cervical cancer cancer of the cervix uteri, the third most common cause of cancer deaths in American women (after lung cancer and breast cancer). Its victims are usually women over 40. One of the first warning signs of cervical cancer is vaginal bleeding between menstrual periods, after coitus, or after menopause is established. There may also be increased vaginal discharge. The
papanicolaou test should be done routinely every year in women over 40 to rule out the possibility of cervical malignancy. This test identifies cancer in its earliest stages while the malignancy can still be eradicated with relative ease.
Traditionally, a positive finding of abnormal cells from the cervix was an indication for cervical biopsy, which, if positive for malignancy, was an indication for total hysterectomy. Currently, this sequence is giving way to more selective methods of diagnosis and treatment. Special stains and colposcopy are used to define more clearly the nature and extent of abnormal changes in cervical cells. These techniques have permitted a greater use of localized excision of cervical tissues (conization) and
cryosurgery of early cancer zones, thereby avoiding total removal of the uterus.