Cancer du col de l

It is possible to beat this cancer that affects 50 to 70 Reunion women each year


Let’s review our prevention information for uterine health! What is cervical cancer? How to prevent it? What is HPV? Who is affected? Elements of response with Dr. Phuong Lien TRAN, obstetrician gynecologist at Reunion University Hospital, researcher at the University & member of the technical committee of the CRCDC – Reunion.

1. Tell us about your job, your daily assignments in the fight against cervical cancer.
My fight against cervical cancer begins as a teenager, where I promote HPV (papillomavirus) vaccination at 11-19 years old. Then I screen patients who come to see me for a smear or HPV test. In some cases of abnormalities, I perform a colposcopy, further examination of the neck. If cancer is discovered, I have to operate on the patients, coordinate their care with other specialists (oncologist, radiotherapist, etc.). And finally, in patients who have been treated for cervical cancer, I make sure they are followed up regularly to avoid recurrences.

2. Who are the Reunion women affected by uterine cancer?
The average age of discovery for cervical cancer in Reunion is 51 years. Risk factors for cervical cancer include multiple partners and smoking. This cancer is often found on bleeding after intercourse.

3. What are the human papillomaviruses that cause cervical cancer? Do they only affect the cervix?
Cervical cancers are caused by viruses in the human papillomavirus (HPV) family; these viruses are sexually transmitted. In general, the body manages to eliminate them, but in some cases, these infections can persist and cause damage to the cervix. These lesions may, in some cases, eventually progress to cancer. Cervical cancer develops very slowly, on lesions caused by this infection which are sometimes identifiable several years before the onset of the cancer.

Because these viruses are sexually transmitted, HPVs are responsible for eight cancer sites: cervix, anus, oropharynx, vulva, vagina, oral cavity, larynx, and penis. So it’s not just a women’s case … Every year in France, 6,400 new cases of cancer are linked to HPV. While the majority of these cancers affect women, a quarter affect men.

4. What are the 2 steps to prevent the risk of HPV?
The first step is to vaccinate our teens. Today, HPV vaccination prevents up to 90% of HPV infections that cause cancer. It is indicated for girls or boys from the age of 11 to 14, with a possible vaccination catch up to 19 years.
The second preventative measure is smearing or the test H PV, recommended for women aged 25 to 65. It is also aimed at women vaccinated against HPV.

5. What is the smear of screening and which women are affected?
Screening is based on the analysis of a sample at the cervix. This exam can be done by your doctor, gynecologist, or midwife.

Screening smears can be used to detect abnormal cervical cells (cytology or smears) or the presence of the virus (HPV test) as soon as possible. Between the ages of 25 and 29, it is recommended that two cytological examinations be performed 1 year apart and then 3 years later if the result of the first two is normal.

Between the ages of 30 and 65, HPV testing is performed every 5 years (starting 3 years after the last normal cytological examination or as early as 30 years of age in the absence of previous screening). It should be continued even after menopause. Depending on your personal history, the doctor may offer you a closer follow-up. Before the age of 25 and after the age of 65, it is the health professional who provides your gynecological follow-up who determines, on a case-by-case basis, whether your situation requires you to be screened.

On the occasion of June Green, take a niche for your health, contact the Regional Screening Coordination Center, to check where you are in your cervical screening course!
The CRCDC – La Réunion is responsible for sending invitations sent by mail to women affected by cervical cancer screening. If you have not received this invitation, you can contact our team to review your situation. (0262 30 90 90 – Mail: crcdc-reunion@orange.fr – Facebook page: CRCDC La Réunion)

KEY FIGURES

  • participation in uterine cancer screening is growing well in La Réunion, reaching 65% (French Public Health Figures last triennial evaluation (2018-2020)
  • 59 cervical cancers detected in 2013
  • 90% of cancers can be cured if taken in time
  • as part of the organized screening, the analysis is 100% supported, with no advance fees

CRCDC La Réunion website: https://www.depistage-cancers-la-reunion.re
INCa website https://www.e-cancer.fr/
Article Ma Santé.re https://masante.oiis.re/portal/thematiques/cancer/depistage-du-cancer-du-col-de-l-uterus-organize-a-la-reunion,278,884.html?fbclid=IwAR21SQRfuuX3xbPaKoSawpefHCZhLXMDQw9

Press release CRCDC La Réunion * June 2022. Sources: Institut National du Cancer, Santé Publique France, ARS La Réunion, CRCDC La Réunion.

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