inserted into the cervix.
Chemotherapy uses powerful medications to kill cancer cells. It may be recommended for more advanced cancer or if cancer has spread to other parts of the body.
Chemotherapy and radiotherapy are the main treatments for more advanced stages of cervical cancer, rather than surgery.
Immunotherapy is also known as biological therapy. This treatment uses your own immune system to target cancer cells and prevent their growth. It may be recommended if chemotherapy is deemed not effective for the patient.