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Chapter-23 Premalignant and Malignant Disorders of the Uterine Cervix

BOOK TITLE: A Comprehensive Textbook of Obstetrics & Gynecology

Author
1. Gupta Sadhana
ISBN
9789350251126
DOI
10.5005/jp/books/11278_23
Edition
1/e
Publishing Year
2011
Pages
21
Author Affiliations
1. Ultrasound, Infertility and In Vitro Fertilization (IVF) Specialist, Jeevan Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Gorakhpur, Uttar Pradesh, Bombay Hospital, Mumbai, Jeevan Jyoti Hospital and Medical Research Center and Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI 2011–2013; Jeevan Jyoti Hospital and Medical Research Center, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, Uttar Pradesh, India, Jeevan-Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India; FOGSI 2016, Jeeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI, 2016, FOGSI Representative to SAFOG, 2018-20; Safe Motherhood Committee, FOG
Chapter keywords

Abstract

CIN are considered potential cancer precursor. Pathogenesis and classification of CIN by grading and Bathseda system are detailed in the chapter. HPV is considered a prime etiological factor in development of CIN and cancer cervix along with other risk factors like high parity, early age of coitus etc. Screening guidelines, methods of screening in various settings and details of colposcopy are detailed with photographs. Management options of CIN are follow up, cryotherapy, ablation, excision by various means and hysterectomy in select cases. Cancer cervix ranks second most common malignancies in women. Etiology, epidemiology, and pathogenesis, modes of spread, pathological and clinical staging of cancer cervix are detailed in text, tables and figures. Diagnostic method and stage wise treatment options and management of carcinoma cervix in special situations like carcinoma cervix in pregnancy, stump ca, and recurrence are systematically concised in the chapter.

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