engleski

Cervical Cancer Diagnostic Algorhythm - Croatian Guidelines

Cervical cancer is one among good detectable in early phases, although till today world statistics demonstrate about 500, 000 newly discovered patients worldwide, among whom one half will die from invasive forms. For Croatia, this fact means more than 300 women discovered per year, among which more than 100 will die. This pity fact reinforced new generation of Croatian gynecologists, gyneco-cytologists and pathologist to point out complementary diagnostic tools in diagnosis of this gynecological cancer. The cornerstone is FIGO classification, but owing to new diagnostic methods as MRI (Magnetic Resonance Imaging) as well as PET (Positrone Emission Tomography) it will be possible put better insight in those forms of invasive cancer which are much available to surgical and radiochemotherapeutic approaches (stages from IB1 to IIA). There is persistent need to point out that in cases of abnormal gynecological bleeding examination per specula is inevitable, because this examination enable us excellent inspection of the uterine cervix and vaginal vaults. After such examination we perform gynecologic palpation, parametrial palpation via rectal approach (better under short time anaesthesiology), and after that continue to modern endoscopic (urethrocystoscopy) and radiologic examination (intravenous urography, MRI, PET), as well as classic laboratory findings. We can also benefit from abdominal CT, as well as from transvaginal ultrasound measurement of cervical shape and circulation disturbances. If needed, we must consult radiologists, oncologists, surgeons and urologists. REFERENCES. 1. BENEDET JL, BENDER H, JONES H 3RD, NGAN HY, PECORELLI S. FIGO staging classifications and clinical practice guidelines in the management of gynecologic cancers. FIGO Committee on Gynecologic Oncology. Int J Gynaecol Obstet, 70 (2000) 209. − 2. LJUBOJEVIĆ N, BABIĆ S, AUDY- JURKOVIĆ S, OVANIN-RAKIĆ A, GRUBIŠIĆ G, JUKIĆ S, BABIĆ D, GRUBIŠIĆ G, RADAKOVIĆ B, LJUBOJEVIĆ-GRGEC D, Coll Antropol 25 (2001) 467.

cervical cancer; prevention

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