Tuesday, 19 March 2019

What may cause Cancer Cx? Cancer of womb-is interrelated to ulcer in the mouth of womb?


 Doubts & Debates on Debate 1:-“Correlation of childbirth trauma with genesis of cervical erosion and later Ca Cx? Debate 2: How best to differentiate visually four almost similar clinical conditions like 1) cervical erosion, 2) Cx ectropion, 3) Cx cancer & 4) chlamydial Cx changes??
 Why this Question? Ans to first query?? Ans:-Bad or significant cervical erosions are seen in women who have had 1 or more normal deliveries. By contrast
Patients who have undergone caesarean sections have smooth, pink and healthy cervix. Is that your observation of members too? Does the wear and tear during delivery makes cervix more prone to erosions.--> consequently Ca cervix??  Top of Form

Secondly does caesarean protects against Ca cervix. Many clinicians have a feeling that found erosions more common with vaginitis and discharge. Erosion are not related to with LSCS or vaginal delivery as such


How to define Cx erosion clinically?? Ans:-Cervical ectropion is a condition where cells from inside the cervix (endocervical canal) form a red, inflammed patch on the outside the cervix.
Q.2: What causes cervical ectropion??


Q.3:- Does cervical erosion require treatment?
, cervical ectropion is not usually a health concern.
Q.How a erosion or Ectropion deceives a clinician?? Ans:-The way it looks, it can be hard to distinguish from the early stages of cervical cancer. For this reason, it is essential to understand the difference between the two conditions.We the clinicians must, therefore explore & be aware of  the causes, symptoms, and treatments for cervical ectropion & erosion abd be aware of  how these two clinical visual conditions differs from Third visual abnormality cervical cancer and  4th visual abnormality of  chlamydia.
What is cervical ectropion?
The cervix is the narrow part of the uterus that joins the top of the vagina.  Cervical ectropion is a condition that affects cells in the cervix. Cervix has different sorts of cells on the portio --outside (vaginal portion) than it does on the inside (the cervical canal).
The soft cells on the inside of the cervix(columnar Cells-glandular cells-not surface epithelial cells)  are known as glandular cells, but the medical term for them is columnar epithelium. By contrast , the hard cells on the outside of the cervix(portio)  are known as squamous epithelial cells. Normally in healthy women only have glandular cells on the inside of their cervix. By contrast, when the glandular cells appear on the outside of the cervix we level it as Cervical ectropion .


What do  we mean by  the transformation zone (TZ)?? The area on the outside of the cervix where glandular cells come into contact with squamous epithelial (junctional area between glandular cells) - is called the transformation zone or the stratified squamous epithelium.

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