Cervical cancer, the importance for the general practitioner

Introduction: Cervical cancer due its high incidence is considered a health problem worldwide especially in third world countries. Worldwide took 2nd place in frequency among malignant tumors of women. In Mexico the incidence rate is 40.5 x 100,000, where the states mainly from the southeast where the mortality rate is over 25%. Risk factors: Age is primarily concerned within 25 to 64 years, low socio-economic, cultural level, early sexual Start Living, multiple sexual partners. The main risk factor associated with the development of CC is infection by human papillomavirus types 16 primarily, 18, 31, 33, 35, 39, 45, 52, 56, 58, and 59. Diagnosis: The symptoms are sometimes present data cervical vaginal infection characterized by vaginal discharge, dysuria, genital itching and dyspareunia, but the largest percentages of patients are virtually asymptomatic. In the Advanced lesions symptomatology occurs primarily by tumor growth or invasion or secondary to extra pelvic spread of the lesion. The physical examination in these patients should include speculoscopy and pelvic transvaginal and transrectal examination. Cervical cytology: As part of the screening should be performed early cervical cytology showed sensitivity of 51% and a specificity of 98% for the diagnosis of cervical cancer. Colposcopy: Within the study approach and review of patients diagnosed with cervical cancer colposcopy has a sensitivity of 95% and a specificity of 98% as a single method of diagnosis, it is possible to take a biopsy under direct vision of the suspect areas malignancy.