Cervical Cancer
Here are screening and treatments of cervical cancer.
Hi all I am Dr Gunjan Gupta Govil . I am director by Gunjan’s Gynae and Neuro clinic. I am senior consultant gynaecologist at Max hospital, Vaishali and Shanti Gopal hospital, Indrapuram. My field of interests are infertility, laparoscopy, IVF and quantroscopy. I Have trained from St George Medical College Lucknow and Mulana Azad Medical College and then I further moved to United Kingdom. I am a member of Royal College of Obesteration and Gynaecologist, London and trained into Laparoscopy from France. My other field of interest which is very close to my heart is about women health and their upliftments, so that is why I plan to speak about cervical cancer screening and treatment.
The one to talk about cervical cancer. Well it is the most common cancer in females of India. It surpasses the battle breast cancer also in this country, whereas worldwide it comes at number three. Believe me one out of seven are diagnosed with disease in this country, so why in our country we are having such a high incident of cervical cancer. Well because we do not have a organised screening system which runs worldwide. It is so sad that a simple test like Pap smear which can diagnose the condition. All the abnormalities of the cervix at much earlier stage than cancer that it is 100% curable is not been done in our country. We can diagnose the abnormalities of the cervix by Pap smear and there is advancement in the technique or liquid based hydrology and further evaluation is done by cytoscope and HPV DNA testing.
A common myth is that pap smear is painful, well they are not. They are a simple procure including LBC and Colposcopy can be done in the outpatient basis in clinic requires 10 to 15 minutes. No bed rest is required and you can resume your day to day activity after that. How is LBC done? This is done by simple brush which we take, we take brushing from the month of the uterus or the cervix and send it to the lab for testing. The test takes 3 to 5 days to come and further evaluation is done by cytoscopy if abnormalities are diagnosed. During cytoscope we can see and diagnose abnormalities of the cervix like ulcers on the mouth of the uterus which are know cervical erosion or pre cancerous lesions of the cervix which we call cervical displacias. In the procedure we take special images by means of a microscope or special equipment called a scroscope put certain filter and colours to it and certain medicines to it. Its gives us the exact mapping of the abnormalities and on the bases of the abnormalities simple procures can help us in treating the condition.
At this stage the treatment is as simple as freezing procure called cyro by means of extraction which we call leap. So here I would like to show you a simple thing. This is how cytroscope report looks in which there is a normal normal cervix and this has no abnormalities in it therefore it is dark brown in colour whereas this is a image of abnormal cervix which does not take up any stain and it is yellow in colour and here we see it white. So these are simple test which help us to diagnose the condition. Here I Gunjan’s Gynae and Neuro clinic we are doing this procure as a routine.
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