Cervical cancer: A global health crisis

Cancer. 2017 Jul 1;123(13):2404-2412. doi: 10.1002/cncr.30667. Epub 2017 May 2.

Abstract

Cervical cancer is the fourth most common malignancy diagnosed in women worldwide. Nearly all cases of cervical cancer result from infection with the human papillomavirus, and the prevention of cervical cancer includes screening and vaccination. Primary treatment options for patients with cervical cancer may include surgery or a concurrent chemoradiotherapy regimen consisting of cisplatin-based chemotherapy with external beam radiotherapy and brachytherapy. Cervical cancer causes more than one quarter of a million deaths per year as a result of grossly deficient treatments in many developing countries. This warrants a concerted global effort to counter the shocking loss of life and suffering that largely goes unreported. This article provides a review of the biology, prevention, and treatment of cervical cancer, and discusses the global cervical cancer crisis and efforts to improve the prevention and treatment of the disease in underdeveloped countries. Cancer 2017;123:2404-12. © 2017 American Cancer Society.

Keywords: Cervix Cancer Research Network (CCRN); Gynecological Cancer InterGroup (GCIG); activism; brachytherapy; cervical cancer; chemotherapy; developing world; human papillomavirus (HPV); vaccination.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma, Clear Cell / pathology
  • Adenocarcinoma, Clear Cell / therapy
  • Antineoplastic Agents / therapeutic use*
  • Brachytherapy*
  • Carcinoma, Adenosquamous / pathology
  • Carcinoma, Adenosquamous / therapy
  • Carcinoma, Neuroendocrine / pathology
  • Carcinoma, Neuroendocrine / therapy
  • Carcinoma, Small Cell / pathology
  • Carcinoma, Small Cell / therapy
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / prevention & control
  • Carcinoma, Squamous Cell / therapy*
  • Carcinoma, Squamous Cell / virology
  • Chemoradiotherapy, Adjuvant
  • Cisplatin / therapeutic use*
  • Early Detection of Cancer
  • Early Medical Intervention
  • Female
  • Fertility Preservation
  • Global Health
  • Humans
  • Hysterectomy*
  • Neoplasms, Cystic, Mucinous, and Serous / pathology
  • Neoplasms, Cystic, Mucinous, and Serous / therapy
  • Papillomavirus Infections / prevention & control*
  • Papillomavirus Vaccines / therapeutic use*
  • Radiotherapy, Adjuvant
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / prevention & control
  • Uterine Cervical Neoplasms / therapy*
  • Uterine Cervical Neoplasms / virology

Substances

  • Antineoplastic Agents
  • Papillomavirus Vaccines
  • Cisplatin