According to the Singapore Cancer Society, cervical cancer is the 10th most common cancer amongst women in Singapore. The cervix is made up of millions of cells, and when changes occur and are left untreated, this can develop into cervical cancer. The most common cause of cervical cancer comes from persistent infection of the cervix with high-risk human papillomavirus (HPV).
January marks Cervical Cancer Awareness Month. We speak to Dr Cindy Pang, obstetrician and gynaecologist at Mount Elizabeth Novena Hospital, to dispel five of the most common myths and misconceptions about the condition.
Fact: HPV is very common. Most men and women will get this infection in their lifetime. 90% of them will clear the infection on their own in two years. The probability of getting cervical pre-cancer and cancer with HPV infection only increases in 10% of the patients who take longer than 2 years to clear the infection.
Fact: This infection is more common than other sexually transmitted diseases as it is also spread by intimate skin to skin contact. The more sexual partners the higher the risk of exposure. However, it is still possible for people in monogamous relationships to get infected.
Fact: The most common type of cervical cancer is due to HPV infections – such as squamous cell carcinomas and adenocarcinoma. There are less than 5% of cervical cancers which are due to genetic reasons and hereditary, such as minimal deviation adenocarcinoma (MDA) with Peutz-Jeghers syndrome.
Fact: Screening aims to look and treat for pre-cancer of the cervix before it turns cancerous. Pre-cancer of the cervix has no symptoms and can be present years before cancer develops.
Fact: The vaccine only protects against only up to 7 of the HPV types that can cause cancer. There are about 14 high-risk HPV types. Also, the efficacy of the vaccine is lower in patients who are older or have already been exposed to HPV before vaccination. All women, including those who are vaccinated, need regular screening with Pap smears and (if they are age 30 or older) a HPV test.
Text: Cheryl Lai-Lim/HerWorld
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- cancer
- cervical cancer
- doctor