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Cervical cancer

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915: 1455: 1443: 1342:. This attempts to surgically remove the cancer while preserving the ovaries and uterus, providing for a more conservative operation than a hysterectomy. It is a viable option for those in stage I cervical cancer which has not spread; however, it is not yet considered a standard of care, as few doctors are skilled in this procedure. Even the most experienced surgeon cannot promise that a trachelectomy can be performed until after surgical microscopic examination, as the extent of the spread of cancer is unknown. If the surgeon is not able to microscopically confirm clear margins of cervical tissue once the woman is under general anaesthesia in the operating room, a hysterectomy may still be needed. This can only be done during the same operation if the woman consented. Due to the possible risk of cancer spreading to the lymph nodes in stage 1B cancers and some stage 1A cancers, the surgeon may also need to remove some lymph nodes from around the uterus for pathologic evaluation. 1431: 1369: 894: 882: 1114: 646:(CIN3) occurring, which has the potential of forming cervical cancer. When CIN3 lesions lead to cancer, most of them have the assistance of the HPV virus, but that is not always the case, which is why it can be considered a direct link to cervical cancer. Heavy smoking and long-term smoking seem to have more of a risk of getting the CIN3 lesions than lighter smoking or not smoking at all. Although smoking has been linked to cervical cancer, it aids in the development of HPV, which is the leading cause of this type of cancer. Also, not only does it aid in the development of HPV, but also if the woman is already HPV-positive, she is at an even greater likelihood of contracting cervical cancer. 927: 1093: 1081: 1069: 1057: 1045: 1033: 1021: 1557: 2081: 1801: 1756: 1677: 1476: 739: 34: 806:(CIS). The term cervical intraepithelial neoplasia (CIN) was developed to place emphasis on the spectrum of abnormality in these lesions, and to help standardize treatment. For premalignant dysplastic changes, cervical intraepithelial neoplasia grading (CIN 1–3) is used. It classifies mild dysplasia as CIN1, moderate dysplasia as CIN2, and severe dysplasia and CIS as CIN3. More recently, CIN2 and CIN3 have been combined into CIN2/3. These results are what a pathologist might report from a biopsy. 680: 766: 1365:(internal radiation). Women treated with surgery who have high-risk features found on pathologic examination are given radiation therapy with or without chemotherapy to reduce the risk of relapse. A Cochrane review has found moderate-certainty evidence that radiation decreases the risk of disease progression in people with stage IB cervical cancer, when compared to no further treatment. However, little evidence was found on its effects on overall survival. 1283: 585: 577: 1346:
are uncommon, although women who can conceive after surgery are susceptible to preterm labour and possible late miscarriage. A wait of at least one year is generally recommended before attempting to become pregnant after surgery. Recurrence in the residual cervix is rare if the trachelectomy has cleared the cancer. Yet, women are recommended to practice vigilant prevention and follow-up care, including Pap screenings/
521:, the widespread use of cervical screening programs has dramatically reduced rates of cervical cancer. Expected scenarios for the reduction of mortality due to cervical cancer worldwide (and specially in low-income countries) have been reviewed, given assumptions with respect to the achievement of recommended prevention targets using triple-intervention strategies defined by WHO. In medical research, the most famous 1133: 1125: 784:(CIN) means the development of abnormal cells on the surface of the cervix. It is caused by an HPV infection but in most cases it is resolved by the immune system. However a small percentage of people might develop a more serious CIN which, if left untreated, can develop into cervical cancer. CIN is often diagnosed during routine Pap smear examination or colposcopy. 2111:
cisgender women to have cervical cancer, but are less likely to undergo cervical screening, because of dysphoria, gender disaffirmation or disempowerment of the individual by healthcare providers, or being misinformed of HPV and cervical cancer risks as well as many healthcare providers perceiving transmasculine individuals to be at low risk of cervical cancer.
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practices, including sensitivity in discussing the topic in Aboriginal communities, embarrassment, anxiety and fear about the procedure. Difficulty in accessing screening services (for example, transport difficulties) and a lack of female GPs, trained Pap test providers and trained female Aboriginal Health Workers are also issues.
914: 1157:(Pap test) for cervical pre-cancer has dramatically reduced the number of cases of, and mortality from, cervical cancer. Liquid-based cytology may reduce the number of inadequate samples. Pap test screening every three to five years with appropriate follow-up can reduce cervical cancer incidence up to 80%. 2114:
Transgender women who have not had bottom surgery have no risk of cervical cancer, as they do not have a cervix. Trans women who have had bottom surgery to create a vagina (vaginoplasty) and possibly a cervix, are at a very small risk to develop cancer in the tissues of their neo-vagina or neo-cervix
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Because cervical cancers are radiosensitive, radiation may be used in all stages where surgical options do not exist. Surgical intervention may have better outcomes than radiological approaches. In addition, chemotherapy can be used to treat cervical cancer and is more effective than radiation alone.
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The treatment of cervical cancer varies worldwide, largely due to access to surgeons skilled in radical pelvic surgery and the emergence of fertility-sparing therapy in developed nations. Less advanced stages of cervical cancer typically have treatment options that allow fertility to be maintained if
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Transgender men and gender-diverse people who have a cervix (even if partially intact) or have a prior history of cervical cancer or precancerous conditions, and are age 21 or older who has ever had sex with anyone need to get screened for cervical cancer. Transmasculine people are just as likely as
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In Australia, Aboriginal women are more than five times more likely to die from cervical cancer than non-Aboriginal women, suggesting that Aboriginal women are less likely to have regular Pap tests. There are several factors that may limit indigenous women from engaging in regular cervical screening
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In 2020, there were 165 women aged 25–74 who died from cervical cancer, which is a mortality rate of 2 deaths per 100,000 women in the population. Over the 5 years 2016–2020, there were 62 Aboriginal and Torres Strait Islander women aged 25–74 who died from cervical cancer, which is a mortality rate
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With treatment, 80–90% of women with stage I cancer and 60–75% of those with stage II cancer are alive 5 years after diagnosis. Survival rates decrease to 58% for women with stage III cancer and 17% or fewer of those with stage IV cancer five years after diagnosis. Recurrent cervical cancer detected
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Worldwide, cervical cancer is both the fourth-most common type of cancer and the fourth-most common cause of death from cancer in women, with over 660,000 new cases and around 350,000 deaths in 2022. This is about 8% of the total cases and total deaths from cancer. About 70% of cervical cancers and
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The Nigerian Institute of Medical Research (NIMR) reports that 28 Nigerian women lose their lives daily due to this disease. This alarming statistic underscores the pressing need for better awareness, prevention, and treatment efforts across the country. Numerous Nigerian women lack access to these
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Cervical cancer is the 12th-most common cancer in women in the UK (around 3,100 women were diagnosed with the disease in 2011), and accounts for 1% of cancer deaths (around 920 died in 2012). With a 42% reduction from 1988 to 1997, the NHS-implemented screening programme has been highly successful,
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Regular screening has meant that precancerous changes and early-stage cervical cancers have been detected and treated early. Figures suggest that cervical screening is saving 5,000 lives each year in the UK by preventing cervical cancer. About 1,000 women per year die of cervical cancer in the UK.
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for the earliest stage of invasive cervical cancer is 92%, and the overall (all stages combined) five-year survival rate is about 66%. These statistics may be improved when applied to women newly diagnosed, bearing in mind that these outcomes may be partly based on the state of treatment five years
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No evidence is available to suggest that any form of follow-up approach is better or worse in terms of prolonging survival, improving quality of life or guiding the management of problems that can arise because of the treatment and that in the case of radiotherapy treatment worsen with time. A 2019
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A number of recommended options exist for screening those 30 to 65. This includes cervical cytology every 3 years, HPV testing every 5 years, or HPV testing together with cytology every 5 years. Screening is not beneficial before age 25, as the rate of disease is low. Screening is not beneficial in
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In the United States, screening is recommended to begin at age 21, regardless of age at which a woman began having sex or other risk factors. Pap tests should be done every three years between the ages of 21 and 65. In women over the age of 65, screening may be discontinued if no abnormal screening
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cells, are also caused by various strains of HPV. However, these serotypes are usually not related to cervical cancer. Having multiple strains at the same time is common, including those that can cause cervical cancer along with those that cause warts. Infection with HPV is generally believed to be
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A radical trachelectomy can be performed abdominally or vaginally and opinions are conflicting as to which is better. A radical abdominal trachelectomy with lymphadenectomy usually only requires a two- to three-day hospital stay, and most women recover very quickly (about six weeks). Complications
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Though squamous cell carcinoma is the cervical cancer with the most incidence, the incidence of adenocarcinoma of the cervix has been increasing in recent decades. Endocervical adenocarcinoma represents 20–25% of the histological types of cervical carcinoma. Gastric-type mucinous adenocarcinoma of
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Having many pregnancies is associated with an increased risk of cervical cancer. Among HPV-infected women, those who have had seven or more full-term pregnancies have around four times the risk of cancer compared with women with no pregnancies, and two to three times the risk of women who have had
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A 2007 survey of American women found 40% had heard of HPV infection and less than half of those knew it causes cervical cancer. Over a longitudinal study from 1975 to 2000, it was found that people of lower socioeconomic census brackets had higher rates of late-stage cancer diagnosis and higher
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HPV vaccines are typically given to age 9 to 26, as the vaccine is most effective if given before infection occurs. The duration of effectiveness and whether a booster will be needed is unknown. The high cost of this vaccine has been a cause for concern. Several countries have considered (or are
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The number of women diagnosed with cervical cancer has dropped on average by 4.5% each year since organised screening began in 1991 (1991–2005). Regular twice-yearly Pap tests can reduce the incidence of cervical cancer up to 90% in Australia, and save 1,200 Australian women from dying from the
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in future pregnancies. Surgical techniques that remove more cervical tissue come with less risk of the cancer recurring but a higher chance of giving birth prematurely. Due to this risk, taking into account the age, childbearing plans of the woman, the size and location of the cancer cells are
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Pap tests have not been as effective in developing countries. This is in part because many of these countries have an impoverished health care infrastructure, too few trained and skilled professionals to obtain and interpret Pap tests, uninformed women who get lost to follow-up, and a lengthy
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was given in 1949, and HPV-DNA was identified in 1963. It was not until the 1980s that HPV was identified in cervical cancer tissue. It has since been demonstrated that HPV is implicated in virtually all cervical cancers. Specific viral subtypes implicated are HPV 16, 18, 31, 45 and others.
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radiation therapy), or cisplatin chemotherapy followed by hysterectomy. When cisplatin is present, it is thought to be the most active single agent in periodic diseases. Such addition of platinum-based chemotherapy to chemoradiation seems not only to improve survival but also reduces risk of
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An estimated 13,170 new cervical cancers and 4,250 cervical cancer deaths will occur in the United States in 2019. The median age at diagnosis is 50. The rates of new cases in the United States was 7.3 per 100,000 women, based on rates from 2012 to 2016. Cervical cancer deaths decreased by
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In Africa outcomes are often worse as diagnosis is frequently at a latter stage of disease. In a scoping review of publicly-available cervical cancer prevention and control plans from African countries, plans tended to emphasize survivorship rather than early HPV diagnosis and prevention.
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was seen as a likely cause because it is known to survive in the female reproductive tract, to be transmitted sexually in a way compatible with known risk factors, such as promiscuity and low socioeconomic status. Herpes viruses were also implicated in other malignant diseases, including
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Cigarette smoking, both active and passive, increases the risk of cervical cancer. Among HPV-infected women, current and former smokers have roughly two to three times the incidence of invasive cancer. Passive smoking is also associated with increased risk, but to a lesser extent.
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Agorastos T, Miliaras D, Lambropoulos AF, Chrisafi S, Kotsis A, Manthos A, Bontis J (July 2005). "Detection and typing of human papillomavirus DNA in uterine cervices with coexistent grade I and grade III intraepithelial neoplasia: biologic progression or independent lesions?".
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Smoking has also been linked to the development of cervical cancer. Smoking can increase the risk in women a few different ways, which can be by direct and indirect methods of inducing cervical cancer. A direct way of contracting this cancer is a smoker has a higher chance of
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Worldwide, cervical cancer is both the fourth-most common cause of cancer and deaths from cancer in women. In 2018, 570,000 cases of cervical cancer were estimated to have occurred, with over 300,000 deaths. It is the second-most common cause of female-specific cancer after
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Barrier protection or spermicidal gel use during sexual intercourse decreases, but does not eliminate risk of transmitting the infection, though condoms may protect against genital warts. They also provide protection against other sexually transmitted infections, such as
549:, contact bleeding (one most common form being bleeding after sexual intercourse), or (rarely) a vaginal mass may indicate the presence of malignancy. Also, moderate pain during sexual intercourse and vaginal discharge are symptoms of cervical cancer. In advanced disease, 1663:, accounting for around 8% of both total cancer cases and total cancer deaths in women. About 80% of cervical cancers occur in developing countries. It is the most frequently detected cancer during pregnancy, with an occurrence of 1.5 to 12 for every 100,000 pregnancies. 981:
Cervical cancer is staged by the FIGO system, which is based on clinical examination rather than surgical findings. Prior to the 2018 revisions to FIGO staging, the system allowed only these diagnostic tests to be used in determining the stage: palpation, inspection,
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crucial for choosing the right procedure. There is low-certainty evidence that peri-operative care approaches, such as 'fast-track surgery' or 'enhanced recovery programmes' may lower surgical stress and improve recovery after gynaecological cancer surgery.
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If a cone biopsy does not produce clear margins (findings on biopsy showing that the tumor is surrounded by cancer free tissue, suggesting all of the tumor is removed), one more possible treatment option for women who want to preserve their fertility is a
568:, weight loss, fatigue, pelvic pain, back pain, leg pain, swollen legs, heavy vaginal bleeding, bone fractures, and (rarely) leakage of urine or faeces from the vagina. Bleeding after douching or after a pelvic exam is a common symptom of cervical cancer. 2042:, set out a strategy to eliminate cervical cancer by 2050. The strategy involves vaccinating 90% of girls by the age of 15, screening 70% of women by the age of 35 and again by the age of 45, and treating 90% of women identified with cervical disease. 1179:
According to the 2010 European guidelines, the age at which to start screening ranges between 20 and 30 years of age, but preferentially not before age 25 or 30 years, and depends on burden of the disease in the population and the available resources.
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The Australian Cervical Cancer Foundation (ACCF), founded in 2008, promotes 'women's health by eliminating cervical cancer and enabling treatment for women with cervical cancer and related health issues, in Australia and in developing countries.'
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Personal invitations encouraging women to get screened are effective at increasing the likelihood they will do so. Educational materials also help increase the likelihood women will go for screening, but they are not as effective as invitations.
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Over 200 types of HPV known, 12 are classified as high-risk types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, and 59), three as probable high-risk (26, 53, and 66), and 12 as low-risk (6, 11, 40, 42, 43, 44, 54, 61, 70, 72, 81, and CP6108).
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approximately 74% in the last 50 years, largely due to widespread Pap test screening. The annual direct medical cost of cervical cancer prevention and treatment prior to introduction of the HPV vaccine was estimated at $ 6 billion.
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mandated that, before administering the vaccine, medical institutions must inform women that the ministry does not recommend it. However, the vaccine is still available at no cost to Japanese women who choose to accept the vaccination.
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Gadducci A, Barsotti C, Cosio S, Domenici L, Riccardo Genazzani A (August 2011). "Smoking habit, immune suppression, oral contraceptive use, and hormone replacement therapy use and cervical carcinogenesis: a review of the literature".
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Plante M, Renaud MC, Hoskins IA, Roy M (July 2005). "Vaginal radical trachelectomy: a valuable fertility-preserving option in the management of early-stage cervical cancer. A series of 50 pregnancies and review of the literature".
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recurrence in women with early stage cervical cancer (IA2–IIA). A Cochrane review found a lack of evidence on the benefits and harms of primary hysterectomy compared to primary chemoradiotherapy for cervical cancer in stage IB2.
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of 7 deaths per 100,000 Indigenous women in the population. Over the 5 years 2016–2020, the age-standardised mortality rate among Aboriginal and Torres Strait Islander women was 3.8 times the rate of non-Indigenous Australians.
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Remschmidt C, Kaufmann AM, Hagemann I, Vartazarova E, Wichmann O, Deleré Y (March 2013). "Risk factors for cervical human papillomavirus infection and high-grade intraepithelial lesion in women aged 20 to 31 years in Germany".
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at its earliest stages might be successfully treated with surgery, radiation, chemotherapy, or a combination of the three. About 35% of women with invasive cervical cancer have persistent or recurrent disease after treatment.
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Agénor M, Peitzmeier SM, Bernstein IM, McDowell M, Alizaga NM, Reisner SL, et al. (October 2016). "Perceptions of cervical cancer risk and screening among transmasculine individuals: patient and provider perspectives".
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In 2022, it is estimated that 942 new cases of cervical cancer will be diagnosed in Australia. In 2022, it is estimated that a female has a 1 in 180 (or 0.56%) risk of being diagnosed with cervical cancer by the age of 85.
719:) solution to highlight abnormal cells on the surface of the cervix, with visual contrast provided by staining the normal tissues a mahogany brown with Lugol's iodine. Medical devices used for biopsy of the cervix include 2097:
around HPV infection, vaccination and cervical cancer. This is predominantly driven by fear of social judgment and rejection, self-blame, and shame, with notable negative influences from gender and social norms, as both
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In India, the number of people with cervical cancer is rising, but overall the age-adjusted rates are decreasing. Usage of condoms in the female population has improved the survival of women with cancers of the cervix.
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As of 2022, the World Health Organization announced that "each year in the WHO European Region more than 66 000 women are newly diagnosed with cervical cancer and more than 30 000 die from this preventable disease."
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the cervix is a rare type of cancer with aggressive behavior. This type of malignancy is not related to high-risk human papillomavirus (HPV). Noncarcinoma malignancies which can rarely occur in the cervix include
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staging for most other cancers. For cases treated surgically, information obtained from the pathologist can be used in assigning a separate pathologic stage, but is not to replace the original clinical stage.
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Lin Y, Zhou J, Dai L, Cheng Y, Wang J (September 2017). "Vaginectomy and vaginoplasty for isolated vaginal recurrence 8 years after cervical cancer radical hysterectomy: A case report and literature review".
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as these tissues are made up of different cells than a cervix in a cisgender woman Cervical cancer screening is not necessary in trans women who have undergone vaginoplasty because they do not have a cervix.
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of the cervix is removed, and ablation which removes only the parts with abnormal tissues. While these effectively reduce the risk of cancer developing or spreading, they cause an increased risk of
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For surgery to be curative, the entire cancer must be removed with no cancer found at the margins of the removed tissue on examination under a microscope. This procedure is known as exenteration.
3394: 662:. Women who have used oral contraceptives for 5 to 9 years have about three times the incidence of invasive cancer, and those who used them for 10 years or longer have about four times the risk. 1350:, with biopsies of the remaining lower uterine segment as needed (every 3–4 months for at least 5 years) to monitor for any recurrence in addition to minimizing any new exposures to HPV through 825:(HSIL). An LSIL Pap may correspond to CIN1, and HSIL may correspond to CIN2 and CIN3, but they are results of different tests, and the Pap test results need not match the histologic findings. 3980:"Comparative effectiveness and risk of preterm birth of local treatments for cervical intraepithelial neoplasia and stage IA1 cervical cancer: a systematic review and network meta-analysis" 8246: 9111: 8027: 1188:
women older than 60 years if they have a history of negative results. The American Society of Clinical Oncology guideline has recommend for different levels of resource availability.
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These historical observations suggested that cervical cancer could be caused by a sexually transmitted agent. Initial research in the 1940s and 1950s attributed cervical cancer to
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Invasive squamous cell carcinoma of the cervix is characterized by infiltration as irregular anastomosing nests or single cells. This case is poorly differentiated. H&E stain.
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disease each year. It is predicted that because of the success of the primary HPV testing programme there will be fewer than four new cases per 100 000 women annually by 2028.
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infection and cervical cancer were stigmatized due to the perception that they arise from reckless behavior such as having multiple sexual partners or neglecting screening.
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Roy M, Plante M, Renaud MC, Têtu B (September 1996). "Vaginal radical hysterectomy versus abdominal radical hysterectomy in the treatment of early-stage cervical cancer".
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Schlaerth JB, Spirtos NM, Schlaerth AC (January 2003). "Radical trachelectomy and pelvic lymphadenectomy with uterine preservation in the treatment of cervical cancer".
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considering) programs to fund HPV vaccination. The American Society of Clinical Oncology guideline has recommendations for different levels of resource availability.
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Invasive cervical squamous cell carcinoma on H&E histopathology and Ki-67 immunohistochemistry. The latter correlates well with the degree and level of dysplasia.
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Bhatla N, Berek JS, Cuello Fredes M, Denny LA, Grenman S, Karunaratne K, et al. (April 2019). "Revised FIGO staging for carcinoma of the cervix uteri".
955: 3402: 3062:"Mortality impact of achieving WHO cervical cancer elimination targets: a comparative modelling analysis in 78 low-income and lower-middle-income countries" 4030: 596:
infection is also a risk factor. Not all of the causes of cervical cancer are known, however, and several other contributing factors have been implicated.
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Medeiros LR, Rosa DD, da Rosa MI, Bozzetti MC, Zanini RR (October 2009). "Efficacy of human papillomavirus vaccines: a systematic quantitative review".
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Interventions such as playing music during the procedure and viewing the procedure on a monitor can reduce the anxiety associated with the examination.
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Women who have multiple sexual partners, or have partners who have multiple sexual partners, regardless of sex are at higher risk of cervical cancer .
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that have the ability to invade or spread to other parts of the body. Early on, typically no symptoms are seen. Later symptoms may include abnormal
8422:"Management and Care of Women With Invasive Cervical Cancer: American Society of Clinical Oncology Resource-Stratified Clinical Practice Guideline" 7112: 580:
In most cases, cells infected with the HPV heal on their own. In some cases, however, the virus continues to spread and becomes an invasive cancer.
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review found no controlled trials regarding the efficacy and safety of interventions for vaginal bleeding in women with advanced cervical cancer.
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in up to 50% of cases of cervical cancer. Other concerns is the cost of doing Pap tests, which make them unaffordable in many areas of the world.
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results were seen within the previous 10 years and no history of CIN2 or higher exists. HPV vaccination status does not change screening rates.
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This large squamous carcinoma (bottom of picture) has obliterated the cervix and invaded the lower uterine segment. The uterus also has a round
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Myung SK, Ju W, Kim SC, Kim H (October 2011). "Vitamin or antioxidant intake (or serum level) and risk of cervical neoplasm: a meta-analysis".
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Lanceley A, Fiander A, McCormack M, Bryant A, et al. (Cochrane Gynaecological, Neuro-oncology and Orphan Cancer Group) (November 2013).
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preventive measures. In many regions of the country, screening tests such as Pap tests and HPV tests are not easily accessible or affordable
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There is insufficient evidence whether anticancer drugs after standard care help women with locally advanced cervical cancer to live longer.
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Prognosis depends on the stage of the cancer. For intraepithelial cervical neoplasmas the prognosis is good. With treatment, the five-year
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have cervical cancer-screening programs in place. The Pap test was integrated into clinical practice in the Nordic countries in the 1960s.
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can identify precancerous changes, which when treated, can prevent the development of cancer. Treatment may consist of some combination of
8080:"Enacting power and constructing gender in cervical cancer screening encounters between transmasculine patients and health care providers" 5843: 5826: 2340: 9897: 9792: 9436: 7220:"Eliminating Cervical Cancer in Nigeria: How Awareness, Infrastructure, and Government Support Can Make a Difference - My Daily News Usa" 3826:
Asthana S, Busa V, Labani S (April 2020). "Oral contraceptives use and risk of cervical cancer-A systematic review & meta-analysis".
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Cervix in relation to upper part of vagina and posterior portion of uterus, showing difference in covering epithelium of inner structures
7367:"Evidence for single-dose protection by the bivalent HPV vaccine-Review of the Costa Rica HPV vaccine trial and future research studies" 5494: 3219: 731:, in which the inner lining of the cervix is removed to be examined pathologically. These are carried out if the biopsy confirms severe 4443:"Assessment of p16 and Ki67 Immunohistochemistry Expression in Squamous Intraepithelial Lesion with Cytohistomorphological Correlation" 2085: 4315: 750:
Often before the biopsy, the doctor asks for medical imaging to rule out other causes of woman's symptoms. Imaging modalities such as
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Burnett AF (February 2006). "Radical trachelectomy with laparoscopic lymphadenectomy: review of oncologic and obstetrical outcomes".
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Since 2010, young women in Japan have been eligible to receive the cervical cancer vaccination for free. In June 2013, the Japanese
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turn-around time to get results. Visual inspection with acetic acid and HPV DNA testing have been tried, though with mixed success.
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by about 93% and 62%, respectively. The vaccines are between 92% and 100% effective against HPV 16 and 18 up to at least 8 years.
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Committee on Practice Bulletins—Gynecology (November 2012). "ACOG Practice Bulletin Number 131: Screening for cervical cancer".
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Salcedo MP, Phoolcharoen N, Schmeler KM (2022). "Intraepithelial neoplasia of the lower genital tract (cervix, vagina, vulva)".
3948:"Chapter 4: An introduction to colposcopy: indications for colposcopy, instrumentation, principles and documentation of results" 2408: 9725: 9648: 9065: 2865: 2256: 7614:"A papillomavirus DNA from a cervical carcinoma and its prevalence in cancer biopsy samples from different geographic regions" 5458:
van Nagell JR, Greenwell N, Powell DF, Donaldson ES, Hanson MB, Gay EC (April 1983). "Microinvasive carcinoma of the cervix".
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Advanced-stage tumors (IIB-IVA) are treated with radiation therapy and cisplatin-based chemotherapy. On 15 June 2006, the US
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morbidity rates. After controlling for stage, there still existed differences in survival rates. Women in the US experience
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Peterson CE, Silva A, Goben AH, Ongtengco NP, Hu EZ, Khanna D, Nussbaum ER, Jasenof IG, Kim SJ, Dykens JA (December 2021).
7933:"Persistent area socioeconomic disparities in U.S. incidence of cervical cancer, mortality, stage, and survival, 1975–2000" 3503: 1357:
Early stages (IB1 and IIA less than 4 cm) can be treated with radical hysterectomy with removal of the lymph nodes or
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Syverton, J. T.; Berry, G. P. (1935). "Carcinoma in the Cottontail Rabbit Following Spontaneous Virus Papilloma (Shope)".
6465: 5362:"Reducing uncertainties about the effects of chemoradiotherapy for cervical cancer: individual patient data meta-analysis" 1295:
Chemoradiotherapy may increase overall survival and reduce the risk of disease recurrence compared to radiotherapy alone.
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Confirmation of the diagnosis of cervical cancer or precancer requires a biopsy of the cervix. This is often done through
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Peto J, Gilham C, Fletcher O, Matthews FE (2004). "The cervical cancer epidemic that screening has prevented in the UK".
7872: 5272:"Primary surgery versus primary radiotherapy with or without chemotherapy for early adenocarcinoma of the uterine cervix" 867: 481:
and may prevent up to 90% of cervical cancers. As a risk of cancer still exists, guidelines recommend continuing regular
5008: 3046: 2510:"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries" 1396:
and cisplatin, for women with late-stage (IVB) cervical cancer treatment. Combination treatment has significant risk of
9782: 9416: 9014: 8978: 8716: 6705: 1327: 1299: 1165: 1161: 781: 732: 724: 643: 607:
types 16 and 18 are the cause of 75% of cervical cancer cases globally, while 31 and 45 are the causes of another 10%.
448: 6495: 4350: 1935:
working in the early 20th century noted that cervical cancer behaved like a sexually transmitted disease. In summary:
9809: 9742: 9737: 9678: 9673: 9517: 9459: 9058: 8988: 8789: 7243:"Eliminating Cervical Cancer in Nigeria: How Awareness, Infrastructure, and Government Support Can Make a Difference" 3890: 3873: 176: 129: 89: 8129:"Cervical Cancer Screening for Patients on the Female-to-Male Spectrum: a Narrative Review and Guide for Clinicians" 7849: 2182: 9560: 9426: 9116: 8993: 7492:
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans (2007). "Studies of Animal Papillomaviruses".
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Pannu HK, Corl FM, Fishman EK (September–October 2001). "CT evaluation of cervical cancer: spectrum of disease".
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An estimated 1,450 Canadians will be diagnosed with cervical cancer in 2022. An estimated 380 will die from it.
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In 1935, Syverton and Berry discovered a relationship between RPV (Rabbit Papillomavirus) and skin cancer in
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Tran NP, Hung CF, Roden R, Wu TC (2014). "Control of HPV Infection and Related Cancer Through Vaccination".
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In work that was initiated in the mid-1980s, the HPV vaccine was developed, in parallel, by researchers at
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classification of cervical carcinoma precursor lesions has changed many times over the 20th century. The
8078:
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7316:
Beachler DC, Kreimer AR, Schiffman M, Herrero R, Wacholder S, Rodriguez AC, et al. (January 2016).
7104: 9836: 9732: 9133: 5245: 4346: 4217: 2443: 592:
Infection with some types of HPV is the greatest risk factor for cervical cancer, followed by smoking.
509:
in the United States are 68%. Outcomes, however, depend very much on how early the cancer is detected.
7040:"Association of educational levels with survival in Indian patients with cancer of the uterine cervix" 1787:
screening the highest-risk age group (25–49 years) every 3 years, and those ages 50–64 every 5 years.
1376:
Larger early-stage tumors (IB2 and IIA more than 4 cm) may be treated with radiation therapy and
9821: 9565: 8565: 8556: 8420:
Chuang LT, Temin S, Camacho R, Dueñas-Gonzalez A, Feldman S, Gultekin M, et al. (October 2016).
2861: 2823: 2035: 2020: 792: 421:. While bleeding after sex may not be serious, it may also indicate the presence of cervical cancer. 7491: 7080:"The cancer we can eliminate – WHO/Europe urges Member States to consign cervical cancer to history" 6943:
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2064:, one of the developers of the Gardasil cervical cancer vaccine, is the scientific advisor to ACCF. 9882: 9851: 9762: 9720: 9688: 9638: 9388: 8827: 8635: 8552: 8127:
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2750:"FDA approves Gardasil 9 for prevention of certain cancers caused by five additional types of HPV" 2072:, was diagnosed with cervical cancer in 1996, and first spoke publicly about the disease in 2006. 1556: 899:
Cervical squamous cell carcinoma generally shows diffuse staining of both nuclei and cytoplasm on
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3364: 3207: 3110: 1953:
It was more common in the second wives of men whose first wives had died from cervical cancer.
932:
The location of cervical cancer can be described in terms of quadrants, or corresponding to a
439:, starting sex at a young age, and having many sexual partners, but these are less important. 9550: 9316: 9220: 9034: 8350:
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2039: 2008: 1981: 1950:, except for those who had been sexually active before entering the convent (Rigoni in 1841). 1869: 1014:. However, the current system allows use of any imaging or pathological methods for staging. 862: 9576: 7586: 6405: 6175:"Adjuvant chemotherapy after concurrent chemoradiation for locally advanced cervical cancer" 4910:
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classification system was descriptive of the lesions, naming them mild, moderate, or severe
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public service announcement about cervical cancer health disparities in the United States.
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1814:
Please help update this article to reflect recent events or newly available information.
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Please help update this article to reflect recent events or newly available information.
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Please help update this article to reflect recent events or newly available information.
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Please help update this article to reflect recent events or newly available information.
9507: 9383: 9375: 9302: 9200: 9168: 9143: 8916: 8528: 8501: 8488: 8446: 8421: 8302: 8202: 8153: 8128: 8104: 8079: 8009: 7962: 7698: 7673: 7503: 7474: 7391: 7366: 7342: 7317: 7298: 7201: 6974: 6824: 6799: 6775: 6758: 6687: 6647: 6620: 6596: 6569: 6350: 6326:"Palliative interventions for controlling vaginal bleeding in advanced cervical cancer" 6325: 6301: 6276: 6257: 6199: 6174: 6150: 6125: 6071: 6046: 6022: 5997: 5978: 5930: 5905: 5709: 5697: 5596: 5571: 5552: 5435: 5410: 5386: 5361: 5296: 5271: 5227: 5112: 5069: 4980: 4955: 4768: 4743: 4719: 4694: 4564: 4516: 4491: 4467: 4442: 4278: 4125: 4100: 4046: 4004: 3979: 3928: 3851: 3803: 3778: 3717: 3668: 3643: 3642:
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National Cancer Registry Programme under Indian Council of Medical Research Reports
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and Gisam found HPV DNA in cervical cancer and genital warts; Hausen later won the
1541: 1405: 738: 546: 432: 410: 405:
or in the any layer of the wall of the cervix. It is due to the abnormal growth of
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and the Lucké renal adenocarcinoma. HSV was recovered from cervical tumour cells.
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Pap test screening can reveal abnormal cells on the surface of the cervix called
937: 818: 810: 530: 468: 443:
also contribute to cervical cancer risk. Cervical cancer typically develops from
54: 33: 8689: 7997: 7982:"Stigma and cervical cancer prevention: A scoping review of the U.S. literature" 7892:"What do women in the U.S. know about human papillomavirus and cervical cancer?" 7493: 7179: 6428: 6141: 5768: 5170: 3659: 2788: 9494: 9360: 9338: 9268: 9178: 9102: 8933: 8770: 7762: 7618:
Proceedings of the National Academy of Sciences of the United States of America
6683: 6245: 4744:"Interventions targeted at women to encourage the uptake of cervical screening" 4149: 4042: 3916: 2065: 2028: 1560: 846: 833: 456: 406: 248: 8651: 8144: 7763:"WHO rolls out plan to rid world of cervical cancer, saving millions of lives" 7470: 5377: 5337: 5320: 4885: 2651: 1424:(Tivdak) was approved for medical use in the United States in September 2021. 1326:
are removed as well. Alternatives include local surgical procedures such as a
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2015: HPV Vaccine shown to protect against infection at multiple body sites.
9608: 9248: 8943: 8817: 8812: 8537: 8484: 8455: 8412: 8377: 8298: 8198: 8162: 8113: 8005: 7958: 7917: 7748: 7707: 7544: 7431: 7400: 7351: 7294: 7197: 7065: 6970: 6833: 6784: 6656: 6605: 6487: 6440: 6359: 6310: 6253: 6208: 6159: 6080: 6031: 5974: 5939: 5887: 5852: 5803: 5776: 5740: 5705: 5632: 5605: 5548: 5444: 5395: 5346: 5305: 5223: 5178: 5108: 5065: 4989: 4937: 4893: 4858: 4777: 4728: 4650: 4609: 4560: 4525: 4476: 4161: 4134: 4085: 4013: 3924: 3847: 3812: 3760: 3713: 3677: 3586: 3537: 3459: 3294: 3193: 3095: 3042: 3006: 2806: 2735: 2659: 2624: 2535: 2391: 1963:. (HPV is species-specific and therefore cannot be transmitted to rabbits). 1932: 1886:
was developed to scrape the cervix, collecting the sample for the Pap test.
1533: 1529: 1315: 1220: 991: 770: 679: 658:
is associated with increased risk of cervical cancer in women who have had
621: 617: 542: 498: 474: 338: 312: 7739: 7722: 7657: 7571: 7333: 5811: 5640: 5479: 4836: 4623:
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Location of cervical cancer and an example of normal and abnormal cells
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Intersex people with a cervix are also able to have cervical cancer.
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protect against two to seven high-risk strains of this family of
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death from cervical cancer per 100,000 inhabitants in 2004
471:
is then done to determine whether or not the cancer has spread.
459:, and a small number are other types. Diagnosis is typically by 8598: 8570: 7611: 7315: 7038:
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Positive visual inspection with acetic acid of the cervix for
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approved the use of a combination of two chemotherapy drugs,
1137: 1132: 1007: 478: 369: 287:, many sexual partners or a partner with many sexual partners 6044: 5825:
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3423: 529:, was developed from cervical cancer cells of a woman named 451:
over 10 to 20 years. About 90% of cervical cancer cases are
156: 106: 69: 8802: 8499: 7979: 7889: 7812:"Aboriginal cervical cancer rates parallel health inequity" 7790:"Information about cervical screening for Aboriginal women" 7612:
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2018: Evidence for single-dose protection with HPV vaccine.
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Diagram showing the area removed with an anterior operation
558: 526: 115: 9080: 8462: 7869:"Janette Howard speaks on her battle with cervical cancer" 7026: 6570:"Screening for cervical cancer: when theory meets reality" 5269: 2507: 2226:. World Health Organization. 2014. pp. Chapter 5.12. 7584: 5865: 5726: 4953: 4741: 4622: 2933:. World Health Organization. 2014. pp. Chapter 1.1. 2822: 1947: 1436:
Diagram showing the area removed with a posterior surgery
1128:
Negative visual inspection with acetic acid of the cervix
1124: 900: 593: 162: 75: 7930: 5570:
Kokka F, Bryant A, Brockbank E, Jeyarajah A (May 2014).
4489: 4347:
Abramson Cancer Center of the University of Pennsylvania
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Diagram showing the area removed with a total operation
1314:
Microinvasive cancer (stage IA) may also be treated by
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The early stages of cervical cancer may be completely
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International Journal of Gynaecology and Obstetrics
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In summary, 823:high-grade squamous intraepithelial lesion 32: 9015:Loop electrical excision procedure (LEEP) 8527: 8517: 8445: 8402: 8367: 8288: 8152: 8103: 7948: 7907: 7738: 7697: 7647: 7637: 7591:. 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Cancer 6757:Kent A (Winter 2010). 6568:Nygård M (June 2011). 5804:10.1006/gyno.1996.0245 5633:10.1006/gyno.1993.1241 4635:(20): iii, 1-iii, 78. 3477:"HPV and Cancer - NCI" 2089: 2034:In November 2020, the 1655: 1513:relative survival rate 1373: 1322:). For stage IA2, the 1287: 1140: 1129: 1121: 778: 747: 684: 620:, which are a form of 589: 581: 553:may be present in the 523:immortalized cell line 9888:Gynaecological cancer 9827:Risky sexual behavior 9611:of medical conditions 9551:Papillary hidradenoma 9481:Mixed Müllerian tumor 9432:Glassy-cell carcinoma 9221:Granulosa cell tumour 9035:Georgios Papanikolaou 8369:10.1093/annonc/mdr015 6374:"Enforcement Reports" 4711:10.1093/annonc/mdp471 4508:10.5114/pm.2020.99563 4389:. Cancer Research UK. 3442:10.2105/AJPH.91.6.947 2564:. 17 September 2007. 2083: 2040:World Health Assembly 2009:Georgetown University 1559: 1371: 1291:the patient desires. 1285: 1135: 1127: 1116: 868:Glassy cell carcinoma 863:Neuroendocrine tumour 768: 741: 682: 587: 579: 9817:Periodontal diseases 9422:Clear-cell carcinoma 9139:Mucinous cystadenoma 8786:Head and neck cancer 8732:Human papillomavirus 7831:"Vision and Mission" 6918:"Papscreen Victoria" 6386:on 21 September 2021 5880:10.1067/mob.2003.124 5792:Gynecologic Oncology 5757:Gynecologic Oncology 5662:on 27 September 2007 5621:Gynecologic Oncology 5159:Gynecologic Oncology 3984:The Lancet. Oncology 3648:Gynecologic Oncology 3520:10.1056/NEJMoa021641 2887:WHO (5 March 2024). 2864:. 10 November 2014. 2756:. 10 December 2014. 2450:. 29 December 2011. 2415:. 27 February 2014. 2100:human papillomavirus 2011:Medical Center, the 1997:human papillomavirus 1973:herpes simplex virus 1298:Precancerous cells ( 1286:Cervical cryotherapy 1166:precancerous changes 858:Small cell carcinoma 813:terms for Pap test ( 761:Precancerous lesions 666:Multiple pregnancies 600:Human papillomavirus 515:developing countries 445:precancerous changes 283:, starting sex at a 9259:Embryonal carcinoma 9206:Sertoli cell tumour 9117:surface epithelial- 9010:Cervical conization 7879:on 3 November 2012. 7740:10.1093/jnci/djj144 7630:1983PNAS...80.3812D 7334:10.1093/jnci/djv302 6468:on 27 February 2022 5961:(9376): 2217–2225. 3946:Sellors JW (2003). 2606:10.1155/2014/192087 2479:. 2015. p. 9. 2373:10.1155/2007/914823 2046:Society and culture 2001:electron microscopy 1304:cone-shaped portion 729:cervical conization 656:oral contraceptives 650:Oral contraceptives 519:developed countries 437:birth control pills 281:birth control pills 236:Over 10 to 20 years 9783:Metabolic syndrome 9384:Endometrioid tumor 9201:Leydig cell tumour 9169:Endometrioid tumor 9144:Cystadenocarcinoma 8662:External resources 8404:10.1002/ijgo.12611 8397:(Suppl 2): 22–36. 8356:Annals of Oncology 8225:Cancer Research UK 7950:10.1002/cncr.20467 7769:. 16 November 2020 7109:Cancer Research UK 4699:Annals of Oncology 4553:10.1002/ijgo.12749 4426:Pathology Outlines 4406:Pathology Outlines 4353:on 18 January 2008 4220:on 16 January 2009 3405:on 13 October 2007 3072:(10224): 591–603. 2527:10.3322/caac.21660 2090: 1982:Burkitt's lymphoma 1656: 1374: 1288: 1227:, Gardasil 9, and 1196:Barrier protection 1145:Cervical screening 1141: 1130: 1122: 779: 748: 685: 590: 582: 537:Signs and symptoms 461:cervical screening 433:weak immune system 317:sexual intercourse 298:Cervical screening 277:weak immune system 9870: 9869: 9857:Teenage pregnancy 9743:Domestic violence 9738:Diabetes mellitus 9574: 9573: 9489: 9488: 9333: 9332: 9325:Adenomatoid tumor 9311: 9310: 9187: 9186: 9086:urogenital system 9048: 9047: 9040:Harald zur Hausen 9023: 9022: 8867: 8866: 8699: 8698: 8471:(9430): 249–256. 8362:(12): 2675–2686. 8327:. 20 October 2017 8283:(12): 1990–1996. 8227:. 10 October 2019 8185:(10): 1192–1206. 8139:(12): 1857–1864. 8090:(12): 1315–1332. 7796:on 11 April 2013. 7624:(12): 3812–3815. 7598:978-3-540-70974-9 7247:My Daily News Usa 6738:. 24 January 2018 6488:"Cervical Cancer" 5729:Ceska Gynekologie 5654:Dolson L (2001). 5541:10.1111/jog.13375 5200:(11): 1285–1291. 5140:The Asahi Shimbun 5020:978-92-4-154895-3 4304:"Cervical Cancer" 4288:978-0-323-65399-2 4255:978-0-89189-549-7 3961:978-92-832-0412-1 3789:(11): 1949–1955. 3578:10.1002/path.1866 3376:978-90-481-2289-9 3331:978-0-340-81662-2 3208:"Cervical cancer" 3122:978-1-4665-5203-6 3027:"Cervical cancer" 2940:978-92-832-0429-9 2889:"Cervical cancer" 2826:(February 2014). 2798:978-3-642-38964-1 2674:"Cervical cancer" 2558:"Defining Cancer" 2336:978-1-60795-014-1 2306:978-1-4160-2973-1 2263:. 14 March 2014. 2233:978-92-832-0429-9 2189:. 14 March 2014. 2106:LGBTQ populations 1995:A description of 1902:Harald zur Hausen 1884:Aylesbury spatula 1829: 1828: 1784: 1783: 1705: 1704: 1653: 1652: 1504: 1503: 1422:Tisotumab vedotin 1359:radiation therapy 1155:Papanicolaou test 700:, but produces a 696:can be used as a 654:Long-term use of 503:radiation therapy 401:arising from the 392: 391: 343:radiation therapy 325:sexual abstinence 293:Diagnostic method 21:Medical condition 9910: 9788:Mental disorders 9601: 9594: 9587: 9578: 9577: 9344: 9343: 9254:Nongerminomatous 9156:Krukenberg tumor 9124: 9123: 9108: 9107: 9099: 9098: 9075: 9068: 9061: 9052: 9051: 8966: 8965: 8746: 8745: 8726: 8719: 8712: 8703: 8702: 8578: 8577: 8541: 8531: 8521: 8496: 8459: 8449: 8416: 8406: 8381: 8371: 8337: 8336: 8334: 8332: 8317: 8311: 8310: 8292: 8268: 8262: 8261: 8259: 8257: 8243: 8237: 8236: 8234: 8232: 8217: 8211: 8210: 8173: 8167: 8166: 8156: 8124: 8118: 8117: 8107: 8075: 8069: 8068: 8066: 8064: 8049: 8043: 8042: 8040: 8038: 8024: 8018: 8017: 7977: 7971: 7970: 7952: 7943:(5): 1051–1057. 7928: 7922: 7921: 7911: 7887: 7881: 7880: 7875:. Archived from 7864: 7858: 7857: 7845: 7839: 7838: 7826: 7820: 7819: 7807: 7798: 7797: 7785: 7779: 7778: 7776: 7774: 7759: 7753: 7752: 7742: 7718: 7712: 7711: 7701: 7690:10.1172/JCI28607 7684:(5): 1167–1173. 7669: 7663: 7661: 7651: 7641: 7609: 7603: 7602: 7582: 7576: 7575: 7566:(6): 1485–1490. 7555: 7549: 7548: 7520: 7514: 7513: 7507: 7499: 7489: 7483: 7482: 7454: 7448: 7447: 7445: 7443: 7411: 7405: 7404: 7394: 7362: 7356: 7355: 7345: 7313: 7307: 7306: 7288: 7264: 7258: 7257: 7255: 7253: 7238: 7232: 7231: 7229: 7227: 7216: 7210: 7209: 7191: 7159: 7150: 7149: 7147: 7145: 7131: 7125: 7124: 7122: 7120: 7101: 7095: 7094: 7092: 7090: 7076: 7070: 7069: 7059: 7050:(8): 3121–3123. 7035: 7029: 7024: 7018: 7015: 7009: 7008: 7006: 7004: 6989: 6983: 6982: 6964: 6940: 6934: 6933: 6931: 6929: 6914: 6908: 6907: 6902:. January 1900. 6896: 6890: 6889: 6887: 6885: 6870: 6864: 6863: 6861: 6859: 6854:. 18 August 2022 6844: 6838: 6837: 6827: 6795: 6789: 6788: 6778: 6754: 6748: 6747: 6745: 6743: 6728: 6722: 6721: 6719: 6717: 6702: 6696: 6695: 6667: 6661: 6660: 6650: 6640: 6616: 6610: 6609: 6599: 6589: 6565: 6556: 6555: 6553: 6551: 6536: 6530: 6529: 6527: 6525: 6516:. 25 June 2012. 6506: 6500: 6499: 6484: 6478: 6477: 6475: 6473: 6454: 6445: 6444: 6424: 6418: 6417: 6415: 6413: 6402: 6396: 6395: 6393: 6391: 6385: 6379:. Archived from 6378: 6370: 6364: 6363: 6353: 6321: 6315: 6314: 6304: 6287:(11): CD008767. 6272: 6266: 6265: 6231: 6222: 6213: 6212: 6202: 6185:(12): CD010401. 6170: 6164: 6163: 6153: 6121: 6115: 6114: 6112: 6110: 6101:. 15 June 2006. 6091: 6085: 6084: 6074: 6057:(10): CD011478. 6042: 6036: 6035: 6025: 6008:(11): CD005342. 5993: 5987: 5986: 5950: 5944: 5943: 5933: 5901: 5892: 5891: 5863: 5857: 5856: 5846: 5837:(8): 1877–1882. 5822: 5816: 5815: 5787: 5781: 5780: 5751: 5745: 5744: 5724: 5718: 5717: 5681: 5672: 5671: 5669: 5667: 5658:. Archived from 5651: 5645: 5644: 5616: 5610: 5609: 5599: 5567: 5561: 5560: 5535:(9): 1493–1497. 5523: 5517: 5516: 5514: 5512: 5490: 5484: 5483: 5455: 5449: 5448: 5438: 5406: 5400: 5399: 5389: 5357: 5351: 5350: 5340: 5331:(5–6): 546–556. 5316: 5310: 5309: 5299: 5267: 5261: 5260: 5258: 5256: 5242: 5236: 5235: 5217: 5189: 5183: 5182: 5154: 5148: 5147: 5146:on 19 June 2013. 5132: 5121: 5120: 5095:(7): 1166–1176. 5084: 5078: 5077: 5059: 5035: 5029: 5028: 5005: 4994: 4993: 4983: 4951: 4942: 4941: 4931: 4907: 4898: 4897: 4869: 4863: 4862: 4845:(5): 1222–1238. 4834: 4823: 4822: 4820: 4818: 4812: 4801: 4793: 4782: 4781: 4771: 4739: 4733: 4732: 4722: 4690: 4681: 4680: 4678: 4676: 4661: 4655: 4654: 4644: 4620: 4614: 4613: 4603: 4579: 4573: 4572: 4536: 4530: 4529: 4519: 4487: 4481: 4480: 4470: 4437: 4431: 4429: 4416: 4410: 4409: 4397: 4391: 4390: 4383: 4377: 4376: 4369: 4363: 4362: 4360: 4358: 4349:. Archived from 4334: 4328: 4327: 4325: 4323: 4299: 4293: 4292: 4266: 4260: 4259: 4244:DeMay M (2007). 4241: 4230: 4229: 4227: 4225: 4216:. Archived from 4210: 4201: 4200: 4198: 4196: 4190:Cleveland Clinic 4182: 4173: 4172: 4170: 4168: 4145: 4139: 4138: 4128: 4111:(12): CD006013. 4096: 4090: 4089: 4072:(5): 1155–1168. 4061: 4055: 4054: 4027: 4018: 4017: 4007: 3990:(8): 1097–1108. 3975: 3966: 3965: 3943: 3937: 3936: 3900: 3894: 3883: 3877: 3866: 3860: 3859: 3823: 3817: 3816: 3806: 3774: 3765: 3764: 3735: 3726: 3725: 3688: 3682: 3681: 3671: 3639: 3628: 3627: 3616: 3599: 3598: 3580: 3556: 3550: 3549: 3531: 3499: 3493: 3492: 3490: 3488: 3473: 3464: 3463: 3453: 3421: 3415: 3414: 3412: 3410: 3391: 3385: 3384: 3360: 3354: 3353: 3342: 3336: 3335: 3323: 3313: 3307: 3306: 3269: 3254: 3253: 3238: 3232: 3231: 3229: 3227: 3204: 3198: 3197: 3187: 3155: 3149: 3148: 3137: 3131: 3130: 3106: 3100: 3099: 3089: 3057: 3051: 3050: 3037:(5): 1369–1376. 3022: 3011: 3010: 3000: 2976: 2970: 2969: 2967: 2965: 2951: 2945: 2944: 2927: 2918: 2917: 2911: 2903: 2901: 2899: 2884: 2878: 2877: 2875: 2873: 2850: 2844: 2843: 2841: 2839: 2820: 2811: 2810: 2776: 2770: 2769: 2767: 2765: 2746: 2740: 2739: 2729: 2719: 2695: 2689: 2688: 2686: 2684: 2670: 2664: 2663: 2635: 2629: 2628: 2618: 2608: 2584: 2578: 2577: 2575: 2573: 2554: 2548: 2547: 2529: 2505: 2496: 2495: 2493: 2491: 2485: 2478: 2470: 2464: 2463: 2461: 2459: 2440: 2429: 2428: 2426: 2424: 2405: 2396: 2395: 2385: 2375: 2351: 2345: 2344: 2320: 2311: 2310: 2292: 2277: 2276: 2274: 2272: 2253: 2238: 2237: 2220: 2203: 2202: 2200: 2198: 2179: 2150: 2149: 2147: 2145: 2131: 1879:screening began. 1824: 1821: 1815: 1803: 1802: 1795: 1779: 1776: 1770: 1758: 1757: 1750: 1700: 1697: 1691: 1679: 1678: 1671: 1646: 1640: 1634: 1628: 1622: 1616: 1608: 1602: 1596: 1590: 1584: 1578: 1572: 1566: 1561:Age-standardized 1542:Nordic countries 1499: 1496: 1490: 1478: 1477: 1470: 1457: 1445: 1433: 1406:thrombocytopenia 1095: 1083: 1071: 1059: 1047: 1035: 1023: 929: 917: 896: 884: 566:loss of appetite 561:, or elsewhere. 547:Vaginal bleeding 543:free of symptoms 411:vaginal bleeding 219:vaginal bleeding 180: 175: 174: 171: 170: 167: 164: 161: 158: 155: 152: 145: 134: 128: 127: 124: 123: 120: 117: 114: 111: 108: 105: 93: 88: 87: 84: 83: 80: 77: 74: 71: 68: 65: 58: 36: 24: 23: 9918: 9917: 9913: 9912: 9911: 9909: 9908: 9907: 9883:Cervical cancer 9873: 9872: 9871: 9866: 9612: 9605: 9575: 9570: 9527: 9485: 9476:Uterine sarcoma 9464: 9455:Choriocarcinoma 9441: 9403: 9370: 9329: 9307: 9303:Meigs' syndrome 9289: 9283:Choriocarcinoma 9235: 9183: 9160: 9118: 9115: 9088: 9079: 9049: 9044: 9019: 8998: 8955: 8924:Bethesda system 8897: 8863: 8849: 8797: 8756:Cervical cancer 8740: 8733: 8730: 8700: 8695: 8694: 8657: 8656: 8589: 8562:Cervical cancer 8549: 8544: 8345: 8343:Further reading 8340: 8330: 8328: 8319: 8318: 8314: 8269: 8265: 8255: 8253: 8245: 8244: 8240: 8230: 8228: 8219: 8218: 8214: 8174: 8170: 8125: 8121: 8076: 8072: 8062: 8060: 8051: 8050: 8046: 8036: 8034: 8026: 8025: 8021: 7978: 7974: 7929: 7925: 7888: 7884: 7865: 7861: 7856:on 12 May 2013. 7846: 7842: 7837:on 12 May 2013. 7827: 7823: 7818:on 14 May 2013. 7808: 7801: 7786: 7782: 7772: 7770: 7761: 7760: 7756: 7719: 7715: 7670: 7666: 7610: 7606: 7599: 7583: 7579: 7560:Cancer Research 7556: 7552: 7521: 7517: 7501: 7500: 7490: 7486: 7455: 7451: 7441: 7439: 7412: 7408: 7363: 7359: 7314: 7310: 7265: 7261: 7251: 7249: 7239: 7235: 7225: 7223: 7218: 7217: 7213: 7160: 7153: 7143: 7141: 7133: 7132: 7128: 7118: 7116: 7103: 7102: 7098: 7088: 7086: 7078: 7077: 7073: 7036: 7032: 7027:Plunes Hospital 7025: 7021: 7016: 7012: 7002: 7000: 6991: 6990: 6986: 6941: 6937: 6927: 6925: 6916: 6915: 6911: 6898: 6897: 6893: 6883: 6881: 6880:. December 2022 6872: 6871: 6867: 6857: 6855: 6846: 6845: 6841: 6796: 6792: 6755: 6751: 6741: 6739: 6730: 6729: 6725: 6715: 6713: 6704: 6703: 6699: 6668: 6664: 6617: 6613: 6566: 6559: 6549: 6547: 6538: 6537: 6533: 6523: 6521: 6508: 6507: 6503: 6486: 6485: 6481: 6471: 6469: 6456: 6455: 6448: 6425: 6421: 6411: 6409: 6404: 6403: 6399: 6389: 6387: 6383: 6376: 6372: 6371: 6367: 6336:(3): CD011000. 6322: 6318: 6273: 6269: 6229: 6223: 6216: 6171: 6167: 6122: 6118: 6108: 6106: 6093: 6092: 6088: 6043: 6039: 5994: 5990: 5951: 5947: 5916:(5): CD007583. 5902: 5895: 5864: 5860: 5823: 5819: 5788: 5784: 5752: 5748: 5725: 5721: 5682: 5675: 5665: 5663: 5656:"Trachelectomy" 5652: 5648: 5617: 5613: 5582:(5): CD010870. 5568: 5564: 5524: 5520: 5510: 5508: 5491: 5487: 5456: 5452: 5421:(3): CD008239. 5407: 5403: 5372:(1): CD008285. 5358: 5354: 5325:Acta Oncologica 5317: 5313: 5282:(1): CD006248. 5268: 5264: 5254: 5252: 5244: 5243: 5239: 5190: 5186: 5155: 5151: 5134: 5133: 5124: 5085: 5081: 5050:(11): 725–735. 5036: 5032: 5021: 5007: 5006: 4997: 4952: 4945: 4908: 4901: 4870: 4866: 4835: 4826: 4816: 4814: 4810: 4799: 4795: 4794: 4785: 4754:(9): CD002834. 4740: 4736: 4691: 4684: 4674: 4672: 4663: 4662: 4658: 4642:10.3310/hta8200 4621: 4617: 4601:10.3310/hta4180 4580: 4576: 4537: 4533: 4488: 4484: 4438: 4434: 4417: 4413: 4398: 4394: 4385: 4384: 4380: 4371: 4370: 4366: 4356: 4354: 4335: 4331: 4321: 4319: 4300: 4296: 4289: 4267: 4263: 4256: 4242: 4233: 4223: 4221: 4212: 4211: 4204: 4194: 4192: 4184: 4183: 4176: 4166: 4164: 4146: 4142: 4097: 4093: 4062: 4058: 4029: 4028: 4021: 3976: 3969: 3962: 3944: 3940: 3901: 3897: 3884: 3880: 3867: 3863: 3824: 3820: 3775: 3768: 3736: 3729: 3689: 3685: 3640: 3631: 3618: 3617: 3602: 3557: 3553: 3500: 3496: 3486: 3484: 3475: 3474: 3467: 3422: 3418: 3408: 3406: 3393: 3392: 3388: 3377: 3361: 3357: 3350:medicinenet.com 3344: 3343: 3339: 3332: 3314: 3310: 3270: 3257: 3240: 3239: 3235: 3225: 3223: 3218:. 9 June 2006. 3206: 3205: 3201: 3156: 3152: 3145:medicinenet.com 3139: 3138: 3134: 3123: 3107: 3103: 3058: 3054: 3023: 3014: 2977: 2973: 2963: 2961: 2953: 2952: 2948: 2941: 2929: 2928: 2921: 2905: 2904: 2897: 2895: 2885: 2881: 2871: 2869: 2852: 2851: 2847: 2837: 2835: 2821: 2814: 2799: 2777: 2773: 2763: 2761: 2748: 2747: 2743: 2696: 2692: 2682: 2680: 2672: 2671: 2667: 2636: 2632: 2585: 2581: 2571: 2569: 2556: 2555: 2551: 2506: 2499: 2489: 2487: 2483: 2476: 2472: 2471: 2467: 2457: 2455: 2442: 2441: 2432: 2422: 2420: 2407: 2406: 2399: 2360:Disease Markers 2352: 2348: 2337: 2323:Kufe D (2009). 2321: 2314: 2307: 2293: 2280: 2270: 2268: 2255: 2254: 2241: 2234: 2222: 2221: 2206: 2196: 2194: 2181: 2180: 2153: 2143: 2141: 2133: 2132: 2128: 2124: 2108: 2078: 2053: 2048: 2029:Merck & Co. 2023:. In 2006, the 1990:Marek's disease 1946:It was rare in 1933:Epidemiologists 1913:Bethesda System 1895:Henrietta Lacks 1847: 1838: 1825: 1819: 1816: 1813: 1804: 1800: 1793: 1780: 1774: 1771: 1768: 1759: 1755: 1748: 1739: 1730: 1722: 1701: 1695: 1692: 1689: 1680: 1676: 1669: 1654: 1648: 1644: 1642: 1638: 1636: 1632: 1630: 1629: 19.2–21.6 1626: 1624: 1623: 16.8–19.2 1620: 1618: 1617: 14.4–16.8 1614: 1610: 1606: 1604: 1600: 1598: 1594: 1592: 1588: 1586: 1582: 1580: 1576: 1574: 1570: 1554: 1532:is 69% and for 1526: 1509: 1500: 1494: 1491: 1488: 1479: 1475: 1468: 1461: 1458: 1449: 1446: 1437: 1434: 1308:premature birth 1280: 1253: 1217: 1198: 1151: 1143:Main articles: 1111: 1106: 1099: 1096: 1087: 1084: 1075: 1072: 1063: 1060: 1051: 1048: 1039: 1036: 1027: 1024: 986:, endocervical 979: 973: 941: 938:supine position 930: 921: 918: 909: 905: 897: 888: 885: 831: 829:Cancer subtypes 811:Bethesda system 787:The naming and 773:) of carcinoma 763: 690: 677: 668: 652: 635: 602: 574: 539: 531:Henrietta Lacks 469:Medical imaging 441:Genetic factors 395:Cervical cancer 367: 362: 213: 187: 178: 149: 140: 139: 138: 132: 102: 98: 91: 62: 53: 52: 27:Cervical cancer 22: 17: 12: 11: 5: 9916: 9906: 9905: 9900: 9895: 9890: 9885: 9868: 9867: 9865: 9864: 9859: 9854: 9849: 9844: 9839: 9834: 9829: 9824: 9819: 9814: 9813: 9812: 9802: 9797: 9796: 9795: 9785: 9780: 9775: 9770: 9765: 9760: 9755: 9750: 9745: 9740: 9735: 9730: 9729: 9728: 9718: 9713: 9712: 9711: 9706: 9701: 9696: 9691: 9686: 9681: 9676: 9671: 9666: 9661: 9651: 9646: 9644:Binge drinking 9641: 9636: 9631: 9626: 9620: 9618: 9614: 9613: 9604: 9603: 9596: 9589: 9581: 9572: 9571: 9569: 9568: 9563: 9558: 9553: 9548: 9543: 9537: 9535: 9529: 9528: 9526: 9525: 9520: 9515: 9510: 9505: 9499: 9497: 9491: 9490: 9487: 9486: 9484: 9483: 9478: 9472: 9470: 9466: 9465: 9463: 9462: 9457: 9451: 9449: 9443: 9442: 9440: 9439: 9434: 9429: 9424: 9419: 9413: 9411: 9405: 9404: 9402: 9401: 9396: 9391: 9386: 9380: 9378: 9372: 9371: 9369: 9368: 9363: 9361:Leiomyosarcoma 9358: 9352: 9350: 9341: 9335: 9334: 9331: 9330: 9328: 9327: 9321: 9319: 9317:Fallopian tube 9313: 9312: 9309: 9308: 9306: 9305: 9299: 9297: 9291: 9290: 9288: 9287: 9286: 9285: 9280: 9271: 9269:Gonadoblastoma 9266: 9261: 9251: 9245: 9243: 9237: 9236: 9234: 9233: 9228: 9223: 9218: 9213: 9208: 9203: 9197: 9195: 9189: 9188: 9185: 9184: 9182: 9181: 9179:Brenner tumour 9176: 9171: 9165: 9162: 9161: 9159: 9158: 9153: 9152: 9151: 9141: 9136: 9130: 9128: 9121: 9105: 9096: 9090: 9089: 9084:of the female 9078: 9077: 9070: 9063: 9055: 9046: 9045: 9043: 9042: 9037: 9031: 9029: 9025: 9024: 9021: 9020: 9018: 9017: 9012: 9006: 9004: 9000: 8999: 8997: 8996: 8991: 8986: 8981: 8975: 8973: 8963: 8957: 8956: 8954: 8953: 8952: 8951: 8946: 8938: 8937: 8936: 8934:Cytotechnology 8931: 8921: 8920: 8919: 8907: 8905: 8899: 8898: 8896: 8895: 8894: 8893: 8888: 8877: 8875: 8869: 8868: 8865: 8864: 8857: 8855: 8851: 8850: 8848: 8847: 8846: 8845: 8840: 8835: 8830: 8825: 8820: 8815: 8807: 8805: 8799: 8798: 8796: 8795: 8794: 8793: 8783: 8778: 8773: 8768: 8758: 8752: 8750: 8743: 8735: 8734: 8729: 8728: 8721: 8714: 8706: 8697: 8696: 8693: 8692: 8678: 8666: 8665: 8663: 8659: 8658: 8655: 8654: 8643: 8632: 8621: 8606: 8590: 8585: 8584: 8582: 8581:Classification 8575: 8574: 8568: 8559: 8548: 8547:External links 8545: 8543: 8542: 8497: 8460: 8432:(5): 311–340. 8417: 8382: 8346: 8344: 8341: 8339: 8338: 8312: 8263: 8238: 8212: 8168: 8119: 8070: 8059:. 27 June 2018 8044: 8019: 7972: 7923: 7902:(2): 288–294. 7882: 7859: 7840: 7821: 7799: 7780: 7754: 7713: 7664: 7604: 7597: 7577: 7550: 7515: 7484: 7465:(3): 399–400. 7449: 7426:(2): 120–123. 7406: 7357: 7308: 7286:10.1038/nrc798 7279:(5): 342–350. 7259: 7233: 7222:. 4 April 2023 7211: 7174:(3): 217–230. 7151: 7126: 7096: 7071: 7030: 7019: 7010: 6984: 6955:(1): e19–e27. 6935: 6909: 6891: 6865: 6839: 6810:(3): 184–193. 6790: 6749: 6723: 6697: 6662: 6611: 6557: 6546:on 20 May 2007 6531: 6501: 6479: 6446: 6419: 6397: 6365: 6316: 6267: 6240:(8): 975–985. 6214: 6165: 6116: 6086: 6037: 5988: 5945: 5893: 5858: 5817: 5798:(3): 336–339. 5782: 5746: 5735:(2): 117–122. 5719: 5673: 5646: 5611: 5562: 5518: 5485: 5466:(8): 981–991. 5450: 5401: 5352: 5311: 5262: 5250:www.cancer.org 5237: 5184: 5165:(2): 366–373. 5149: 5122: 5079: 5030: 5019: 4995: 4966:(5): 611–634. 4943: 4922:(7): 674–686. 4899: 4880:(2): 211–223. 4864: 4824: 4783: 4734: 4705:(3): 448–458. 4682: 4656: 4615: 4574: 4547:(1): 129–135. 4531: 4502:(3): 147–150. 4482: 4453:(4): 268–273. 4432: 4420:Turashvili G. 4411: 4400:Turashvili G. 4392: 4378: 4364: 4329: 4294: 4287: 4261: 4254: 4231: 4202: 4174: 4140: 4091: 4056: 4019: 3967: 3960: 3938: 3911:(2): 101–108. 3895: 3878: 3861: 3818: 3766: 3727: 3700:(3): 519–526. 3683: 3654:(2): 265–270. 3629: 3600: 3571:(2): 152–164. 3551: 3514:(6): 518–527. 3494: 3483:. 1 March 2019 3481:www.cancer.gov 3465: 3436:(6): 947–952. 3416: 3386: 3375: 3355: 3337: 3330: 3308: 3281:(8): 597–604. 3255: 3233: 3199: 3150: 3132: 3121: 3101: 3052: 3012: 2991:(4): 683–684. 2971: 2946: 2939: 2919: 2879: 2845: 2812: 2797: 2771: 2741: 2690: 2665: 2646:(4): 765–778. 2630: 2579: 2549: 2520:(3): 209–249. 2497: 2465: 2430: 2397: 2366:(4): 213–227. 2346: 2335: 2312: 2305: 2278: 2239: 2232: 2204: 2151: 2125: 2123: 2120: 2107: 2104: 2077: 2074: 2066:Janette Howard 2052: 2049: 2047: 2044: 1965: 1964: 1957: 1954: 1951: 1944: 1930: 1929: 1926: 1923: 1916: 1909: 1898: 1887: 1880: 1873: 1866: 1855: 1846: 1843: 1837: 1834: 1827: 1826: 1820:September 2021 1807: 1805: 1798: 1792: 1789: 1782: 1781: 1775:September 2021 1762: 1760: 1753: 1747: 1746:United Kingdom 1744: 1738: 1737:European Union 1735: 1729: 1726: 1721: 1718: 1703: 1702: 1696:September 2021 1683: 1681: 1674: 1668: 1665: 1651: 1650: 1647: >26.4 1643: 1637: 1631: 1625: 1619: 1613: 1611: 1605: 1599: 1593: 1587: 1581: 1575: 1569: 1564: 1553: 1550: 1525: 1522: 1508: 1505: 1502: 1501: 1482: 1480: 1473: 1467: 1464: 1463: 1462: 1459: 1452: 1450: 1447: 1440: 1438: 1435: 1428: 1408:side effects. 1279: 1276: 1252: 1249: 1216: 1213: 1197: 1194: 1110: 1107: 1105: 1102: 1101: 1100: 1097: 1090: 1088: 1085: 1078: 1076: 1073: 1066: 1064: 1061: 1054: 1052: 1049: 1042: 1040: 1037: 1030: 1028: 1025: 1018: 1002:, intravenous 975:Main article: 972: 969: 943: 942: 931: 924: 922: 919: 912: 910: 906:histochemistry 898: 891: 889: 886: 879: 876: 875: 870: 865: 860: 855: 850: 847:adenocarcinoma 844: 843:(about 80–85%) 830: 827: 762: 759: 702:false negative 698:screening test 689: 686: 676: 673: 667: 664: 651: 648: 634: 631: 601: 598: 573: 570: 538: 535: 463:followed by a 457:adenocarcinoma 390: 389: 388:341,831 (2020) 386: 382: 381: 378: 374: 373: 356: 350: 349: 332: 328: 327: 309: 305: 304: 300:followed by a 295: 289: 288: 270: 264: 263: 257: 253: 252: 249:adenocarcinoma 242: 238: 237: 234: 230: 229: 207: 201: 200: 195: 189: 188: 186: 185: 49: 47: 43: 42: 38: 37: 29: 28: 20: 15: 9: 6: 4: 3: 2: 9915: 9904: 9901: 9899: 9896: 9894: 9891: 9889: 9886: 9884: 9881: 9880: 9878: 9863: 9860: 9858: 9855: 9853: 9850: 9848: 9845: 9843: 9840: 9838: 9835: 9833: 9832:Schizophrenia 9830: 9828: 9825: 9823: 9820: 9818: 9815: 9811: 9808: 9807: 9806: 9803: 9801: 9798: 9794: 9791: 9790: 9789: 9786: 9784: 9781: 9779: 9776: 9774: 9771: 9769: 9766: 9764: 9761: 9759: 9756: 9754: 9751: 9749: 9746: 9744: 9741: 9739: 9736: 9734: 9731: 9727: 9724: 9723: 9722: 9719: 9717: 9714: 9710: 9707: 9705: 9702: 9700: 9697: 9695: 9692: 9690: 9687: 9685: 9682: 9680: 9677: 9675: 9672: 9670: 9667: 9665: 9662: 9660: 9657: 9656: 9655: 9652: 9650: 9647: 9645: 9642: 9640: 9637: 9635: 9632: 9630: 9627: 9625: 9622: 9621: 9619: 9615: 9610: 9602: 9597: 9595: 9590: 9588: 9583: 9582: 9579: 9567: 9564: 9562: 9559: 9557: 9554: 9552: 9549: 9547: 9544: 9542: 9539: 9538: 9536: 9534: 9530: 9524: 9523:Vaginal cysts 9521: 9519: 9516: 9514: 9511: 9509: 9506: 9504: 9501: 9500: 9498: 9496: 9492: 9482: 9479: 9477: 9474: 9473: 9471: 9467: 9461: 9458: 9456: 9453: 9452: 9450: 9448: 9444: 9438: 9435: 9433: 9430: 9428: 9425: 9423: 9420: 9418: 9415: 9414: 9412: 9410: 9406: 9400: 9397: 9395: 9392: 9390: 9387: 9385: 9382: 9381: 9379: 9377: 9373: 9367: 9364: 9362: 9359: 9357: 9354: 9353: 9351: 9349: 9345: 9342: 9340: 9336: 9326: 9323: 9322: 9320: 9318: 9314: 9304: 9301: 9300: 9298: 9296: 9292: 9284: 9281: 9279: 9278:Struma ovarii 9275: 9272: 9270: 9267: 9265: 9262: 9260: 9257: 9256: 9255: 9252: 9250: 9247: 9246: 9244: 9242: 9238: 9232: 9229: 9227: 9224: 9222: 9219: 9217: 9214: 9212: 9209: 9207: 9204: 9202: 9199: 9198: 9196: 9194: 9190: 9180: 9177: 9175: 9172: 9170: 9167: 9166: 9163: 9157: 9154: 9150: 9147: 9146: 9145: 9142: 9140: 9137: 9135: 9132: 9131: 9129: 9125: 9122: 9120: 9119:stromal tumor 9113: 9109: 9106: 9104: 9100: 9097: 9095: 9091: 9087: 9083: 9076: 9071: 9069: 9064: 9062: 9057: 9056: 9053: 9041: 9038: 9036: 9033: 9032: 9030: 9026: 9016: 9013: 9011: 9008: 9007: 9005: 9001: 8995: 8992: 8990: 8987: 8985: 8982: 8980: 8977: 8976: 8974: 8972: 8967: 8964: 8962: 8958: 8950: 8949:Cervicography 8947: 8945: 8942: 8941: 8939: 8935: 8932: 8930: 8929:Cytopathology 8927: 8926: 8925: 8922: 8918: 8915: 8914: 8912: 8909: 8908: 8906: 8904: 8900: 8892: 8889: 8887: 8884: 8883: 8882: 8879: 8878: 8876: 8874: 8870: 8861: 8858:Acrochordon ( 8856: 8852: 8844: 8841: 8839: 8836: 8834: 8831: 8829: 8826: 8824: 8821: 8819: 8816: 8814: 8811: 8810: 8809: 8808: 8806: 8804: 8800: 8791: 8787: 8784: 8782: 8779: 8777: 8774: 8772: 8769: 8767: 8764: 8763: 8762: 8759: 8757: 8754: 8753: 8751: 8747: 8744: 8742: 8736: 8727: 8722: 8720: 8715: 8713: 8708: 8707: 8704: 8691: 8688: 8684: 8683: 8679: 8677: 8673: 8672: 8668: 8667: 8664: 8660: 8653: 8649: 8648: 8644: 8642: 8638: 8637: 8633: 8631: 8627: 8626: 8622: 8620: 8616: 8615: 8611: 8607: 8605: 8601: 8600: 8596: 8592: 8591: 8588: 8583: 8579: 8572: 8569: 8567: 8563: 8560: 8558: 8554: 8551: 8550: 8539: 8535: 8530: 8525: 8520: 8515: 8511: 8507: 8503: 8498: 8494: 8490: 8486: 8482: 8478: 8474: 8470: 8466: 8461: 8457: 8453: 8448: 8443: 8439: 8435: 8431: 8427: 8423: 8418: 8414: 8410: 8405: 8400: 8396: 8392: 8388: 8383: 8379: 8375: 8370: 8365: 8361: 8357: 8353: 8348: 8347: 8326: 8322: 8316: 8308: 8304: 8300: 8296: 8291: 8286: 8282: 8278: 8274: 8267: 8252: 8248: 8242: 8226: 8222: 8216: 8208: 8204: 8200: 8196: 8192: 8188: 8184: 8180: 8172: 8164: 8160: 8155: 8150: 8146: 8142: 8138: 8134: 8130: 8123: 8115: 8111: 8106: 8101: 8097: 8093: 8089: 8085: 8081: 8074: 8058: 8054: 8048: 8033: 8029: 8023: 8015: 8011: 8007: 8003: 7999: 7995: 7991: 7987: 7983: 7976: 7968: 7964: 7960: 7956: 7951: 7946: 7942: 7938: 7934: 7927: 7919: 7915: 7910: 7905: 7901: 7897: 7893: 7886: 7878: 7874: 7870: 7863: 7855: 7851: 7844: 7836: 7832: 7825: 7817: 7813: 7806: 7804: 7795: 7791: 7784: 7768: 7764: 7758: 7750: 7746: 7741: 7736: 7732: 7728: 7724: 7717: 7709: 7705: 7700: 7695: 7691: 7687: 7683: 7679: 7675: 7668: 7659: 7655: 7650: 7645: 7640: 7635: 7631: 7627: 7623: 7619: 7615: 7608: 7600: 7594: 7590: 7589: 7581: 7573: 7569: 7565: 7561: 7554: 7546: 7542: 7538: 7534: 7530: 7526: 7519: 7511: 7505: 7497: 7496: 7488: 7480: 7476: 7472: 7468: 7464: 7460: 7453: 7437: 7433: 7429: 7425: 7421: 7417: 7410: 7402: 7398: 7393: 7388: 7384: 7380: 7376: 7372: 7368: 7361: 7353: 7349: 7344: 7339: 7335: 7331: 7328:(1): djv302. 7327: 7323: 7319: 7312: 7304: 7300: 7296: 7292: 7287: 7282: 7278: 7274: 7270: 7263: 7248: 7244: 7237: 7221: 7215: 7207: 7203: 7199: 7195: 7190: 7185: 7181: 7177: 7173: 7169: 7165: 7158: 7156: 7140: 7136: 7130: 7114: 7110: 7106: 7100: 7085: 7081: 7075: 7067: 7063: 7058: 7053: 7049: 7045: 7041: 7034: 7028: 7023: 7014: 6998: 6994: 6988: 6980: 6976: 6972: 6968: 6963: 6958: 6954: 6950: 6946: 6939: 6923: 6919: 6913: 6905: 6901: 6895: 6879: 6875: 6869: 6853: 6849: 6843: 6835: 6831: 6826: 6821: 6817: 6813: 6809: 6805: 6801: 6794: 6786: 6782: 6777: 6772: 6768: 6764: 6760: 6753: 6737: 6733: 6727: 6711: 6707: 6701: 6693: 6689: 6685: 6681: 6677: 6673: 6666: 6658: 6654: 6649: 6644: 6639: 6634: 6630: 6626: 6622: 6615: 6607: 6603: 6598: 6593: 6588: 6583: 6579: 6575: 6571: 6564: 6562: 6545: 6541: 6535: 6519: 6515: 6511: 6505: 6497: 6493: 6489: 6483: 6467: 6463: 6459: 6453: 6451: 6442: 6438: 6434: 6430: 6423: 6407: 6401: 6382: 6375: 6369: 6361: 6357: 6352: 6347: 6343: 6339: 6335: 6331: 6327: 6320: 6312: 6308: 6303: 6298: 6294: 6290: 6286: 6282: 6278: 6271: 6263: 6259: 6255: 6251: 6247: 6243: 6239: 6235: 6228: 6221: 6219: 6210: 6206: 6201: 6196: 6192: 6188: 6184: 6180: 6176: 6169: 6161: 6157: 6152: 6147: 6143: 6139: 6136:(14): e0340. 6135: 6131: 6127: 6120: 6104: 6100: 6096: 6090: 6082: 6078: 6073: 6068: 6064: 6060: 6056: 6052: 6048: 6041: 6033: 6029: 6024: 6019: 6015: 6011: 6007: 6003: 5999: 5992: 5984: 5980: 5976: 5972: 5968: 5964: 5960: 5956: 5949: 5941: 5937: 5932: 5927: 5923: 5919: 5915: 5911: 5907: 5900: 5898: 5889: 5885: 5881: 5877: 5873: 5869: 5862: 5854: 5850: 5845: 5840: 5836: 5832: 5828: 5821: 5813: 5809: 5805: 5801: 5797: 5793: 5786: 5778: 5774: 5770: 5766: 5762: 5758: 5750: 5742: 5738: 5734: 5730: 5723: 5715: 5711: 5707: 5703: 5699: 5695: 5691: 5687: 5680: 5678: 5661: 5657: 5650: 5642: 5638: 5634: 5630: 5626: 5622: 5615: 5607: 5603: 5598: 5593: 5589: 5585: 5581: 5577: 5573: 5566: 5558: 5554: 5550: 5546: 5542: 5538: 5534: 5530: 5522: 5506: 5502: 5501: 5496: 5489: 5481: 5477: 5473: 5469: 5465: 5461: 5454: 5446: 5442: 5437: 5432: 5428: 5424: 5420: 5416: 5412: 5405: 5397: 5393: 5388: 5383: 5379: 5375: 5371: 5367: 5363: 5356: 5348: 5344: 5339: 5334: 5330: 5326: 5322: 5315: 5307: 5303: 5298: 5293: 5289: 5285: 5281: 5277: 5273: 5266: 5251: 5247: 5241: 5233: 5229: 5225: 5221: 5216: 5215:2027.42/86903 5211: 5207: 5203: 5199: 5195: 5188: 5180: 5176: 5172: 5168: 5164: 5160: 5153: 5145: 5141: 5137: 5131: 5129: 5127: 5118: 5114: 5110: 5106: 5102: 5098: 5094: 5090: 5083: 5075: 5071: 5067: 5063: 5058: 5053: 5049: 5045: 5041: 5034: 5026: 5022: 5016: 5012: 5011: 5004: 5002: 5000: 4991: 4987: 4982: 4977: 4973: 4969: 4965: 4961: 4957: 4950: 4948: 4939: 4935: 4930: 4925: 4921: 4917: 4913: 4906: 4904: 4895: 4891: 4887: 4883: 4879: 4875: 4868: 4860: 4856: 4852: 4848: 4844: 4840: 4833: 4831: 4829: 4809: 4805: 4798: 4792: 4790: 4788: 4779: 4775: 4770: 4765: 4761: 4757: 4753: 4749: 4745: 4738: 4730: 4726: 4721: 4716: 4712: 4708: 4704: 4700: 4696: 4689: 4687: 4670: 4666: 4660: 4652: 4648: 4643: 4638: 4634: 4630: 4626: 4619: 4611: 4607: 4602: 4597: 4593: 4589: 4585: 4578: 4570: 4566: 4562: 4558: 4554: 4550: 4546: 4542: 4535: 4527: 4523: 4518: 4513: 4509: 4505: 4501: 4497: 4493: 4486: 4478: 4474: 4469: 4464: 4460: 4456: 4452: 4448: 4447:Iran J Pathol 4444: 4436: 4427: 4423: 4415: 4407: 4403: 4396: 4388: 4382: 4374: 4368: 4352: 4348: 4344: 4340: 4333: 4317: 4313: 4309: 4305: 4298: 4290: 4284: 4280: 4276: 4272: 4265: 4257: 4251: 4247: 4240: 4238: 4236: 4219: 4215: 4209: 4207: 4191: 4187: 4181: 4179: 4163: 4159: 4155: 4151: 4144: 4136: 4132: 4127: 4122: 4118: 4114: 4110: 4106: 4102: 4095: 4087: 4083: 4079: 4075: 4071: 4067: 4066:Radiographics 4060: 4052: 4048: 4044: 4040: 4036: 4035:NIHR Evidence 4032: 4026: 4024: 4015: 4011: 4006: 4001: 3997: 3993: 3989: 3985: 3981: 3974: 3972: 3963: 3957: 3953: 3949: 3942: 3934: 3930: 3926: 3922: 3918: 3914: 3910: 3906: 3899: 3892: 3891:0-7817-9512-5 3888: 3882: 3875: 3874:1-4377-3608-4 3871: 3865: 3857: 3853: 3849: 3845: 3841: 3837: 3833: 3829: 3822: 3814: 3810: 3805: 3800: 3796: 3792: 3788: 3784: 3780: 3773: 3771: 3762: 3758: 3754: 3750: 3747:(1): 99–103. 3746: 3742: 3734: 3732: 3723: 3719: 3715: 3711: 3707: 3703: 3699: 3695: 3687: 3679: 3675: 3670: 3665: 3661: 3657: 3653: 3649: 3645: 3638: 3636: 3634: 3625: 3621: 3615: 3613: 3611: 3609: 3607: 3605: 3596: 3592: 3588: 3584: 3579: 3574: 3570: 3566: 3562: 3555: 3547: 3543: 3539: 3535: 3530: 3525: 3521: 3517: 3513: 3509: 3505: 3498: 3482: 3478: 3472: 3470: 3461: 3457: 3452: 3447: 3443: 3439: 3435: 3431: 3427: 3420: 3404: 3400: 3396: 3390: 3382: 3378: 3372: 3368: 3367: 3359: 3351: 3347: 3341: 3333: 3327: 3322: 3321: 3312: 3304: 3300: 3296: 3292: 3288: 3284: 3280: 3276: 3268: 3266: 3264: 3262: 3260: 3251: 3247: 3243: 3237: 3221: 3217: 3213: 3209: 3203: 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May 2022 6884:21 January 6858:21 January 6574:BMC Cancer 6514:Cancer.Net 6109:2 December 5666:2 December 5511:2 December 4817:8 November 4357:2 December 4322:2 December 4154:StatPearls 3409:2 December 3226:2 December 3170:(4): e43. 2964:1 November 2599:: 192087. 2122:References 2062:Ian Frazer 1863:colposcope 1859:Hinselmann 1524:By country 1495:March 2021 1348:colposcopy 1170:colposcopy 1012:conization 996:cystoscopy 984:colposcopy 960:lymph node 934:clock face 834:Histologic 801:carcinoma 789:histologic 752:ultrasound 746:up higher. 709:colposcopy 626:epithelial 551:metastases 455:, 10% are 308:Prevention 9822:Pneumonia 9810:childhood 9241:Germ cell 9003:Treatment 8984:Koilocyte 8971:histology 8903:Screening 8860:skin tags 8843:Papilloma 8690:radio/140 8682:eMedicine 8307:225096075 8014:239027566 7504:cite book 6678:: 73–81. 6524:27 August 4675:1 October 4308:eMedicine 4224:3 January 4051:265201829 3856:211728228 3722:205679729 2544:231804598 2490:29 August 2144:5 October 2051:Australia 1999:(HPV) by 1850:400 BCE: 1667:Australia 1466:Prognosis 1378:cisplatin 1278:Treatment 1268:vitamin E 1264:vitamin C 1256:Vitamin A 1251:Nutrition 1208:Chlamydia 1109:Screening 1004:urography 988:curettage 797:dysplasia 744:leiomyoma 675:Diagnosis 483:Pap tests 377:Frequency 354:Prognosis 331:Treatment 285:young age 193:Specialty 9852:Syphilis 9763:HIV/AIDS 9721:Dementia 9694:prostate 9689:lymphoma 9669:cervical 9639:Bed bugs 9546:Melanoma 9447:Placenta 9274:Teratoma 8911:Pap test 8891:Gardasil 8886:Cervarix 8741:diseases 8538:24261839 8493:11059712 8485:15262102 8456:28717717 8413:30306584 8378:21471563 8299:33109526 8207:22036018 8199:27142466 8163:26160483 8114:31661659 8006:34662598 7986:Prev Med 7967:26033629 7959:15329915 7918:17267388 7749:16595773 7708:16670757 7545:13583012 7479:88311393 7436:Archived 7432:12674663 7401:29366703 7352:26467666 7295:12044010 7252:15 April 7226:15 April 7206:14373353 7198:20331326 7189:10437588 7113:Archived 7066:25921107 6979:52924713 6971:30291040 6922:Archived 6904:Archived 6834:28304416 6785:20508781 6710:Archived 6692:81552501 6657:28217724 6606:21668947 6550:24 March 6518:Archived 6496:Archived 6441:31335091 6360:30888060 6311:24277645 6262:21911045 6254:25922209 6209:25470408 6160:29620661 6130:Medicine 6103:Archived 6081:30311942 6032:27873308 5983:24115541 5975:12842378 5940:22592722 5888:12548192 5853:10760765 5777:15936061 5741:15918265 5714:22958941 5706:16493253 5606:24874726 5557:42161609 5549:28691384 5505:Archived 5445:35289396 5396:20091664 5347:14596512 5306:23440805 5232:38761694 5224:21749626 5179:22005522 5117:24695684 5109:19823051 5066:12438912 5025:Archived 4990:29094100 4938:30140884 4894:23732026 4859:23090560 4808:Archived 4778:34694000 4729:20176693 4669:Archived 4651:15147611 4610:10932023 4569:58656013 4561:30656645 4526:33100952 4477:32944038 4343:OncoLink 4316:Archived 4162:31335091 4135:22161395 4086:11553823 4014:35835138 3933:21356776 3925:14871510 3848:32114321 3813:23019238 3761:15949888 3714:23360813 3678:23146688 3595:25400770 3587:16362994 3538:12571259 3460:11392939 3381:Archived 3303:25447563 3295:21438669 3250:Archived 3220:Archived 3194:27171673 3127:Archived 3096:32007142 3047:Archived 3043:10735343 3007:32228872 2908:cite web 2866:Archived 2832:Archived 2807:24008298 2758:Archived 2736:34680286 2660:24275269 2625:25045355 2566:Archived 2536:33538338 2481:Archived 2452:Archived 2417:Archived 2392:17627057 2341:Archived 2265:Archived 2191:Archived 1877:Pap test 1536:is 57%. 1394:hycamtin 1382:adjuvant 1352:safe sex 1233:perineum 1229:Cervarix 1225:Gardasil 1149:Pap test 952:lymphoma 948:melanoma 694:Pap test 251:, others 205:Symptoms 198:Oncology 9842:Suicide 9805:Obesity 9778:Measles 9768:Leprosy 9709:ovarian 9704:stomach 9659:bladder 9607:Global 9469:General 9295:Fibroma 9226:Luteoma 9216:Thecoma 9103:Ovaries 9028:History 8969:Biopsy 8873:Vaccine 8818:plantar 8813:genital 8771:Vaginal 8761:cancers 8749:Cancers 8739:Related 8687:med/324 8641:D002583 8564:at the 8555:by the 8529:3871005 8447:5493265 8154:4636588 8105:7188565 7767:UN News 7699:1451224 7658:6304740 7626:Bibcode 7572:4352386 7392:6054558 7371:Vaccine 7343:4862406 7303:4991177 6928:7 March 6825:5358514 6776:2876324 6648:5297234 6597:3146446 6580:: 240. 6351:6423555 6302:8969617 6200:6402532 6151:5902288 6072:6516889 6023:4164460 5931:4171000 5812:8812529 5641:8244170 5597:6513277 5480:6837683 5436:8922407 5387:7105912 5297:7387233 5074:9869956 4981:5646902 4804:cdc.gov 4769:8543674 4720:2826099 4517:7573334 4468:7477676 4126:4161490 4005:9630146 3804:3970163 3669:4627848 3546:1451343 3451:1446473 3185:4864519 3087:7043006 2872:18 June 2838:24 June 2764:8 March 2727:8533931 2704:Cancers 2616:4086375 2572:10 June 2458:25 June 2423:25 June 2383:3850867 2271:25 June 2197:24 June 1961:rabbits 1845:History 1836:Nigeria 1810:updated 1765:updated 1686:updated 1485:updated 971:Staging 954:. 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Index


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Human papillomavirus infection
Risk factors
Smoking
weak immune system
birth control pills
young age
Diagnostic method
Cervical screening
biopsy
HPV vaccines
sexual intercourse
condoms
sexual abstinence

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