Cervical Cancer (Revised and Updated edition)

Tay Sun Kuie Dr

Description

Cervical Cancer: its causes and prevention has been revised from its first edition, with many updates on the latest developments in the treatment of this high preventable form of cancer. From information on developments of an anti- cancer vaccine, medical research and discoveries, this book serves to inform and empower women of all ages with the necessary knowledge they should have for their health and well-being. Written in a concise, informative and lively manner, case studies of real-life scenarios of cancer sufferers are also provided, making the idea and topic of cancer more relational and understandable.

Informations

• Publié par: MarshallCavendishM
• Date de parution: 01 décembre 2009
• Nombre de lectures: 0
• EAN13: 9789814484466
• Langue: English

Extrait

Cover design: Benson Tan
Copyright 1996 Times Editions Private Limited
Copyright 2002 Times Media Private Limited
Copyright 2009 Marshall Cavendish International (Asia) Private Limited
Published by Marshall Cavendish Editions
An imprint of Marshall Cavendish International
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This information and advice published or made available in this book is not intended to replace the services of a physician, nor does it constitute a doctor-patient relationship. Information in this book is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this book for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, and particularly in respect to any symptoms that may require diagnosis or medical attention. Any action on the reader s part in response to the information provided in this book is at the reader s discretion. Readers should consult their own physicians concerning the information in this book. The publisher and author make no representations or warrranties with respect to any information offered or provided in this book regarding treatment, action, or application of medication. The publisher and author are not liable for any direct or indirect claim, loss or damage resulting from use of this book.
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National Library Board Singapore Cataloguing in Publication Data
Tay, Sun Kuie, 1954
Cervical cancer : its causes and prevention / Tay Sun Kuie. Singapore : Marshall Cavendish Editions, 2009.
p. cm.
Includes bibliographical references.
eISBN-13 : 978 981 4484 46 6
1. Cervix uteri - Cancer - Diagnosis. 2. Cervix uteri - Cancer - Prevention.
3. Cervix uteri -Cancer - Treatment. I. Title.
RC280.U8
616.99466 -- dc22 OCN313955288
Printed in Singapore by Fabulous Printers Pte Ltd
1 Breaking The News
2 The Origin Of Cancer
3 The Nature Of Cervical Cancer And Pre-Cancer
4 Sexual Habits And The Causes Of Cervical Cancer And CIN
5 Sexually Transmitted Diseases In Cervical Cancer Development
6 HPV and Genital Warts In Cervical Carcinogenesis
7 Social, Dietary, Environmental and Genetic Factors In Cervical Cancer Development
8 Strategies For Preventing Cervical Cancer I: Behavioural Modification
9 Strategies For Preventing Cervical Cancer II: HPV Vaccination
10 Strategies For Preventing Cervical Cancer III: Detection And Eradication Of CIN
11 What Is A Cervical Smear?
12 What To Do With An Abnormal Smear Test
13 Colposcopy: Reaching A Diagnosis
14 Treatment of CIN: The Cancer Prevention Treatment
15 Cervical Cancer Prevention: The Achievement
16 Alternatives to Cervical Smear in CIN and Cancer Screening
Glossary
References
Dedicated to Mdm Fong Yuk Wah
The uterine cervix, or neck of the womb, is a small organ, yet it is the origin of one of the most common cancers in women. Worldwide, nearly half a million women are diagnosed with the disease every year. This occurs despite a much-publicised screening programme. Evidently, something is wrong somewhere.
The answer, apparently, lies in the large number of women who are at risk of cancer, but fail to be screened. Several reasons have been suggested, one of which is a misunderstanding or misconception about the nature and purpose of screening. Then there are other women who have been screened, but who are unable to understand their diagnosis of cervical pre-cancer. The confusion between cervical pre-cancer and cancer itself has created tremendous anxiety and emotional trauma among these women, much of which is unwarranted.
This book contains the essential information, and historical and up-to-date issues of interest, on cervical pre-cancer and cancer. It also contains the answers to the most common and relevant questions asked about cervical cancer and cancer prevention. The elaboration on some aspects of the disease is to allow a better understanding of it and to show recent research development in the various areas. Attempts are made to explain the disease in plain language but the basic medical terms have been retained to maintain accuracy and improve communication between lay persons and their doctors. The medical terminology is explained in the text and summarised in the glossary.
I hope this book will help disseminate information on cervical cancer and encourage more women to utilise the screening facilities available. It should also alleviate some of the fear and anxiety of those who have discovered any abnormality during a screening test. The information provided here has been designed to supplement the discussion between the patient and her doctor, and form a ready reference for the patient and her family.
The book should also be useful to doctors, medical nurses and health workers who deal with cervical cancer screening. It is hoped that its contents will abolish the information gap and language barrier between health workers and their patients.
Dr Tay Sun Kuie, 1996
Despite being a most preventable human cancer, cervical cancer remains one of the most common cancers in women, particularly among women in the developing nations where it ranks either the first or second among the most common cancers. Of all the new cases of cervical cancer diagnosed yearly, 54 per cent occurs in Asia.
For 80 years, the most effective measure in reducing the incidence and death from cervical cancer has been the mass screening of adult women for a pre-cancerous lesion on the cervix. Complete treatment of cervical pre-cancers prevents development of cervical cancer. This forms the core content of the first edition of this book.
Research in medical science has led to several significant advances in the understanding of the cause and new preventive measures of cervical cancer since the publication of the first edition of the book 10 years ago. Most importantly, the recent development of an anti-cancer vaccine is not only a paradigm shift in prevention of cervical cancer but also, for the first time in medical history, in prevention of a significant proportion of cervical pre-cancerous lesions. The vaccines materialise scientists dream of a primary method of preventing a common deadly cancer. Also, as the vaccines are most cost-effectively administered when given to adolescent girls, they empower parents to take active steps to protect their daughters from developing cervical cancers.
In this new edition, the existing chapters are updated to cover the recent developments in medical research and discoveries, and new chapters are added to bring readers attention to the anti-cancer vaccines. The section on strategies for prevention of cervical cancer is revamped to outline the current thoughts and practice in the field of fighting against cervical cancer. This book aims to inform readers adequately to assist them in reaching an optimal option in adopting their strategy in prevention of cervical cancer.
Dr Tay Sun Kuie, 2008
Dr Low said that I should see you as soon as possible. Angeline explained apologetically and handed over a small envelope to me. Dr Low s voice echoed in my memory. He had called me in the morning asking for an urgent appointment for Angeline, a 32-year -old executive secretary who sought his opinion for fertility treatment after having been married for four years without any pregnancy.
A large cauliflower-like growth jumped into my sight as I exposed Angeline s cervix gently for an examination. It had totally replaced the cervix. Dr Low s diagnosis of a cancer could not have been more accurate.
The news of a cancer shocked and shattered Angeline and her 35-year-old husband, Michael, who held on to Angeline s hands tightly. They were highly emotional during the rest of our discussion and I had to put my skill of counselling on cancer management into full practice.
Why should this happen to us?
How does a cancer develop, doctor?
Does it mean that Angeline requires a hysterectomy?
You mean she can never have her own child?
Is she going to die?
Angeline went through the discussion sobbingly while Michael asked about the future of his beloved wife.
The discovery of Angeline s cancer adds one more case to the cancer statistics. The unabated rise in the incidence of cancer in most countries has caught everyone s attention. Cancer has become a disease most frequently heard and talked about at work, at social gatherings, and at home. Loss of a relative, friend or an acquaintance through cancer of one kind