CERVICAL CANCER PREVENTION STRATEGIES

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CERVICAL CANCER PREVENTION STRATEGIES

• Z Mike Chirenje MD FRCOG
• Department of Obstetrics and Gynaecology
• University of Zimbabwe, Harare Zimbabwe
• chirenje_at_uz-ucsf.co.zw

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Problem in Zimbabwean women

• Female cancers registered in 2002 by site
• Cervix uteri (771) 25.9
• Kaposi sarcoma (478) 16.1
• Breast (304) 10.2
• Ovary (74) 2.5
• Cervix corpus (40) 1.3
• Zimbabwe cancer Registry (2006).
• Therefore 1 in every 5 women diagnosed to have
  cancer had cervical cancer.

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Epidemiology and Treatment of Cervical Cancer

• Cervical cancer is often slow growing, with
  progressive generalised wasting for several
  months that creates difficult home care in low
  resources.
• Family members complain about the unbearable
  smell that is socially embarrassing and
  impossible to eradicate (unresponsive to
  antibiotics).

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Cervical Cancer Prevention

• Primary (e.g. delayed intercourse)
• Secondary Pap smear
• Visual Inspection with acetic acid (Chirenje
  et al Lancet 1999)
• Lugols Iodine
• HPV vaccination (Merck covers HPV types
  6,11,16 and 18 and GSK covers types 16 and 18).
• HPV types 16 and 18 cause 70 of cervical cancer
  cases

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