Early cancer detection.

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Early cancer detection.

• Dr. Mounir M. Fawzy El-Hao
• Prof. of Ob/Gyn
• Ain Shams University
• Cairo - Egypt

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Cancers of the female genital tract

•  
• ????? ?????? ?? ????? ??????.
• ???? ??? ?????? ?? ??????? ??? ?????? ?? ??????
  ????????.
• ???? ?????? 5 ????? ??? ???? ?????
•  
• Endometrial Cancer
• Ovarian Cancer
• Cervical Cancer

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Cancers of the female genital tract.

• Ovarian
• Uterus
• Vagina
• Cervix
• Hydatidiform Mole/Gestational Trophoblastic
  Disease
• Breast

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Transformation zone
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Selection of tools (spatula slides)
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Selection of tools (spatula slides)
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Selection of tools (spatula slides)

• Proper sampling of squamous, TZ and endocervix
• Brush may be important in postmenoausal women
• Slides that can be written upon

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THE COLPOSCOPE.
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• Cancer cervix
• ?? ?? ??? ????? ?? ??? ????? ??? ??????? ??? ???
  ??? ????? ????? ??? ?????.

• Cancer cervix
• ?? ?? ??? ????? ?? ??? ????? ??? ??????? ??? ???
  ??? ????? ????? ??? ?????.

• Cancer cervix
• ??? ????? ?? ????? ?????? ?? ????? ??? ????? ????
  ??????.

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• Cancer cervix

• ?? ?? ??? ????? ?? ??? ????? ??? ??????? ??? ???
  ??? ????? ????? ??? ?????.

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.

• Cancer cervix

• ??? ????? ????? ???????? ??????? ?????? ???
  ?????
• ???????? ??????? ???? ???? ??????? ??????
  ???????.
• ??? ???????.

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Acetowhite epithelium

• Maximum whiteness reached
• Rapidity of development of maximum whiteness
• Length of retention of whiteness

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Mosaic and punctation
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Features suggestive of invasion
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HPV
.

• ???? ?? 100 ??? ??????? ????.
• ??? ????? ?????? ?????? ????? 16, 18, 31, 33, 45.

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HPV

• ????? ??????? ?????? ????? ?????? (???? ?? ??
  ????).

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. High risk. 16,18,31,33,39Low risk 6
11 
HPV
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Cancer cervix

• ???? ????? ??? ????? ???? ???? ?????? ????? ???
  ????? ???????? (???????? ???????) ?? ??????? ????
  ???? ?????.

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Cancer cervix

• .

• ??????? ???????? ????? ??? ????? ?? ??? ???????
  ??? ????? ??????? ???? ???? ????? ?? ???? ??? ???
  ?????.

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Cancer cervix

•  
• ??????? ?? ???? ???? (????? ??? ?????).
•  

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Cancer cervix

• ??? ??? ????? ?? ??? ??????? ????? ??? ?????
  ????? ?? ???????.
•  

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Cancer cervix

• ????? ?? ?????? ??????? ?? ??? ???? ????? ??? ??
  ????? ??? ????? ?????? ???? ????? ?????? ???? ??
  ??????.
• ????? ??????? ??????
• .  
•  

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   ????? ????? ???????? ?????? ??? ????? ?????
?? ?????? ??????? ??????. 
Cervical Cancer
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• Cancer cervix
• ????? ??????? ??????? ?????? ??? ?????
• ??? ??? ????? ????????? ?? ????????.
• ??????? ?????.
• ??? ??? ?????? ????? (?? ???? ??????).
• ???? ??? ??????.

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Cancer cervix?? ???? ??? ????? ??? ????????
???? ???? ??????? ???????? ?????? ??????. 
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??????? ?? ??????? ???? ???? ????? (??? ???
HPV 6, 11, 16, 18 ) ??? (Gardasil) (???? 16, 18)
??? (Cervarix). 
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Cancer cervix

•  
•  
• Pap test or Pap smear
• ?? ????? ?????? ??????? ?????? ?? ??? ???????.
•  

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• Colposcopy
• ?????? ?????? ???? ????? ?? ????? ???? ????? ???
  ?????? ?? ???? ?????? ???????? ???? ?????.
•  

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HPV

• ??? ???????? ??????? ????? ???? ???? ??? ?????
  ???? ??????? ?????? HPV.
• ???????? ??????? ???????.
• ???????? ??????? ?? ??? ?????.
• ???????? ?? ??? ?? ?????? ??????.
• ????? ?? ??? ??? ????? (Uncircumcised).

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HPV

•  
• ???? ?????? ?? ???? ????? ???? ?? ???? ???? ?????
  ????? ????? ????? ?? ???? ????? ???? ??? ???? ??
  ???? ??.
•  

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HPV

•  
• ??? ???? ????? ????? ????? ?? ???? ??? ????
  ?????.
• ???? ??????? ?????? ?? ??? ????? ???? ?? ????
  ???? ?? ????? ????? ??? ?????.
•  
•  

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HPV

• ??? ???? ?? ????? ?????? ?? ???? ?????? (HPV)
  ????? ???? ?? ??? ?? ?? ???? ???????? ????? ??
  ????? ??? ?????.
•  
•  

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HPV

• ???? ????? ????? ????? ???? ??????? ????? ?????
  ????? ??? ?????? ???? ???????.
•  

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HPV

• ??? ??????? ???????? ??? ???? ????? ??? ?????.
• ???????
• HIV
• Chlamydia
• ?????? (??? ???????? ????????).
• ????? ?????
• ???? ??? ????? ?????? ?????.
• ????? ??????? ???????.
•  

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HPV

•  
• Cervical biopsies
• ???? ?? ??? ????? ?? ???? ???? ?????? ??? ??????.
  ???? ?? ??????? ??????? ???? ?????.
•  
•  

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HPV

• Cone biopsy
• ???? ??????? ???? ????? ?? ???? ?? ?????? ???????
  ???? ??? ????? ??????? ?? ???? ????? ??? ??????
  ?????? ??????.
•  
•  

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HPV

•  
• ??? ???? ???? ?? HPV
• ???? ?? ??????? ?? ???? ?????
• ?????? ????? ??? ??????? ??????? ??? ?????
  ???????? ??????? (???????).
•  

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Ascitis.
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Thank

• You