PATIENT CARE

PREVENTIVE ONCOLOGY

It may not always be about what we know, but it’s always about how much we care.

PREVENTIVE ONCOLOGY

Cervical Cancer Screening

Cervical cancer is the second leading cause of cancer deaths in women in low and low–middle income countries. Cervical cancer kills more than 68,000 women and statistics reveal one death every 8 minutes in India. Human Papillomavirus (HPV) is the cause of most cervical cancers. There are 13 types of high risk HPV that can cause this cancer.

Cervical cancer is largely preventable through vaccination and routine cervical screening. Screening for cervical cancer will help detect precancer lesions and early cervical cancer. This early detection can help treat precancer lesions thereby preventing cervical cancer. Timely detection of early cervical cancer can lead to higher chances of successful treatment of cancer.

Women at increased risk :

– Multiple partners, multiple pregnancies

– Chronic or recurrent pelvic infections

– Persistent HPV infection beyond 30 years of age, abnormal Pap smear

– Supressed immunogenicity due to medications / HIV infection

All women who screen positive by any of these tests are further evaluated by colposcopy and treated according to the findings.

Screening tests for cervical cancer

  1. HPV test
  2. Pap smear
  3. VIA (visual inspection with acetic acid).

Screening is recommended for all women aged 25 to 65yrs.

Screening facility at Tata Medical Center

Screening test: Pap smear and HPV test

Screening Clinic: Tuesday, Wednesday, Thursday and Friday.

Timing : 8:00- 5:00pm

Appointment : Walk-in or book an appointment 033-66057223, 7224

Colposcopy Clinic

Colposcopy is a procedure where the doctor examines your cervix with a special device called a colposcope. This device magnifies the cervix allowing a detailed examination of the cervix. All screened positive women are advised to undergo this examination to detect any abnormal lesions of the cervix caused by HPV infection. The entire examination takes approximately 20 minutes. A dilute solution of 3-5% acetic acid and Lugol iodine is applied to cervix to identify the abnormal changes if any. A cervical biopsy may be taken if indicated to diagnose any precancer / suspected cancer lesions of the cervix. Further management is decided as per colposcopic and biopsy results.

Colposcopy clinic:

Wednesdays and Fridays

Timing: 1:30 – 5:00 pm

Appointment: book an appointment 033-66057223, 7224

HPV Vaccination:

Tuesday, Friday and Saturday

Timing: 9:30 am to 5:00 pm (Tuesday & Friday), 9:00- 11:30 am (Saturday)

Appointment: walk-in or book appointment 033-66057223, 7224

HPV vaccination

Human Papillomavirus (HPV) is responsible for most cervical cancers. There are over 200 types of HPV of which 13 are considered high- risk HPV viruses (16,18,31,33,35,39,45, 51,52,56,58,59,68). HPV is a virus that is spread through intimate skin to skin contact or sexual contact and is known to cause cervical, anal, vaginal and vulvar cancers. This virus affects over 80% men and women atleast once during their lifetime. The virus is usually cleared from the body through its own immunity in a period of two years. However, in some this virus may persist leading to precancer changes in the cervix. There is no medication to treat HPV infection.

HPV vaccine provides primary prevention and protection against cervical cancer. This vaccine is to be administered to young girls aged 9-14 years with 2 doses 6 months apart. Girls aged >15 years to 26 years are advised 3 doses of the vaccine. HPV vaccine is safe and effective against HPV infection.

There are two FDA approved vaccine available:

 

Vaccine 9-14 years >15 years
Bivalent vaccine ( Cervarix )- HPV 16, 18 0 and 6 months 0,1,6 months
Quadrivalent vaccine ( Gardasil) – HPV 16,18,6,11 0 and 6 months 0,2,6 months