1. High risk HPV (types 16 and 18) infects and integrates into the basal cells of the cervical squamous epithelium, blocking tumor suppressor genes p53 and pRB and causing abnormal cell growth.
2. This leads to cervical intraepithelial neoplasia (CIN) and squamous intraepithelial lesions (SIL) as mutated cells proliferate.
3. Without treatment, CIN/SIL can progress to invasive cervical cancer where the tumor fills the cervix and spreads to distant organs via lymphatic or blood vessels.
1. High risk HPV (types 16 and 18) infects and integrates into the basal cells of the cervical squamous epithelium, blocking tumor suppressor genes p53 and pRB and causing abnormal cell growth.
2. This leads to cervical intraepithelial neoplasia (CIN) and squamous intraepithelial lesions (SIL) as mutated cells proliferate.
3. Without treatment, CIN/SIL can progress to invasive cervical cancer where the tumor fills the cervix and spreads to distant organs via lymphatic or blood vessels.
1. High risk HPV (types 16 and 18) infects and integrates into the basal cells of the cervical squamous epithelium, blocking tumor suppressor genes p53 and pRB and causing abnormal cell growth.
2. This leads to cervical intraepithelial neoplasia (CIN) and squamous intraepithelial lesions (SIL) as mutated cells proliferate.
3. Without treatment, CIN/SIL can progress to invasive cervical cancer where the tumor fills the cervix and spreads to distant organs via lymphatic or blood vessels.
1. High risk HPV (types 16 and 18) infects and integrates into the basal cells of the cervical squamous epithelium, blocking tumor suppressor genes p53 and pRB and causing abnormal cell growth.
2. This leads to cervical intraepithelial neoplasia (CIN) and squamous intraepithelial lesions (SIL) as mutated cells proliferate.
3. Without treatment, CIN/SIL can progress to invasive cervical cancer where the tumor fills the cervix and spreads to distant organs via lymphatic or blood vessels.
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Pathophysiology of Cervical Cancer
High risk HPV (16, 18, 31) Risk factors:
Early age of coitus Invasion of the basal cell of the Multiple sexual partners squamous epithelium of the Unsafe sexual practices cervix
Integration of viral DNA
p53 and pRB tumor suppressor
genes are blocked/deactivated Barrel-shaped cervix
Mutation and cell proliferation
CIN/SIL Tumor fills the entire
Co-carcinogens Carcinoma in situ cervix
Metastasis to distant body parts
Invasive cancer Tissue necrosis and sloughing Increased tumor growth Lymph invasion Hypermetabolic Increased activitypressure to the surrounding tissues, nerves and bladder Fistula formation Hemorrhage Infection of cell proliferation and Enlargement of lymph increased tumor growth nodes needs Leakage of Metrorrhagia Foul- urine and Pelvic and back pain Venous and Ureteral Bleeding smelling Dysuria feces into the obstruction after coitus vaginal vagina Anorexia anemia discharge Weight Hydronephrosi Leg edema loss s