Women who suffer from cervical cancer, just like healthy people, do not experience any symptoms. This condition is because cancer cells infect the susceptible to a long time so that complaints are only found in women who have been infected for 15-20 years.
For cancer patients who have been found at an advanced stage or even at a late stage, different measures will be given. This is the importance of knowing the stage of cervical cancer as an effort to treat and spread cancer cells in the patient’s body.
Cervical Cancer Threatens Indonesian Women
The number of women with cervical cancer is increasing day by day, even in Indonesia the number of cervical cancer sufferers is high. Patients with cervical cancer are found in 40 days for Indonesian women in one day or about 15,000 women in one year.
Women who have cervical cancer are only found at an advanced stage so that treatment will only affect a few percent. Most, namely 55% of cervical cancer sufferers or less than 8000 sufferers end up dying. Cervical cancer is a type of cancer that is deadly in women. Cervical cancer is a disease that threatens the vital organs of a woman.
Based on the anatomy of a woman’s uterus, the cervix is the lower part of the uterus, the uterus has two parts, namely the top and the bottom. In the upper uterus or the body of the uterus, which is known as the fetus Meanwhile, the cervix, which is the lower part of the uterus, is a woman’s uterine body known as the birth canal.
In cervical cancer, there are two types of cancer. The most common are squamous cell carcinoma and adenocarcinoma. Actually other types such as melanoma, lymphoma and also sarcomas that may occur in other parts of the body.
Cervical cancer is very easily transmitted through sexual intercourse with multiple partners and the risk is even higher if women lead unhealthy lives, such as smoking and consuming alcohol. Several other causes such as genetics can affect even though the percentage is small.
Cervical Cancer Stage
Cervical cancer in a woman’s body can be differentiated based on the spread of cancer cells which are grouped by the term stage. In cervical cancer, known as early stage, advanced stage and late stage.
When a woman is diagnosed with cervical cancer, the next thing to know is the stage of the cancer stage (stage). By knowing the stage, the doctor and patient can plan treatment according to the level.
The following are the levels of cervical cancer:
1. Stage 0
At this stage, cancer is found in the first layer of cells lining the cervix only. Even cancer cells do not spread and invade the deeper tissues of the cervix. Even so, the potential for developing cancer cells is getting bigger so early detection and providing appropriate isolation is needed at stage 0.
2. Stage 1
At stage 1 it is divided into two parts, namely stage 1A and stage 1B. In stage 1 cancer cells are found but do not spread, while in stage 1A the number of cancers is still small and can only be seen using a microscope.
In stage 1A preclinical carcinoma can only be diagnosed using a microscope. The stromal invasion is less than 3-5 mm and the horizon extension does not exceed 7 mm.
Whereas in stage 1B the cancer is still in the cervix and then it has started to spread more even though it can only be seen using a microscope. The clinically visible lesion is confined to the cervix larger than stage 1A.
3. Stage 2
Cancer has spread to the outside of the cervix but not to the pelvic wall. At stage 2 stage is divided into stages 2A and 2B based on cancer cells that have spread. In stage 2A the cancer spreads to the outside of the cervix and the upper second-third of the female genitals, even though it doesn’t reach the tissue around the uterus.
Whereas in stage 2B the cancer can spread to the outside of the cervix in the upper two-thirds of the genitals and the tissue around the uterus.
4. Stage 3
In the development of stage 3 cancer is characterized by carcinoma that extends to the pelvic wall. Even a rectal examination cannot allow a carcinoma-free space between the pelvic wall and tumor. In the early stage 3 the tumor grows to the lower third of the genitals. In subsequent expansion can reach the pelvic wall or in hydronephrosis so that the kidneys do not function.
5. Stage 4
In the carcinoma part, it extends to the outside of the minor pelvis so that clinically it grows into the rectum or bladder mulch. In stage 4A the growth of tumors into the surrounding organs, while in stage 4B it expands to further organs, so cancer cells are very easy to spread.
Cervical cancer treatment based on stage
Cervical cancer treatment aims to remove or destroy as many cancer cells as possible so that they can reduce cervical cancer symptoms and deployment. It is very important to know the level of cervical cancer so that it helps early treatment.
Cervical cancer treatment includes therapy, namely surgery, radiotherapy and chemotherapy. In pre-cancerous cervical cancer to stage 1A, a hysterectomy is performed, namely surgery to remove the uterus. Meanwhile, for patients who wish to have children, LEEP is an option.
In patients with cervical cancer stage 1B and 2A, it is seen based on the size of the tumor, if it is less than 4 cm, radical hysterectomy or radiotherapy. Whereas if the tumor size is more than 4 cm, it will use a hysterectomy basis, cisplatin or chemo-based cisplain then followed by a hysterectomy.
In stage 2B-4A cervical cancer, using radiotherapy or chemotherapy based on cisplatin. Whereas in stage 4B the doctor will consider treatment. Generally doctors will combine treatment, namely chemotherapy and drugs.
Some of the factors that will have an impact on treatment decisions include age, health and your own preferences. You can use a second opinion, to give consideration to yourself when taking medication that suits your condition. Proper handling will help relieve the symptoms experienced.
Thus the stage of cervical cancer can help determine the condition of the spread of cancer cells so that it can be adjusted according to the action to be taken. Treatment action and increase the chances of recovery is to detect early so that at an early stage the condition can be found in your health. In addition, treatment can also help relieve the symptoms that women often feel when they have cervical cancer.