Vague pains, cramps, twinges, bloating, gas, something odd, something wrong. These are the terms many women survivors use to describe pelvic cancer.
Pelvic cancer is a stealthy killer. Because its symptoms can be so vague, so general, they are often dismissed until the cancer has progressed too far, and it is too late. It is always a bit awkward talking about ‘down there’. Sometimes we put of going to the doctor to get checked just because we’re a little bit embarrassed. Sometimes our menstrual cycles are a little bit odd anyway. But this awkwardness or confusion could end up in a late diagnosis of a deadly pelvic cancer.
"Pelvic cancer", actually, is a term used to describe a number of particular cancers. These cancers include cervical, ovarian, uterine, vaginal, and vulvar. Sometimes, these cancers also are referred to as gynecological cancers.
The most recent statistics that the Centers for Disease Control can provide are from 2006. They found that 76, 515 women in the United States were diagnosed with gynecological cancers and 27,848 women died from them. That's a 36% mortality rate.
What Are the Symptoms of Pelvic Cancer?
Knowing the facts could help you recognize something that is out of the ordinary before it’s too late. The symptoms for pelvic cancer often mimic the symptoms for fibroid tumors or other conditions. So, it is worth your while to learn the subtle differences.
Not all gynecological cancers are the same and have different symptoms and different methods of treatment. Below we have the facts and figures on the main types of pelvic cancer:
Ovarian Cancer:
Ovarian Cancer develops in the ovaries. According to the CDC Ovarian Cancer causes more deaths than any other Pelvic cancer in women. In 2009 here were 21,550 new cases of ovarian cancer and 14,600 women died from it.
Here are the most common symotoms of pelvic cancer, based on a review of medical research:
The Pap test will not identify ovarian cancer so it is important to pay attention to the symptoms your body presents. The CDC recommends that you see a doctor if you experience the following symptoms everyday for 2 weeks or more:
- changes in passing urine or difficulty passing urine
-changes in vaginal discharge
-bleeding from the vagina especially after menopause
What Tests Should You Have to Screen for Pelvic Cancer? Various tests can be used to detect pelvic cancer. 1. CA-125 Test. If you have these symptoms and suspect ovarian cancer then you can ask your doctor to perform a CA-125 blood test, a rectovaginal pelvic exam or a transvaginal ultrasound.
The CA-125 is a blood test to determine the level of a certain protein if present may indicate a tumor. It has been used with most success in the investigation of ovarian cancer.
However, a University of Texas study completed in 2005 noted that not all cases of ovarian cancer could be detected using the test but it was useful at detecting early cases. Therefore it is useful to use the other methods in conjunction with the CA-125 test.
2. A rectovaginal exam. A rectovaginal exam can be conducted by a doctor using her hand to try to detect abnormalities in the ovaries.
3. Ultrasound. A transvaginal ultrasound is performed by inserting a probe into the vagina which transmits sound waves to a monitor for interpretation.
How Do You Prevent Pelvic Cancer?
The Centers for Disease Control lists 4 factors than can reduce the instances of ovarian cancer
- using birth control for more than 5 years - having a hysterectomy or -getting your tubes tied -giving birth.
Treatments for Pelvic Cancer
Ovarian Cancer:
According to the National Cancer Institute, ovarian cancer normally is treated using surgery, radiation therapy or chemotherapy.
Surgery usually entails a full or partial hysterectomy. Depending on how far the tumor has spread, the surgeon may only remove one ovary and one fallopian tube. But it is also possible that it may require a full hysterectomy.
Radiation therapy is available for women in any stage of the cancer. Rays are concentrated on the area of the tumor to kill it. This can be performed either externally or internally. The radiation can affect the ovaries and some women will stop having a menstrual cycle.
Chemotherapy is usually used in conjunction with radiotherapy and involves the injection of drugs intravenously to kill the cancerous cells.
Cervical Cancer:
According to the Centers for Disease Control, cervical cancer is the easiest female cancer to prevent. Cervical cancer begins in the cervix, also known as the birth canal. It is what connects the uterus to the vagina.
All women are at risk of cervical cancer but most cases present themselves in women over the age of 30. The Centers for Disease Control maintains that 6 out 10 cases of cervical cancer occur in women who have never had a Pap test or have not been tested in the past 5 years.
The Human Papillomavirus (HPV) has been blamed for causing cases of cervical cancer. HPV is sexually transmitted and the Centers for Disease Control says that half of sexually active people will have HPV in their lives but not every case will develop into cervical cancer.
The Centers for Disease Control recommends Pap teats within 3 years of becoming sexually active or starting at 21 whichever happens first. The HPV vaccine is available for women who are between 9 and 26 years old.
According to the American Cancer Society, in 2009, 4,070 women died from cervical cancer .
Symptoms of Cervical Cancer:
Like most of the pelvic cancers, the symptoms of cervical cancer don’t present themselves until the disease has progressed very far along. The National Cancer Institute lists the symptoms as
-abnormal bleeding or discharge from the vagina. Bleeding may occur during sex or a pelvic exam. Periods may be heavier than usual or bleeding may occur after going through menopause.
-Pain during sex may also indicate cervical cancer.
However, these symptoms are vague. They can also be the symptoms of something else, so it is very important that you seek a proper disgnosis from a doctor.
The most common test for diagnosing cervical cancer is the Pap smear. The Pap smear involves taking swabs of tissue from the cervix and examining them under a microscope for the oresence of cancerous cells. If the microscopic test is abnormal, further investigations are completed and sometimes a biopsy is needed.
Prevention of Cervical Cancer:
The Centers for Disease Control recommends:
1. Receiving regular Pap tests
2. Stop smoking
3. Use condoms
4. Get the HPV vaccine
5. Limit the number of sexual partners.
Treatments:
According to the National Cancer institute cervical cancer is normally treated using surgery, radiation therapy or chemotherapy.
Surgery is possible for those who have been diagnosed early and are in stage I or II of the cancer. The surgery normally removes the entire uterus and cervix in a total hysterectomy. If a woman has only a small tumor and still hopes to have children then doctors can remove only parts of the cervix and vagina.
Radiation therapy and chemotherapy are available for women in any stage of the cancer.
Uterine Cancer:
Uterine cancer, also known as endometrial cancer, is most common in post-menopausal women. It occurs in the lining of the womb.
According to the American Cancer Society, in 2009 around 7,800 women died from uterine cancer.
Symptomsof Uterine Cancer:
According to the National Cancer Institute, the most common symptom of uterine cancer is abnormal bleeding. It may be watery and only slightly blood streaked to begin with but the bleeding intensifies.
Other symptoms include pain during sex and pain in the pelvic region.
Uterine cancer is usually diagnosed by a pelvic exam where the doctor feels for abnormalities. A transvaginal ultrasound can also pick up these abnormalities and then a biopsy must be done for a definite diagnosis.
Treatments for Uterine Cancer:
The most common treatment for uterine cancer is a full hysterectomy. This is usually done in conjunction with radiation treatment.
Vaginal Cancer:
This type of cancer is rarer than other forms but still affects around 2000 women per year in the U.S. The cancer forms in the lining of the vaginal canal. According to the American Cancer Society, in 2009, 770 women died from vaginal cancer.
Symptoms of Vaginal Cancer
According to the National Insitutes of Health, vaginal cancer has similar symptoms to the other pelvic cancers-- abnormal bleeding and pelvic pain. A lump may also form inside the vagina that you may be able to feel yourself.
The diagnosis of vaginal cancer is normally by discovery of abnormal cells in the Pap test or the biopsy of the lump.
Treatment for Vaginal Cancer:
The most common treatment option for vaginal cancer is radiation therapy and/or chemotherapy.
Vulvar Cancer:
This type of cancer is extremely rare. It forms on the outer part of the vagina on the vulva.
It normally occurs in older women.
Symptoms of Vulvar Cancer:
The most common symptoms include abnormal bleeding, a lump on the vulva or itching and tenderness of the area.
Diagnosis is made by examination of cells taken from the area.
Treatments for Vulvar Cancer:
Again surgery, radiation and/or chemotherapy are the most common treatments.