26.5.10
Cancer of Female Genitalia
Cancer and other malignant tumours may involve the female genital system.This form includes around 6% of total female malignancy.The frequency is:
-the cervix comes first:more than half of cases
-the ovary,vagina,endometrium,vulva and myometrium.
CERVIX CANCER:
Cervical cancer is the commonest cancer of female genital system.Peak is found around the age of 50 years.
The causes cannot be given.
Cervical cancer control:the case to be early finding and management.
-females must be aware of any vaginal discharge,or abnormal uterine bleeding,to seek medical consultation at time
-periodic health appraisal of at risk females over 40 years:clinical examinatio for visible cervical lesions(swelling,ulceration),taking cervical smear,to be examinated for positive cytology,so as to screen suspected cases.Diagnosis can be confirmed by biopsy.
ENDOMETRIAL CANCER:
Cancer of endometrium is a common cancer of female genital tract that comes next to cancer cervix.
A good percent of cases may occur before menopause and the majority after 50 years,with peak incidence in women aged 60-70 years.
Risk factors:
-hormonal-administration of hormones or hormonal disorders.
-giving synthetic estrogens(uncontrolled administration,before or around menopause to relieve menopausal symptoms)
-hormonal disorders as estrogenic disturbance,disturbance of hypothalamic,polycystic ovaries with prelonged anovulation.
-metabolic disorders,including impaired glucose tolerance and diabetes
-obesity(specially when is combinated with diabetes)
-nulliparity(radiation to induce menopause,did not prove to be a risk factor)
Females must be aware of gynecologic disorders(menstrual disorders including abnormal bleeding,and postmenopausal bleeding) and seek medical care,becouse are women that apparently have normal health condition and a medical examination is necessary to detect malignant disease early enough in the microscopic asymptomatic phase.