TY - JOUR AU - Baral, Gehanath PY - 2010/06/21 Y2 - 2024/03/29 TI - Managing cervical cancer in Nepal: Need of consensual guideline JF - Nepal Journal of Obstetrics and Gynaecology JA - Nepal J Obstet Gynaecol VL - 4 IS - 1 SE - Review DO - UR - https://www.nepjol.info/index.php/NJOG/article/view/3324 SP - 3-10 AB - <p>The purpose of this review is to bridge the pattern of intervention in optimal and sub-optimal facility level.<br />Several guidelines for the screening and treatment of cervical cancer are reviewed. Routine screening is<br />found grossly lacking and non existent outside major health institution. Only nominal data and intervention<br />efforts found published. There are three prongs of intervention level namely prevention/screening, treatment<br />and palliation together. Pap smear test is the standard screening tool wherever the cyto-diagnostic facility<br />exists. Visual Inspection with Acetic acid and Lugol's Iodine will be the feasible alternative at low resource<br />setting. Primary surgical treatment for early cervical cancer is the best option. Likewise chemo-radiation with<br />or without surgery will be the alternative option. Need of at least an operational guideline in each institution<br />is realized at this moment as a recommendation.</p><p><strong>Key words: </strong>Cervical intraepithelial neoplasia (CIN); colposcopy; Pap smear (Papanicolou stain); radical<br />hysterectomy; visual inspection with acetic acid (VIA).</p><p>DOI: 10.3126/njog.v4i1.3324<br /><br /><em>Nepal Journal of Obstetrics and Gynaecology</em> June-July 2009; 4(1): 3-10</p> ER -