Evaluating patients for cervical cancer, staging cervical cancer and communicating with patients about cervical cancer screening and fertility-sparing treatment options can be challenging. This collection of frequently asked questions provides resources to help you navigate cervical cancer screening, diagnosis and evaluation.
1. How can we increase cervical cancer awareness in patients?
Talking with patients to increase cervical cancer awareness is an opportunity to educate them about human papillomavirus (HPV) and help them understand HPV's role in cervical cancer. Broaching this sometimes delicate subject often relies on having a strong relationship with your patients. Be frank that HPV infections that can lead to cancer are preventable, and stress the importance of regular screening and the HPV vaccine for younger patients.
2. How does ultrasound aid cervical cancer screening and pre-surgical evaluation?
Ultrasound is often used to evaluate patients before surgery or after finding cancerous cells during screening by cytology, which is recommended every three years for patients ages 21 to 65. 3D ultrasound imaging with color Doppler helps physicians evaluate blood flow within the cervix and vascularity within masses or lesions.
3. What is the best technology for staging cervical cancer: 3D ultrasound or MRI?
Staging cervical cancer is a critical part of treating the disease properly, and a detailed scan of the cervix is necessary to help stage this cancer accurately. Traditionally, MRI has been used for staging cervical cancer, but a growing body of evidence suggests that 3D ultrasound is equally effective.
4. What is the best way to explain abnormal pap smear results to patients?
When your patient has an abnormal pap smear, it is important to communicate clearly what their risks and options are. Reassure them without sacrificing honesty or accuracy: Clearly outline the next steps for possible cervical cancer evaluation or treatment. Explain that most abnormal Pap smear results do not progress to cancer and that cervical cancer is very treatable when identified early.
5. How can you explain fertility-sparing surgery options to patients with cervical cancer?
When discussing options for treating cervical cancer, explain to patients what fertility-sparing surgery is, along with its risks and benefits. First, it is crucial to know whether your patient may want to become pregnant following treatment and recovery. Patients may have multiple options, including cryosurgery, laser surgery, conization and radical trachelectomy, depending on their health and other parameters. Learn more about which surgeries are options for which stages and how to clearly communicate the options to your patients.
When caring for patients with cervical cancer, knowing how to discuss cervical cancer screening, staging and fertility-sparing options for treatment builds a foundation for maintaining a good relationship with your patients and easing their concerns.
