Dawaa Reference

chronic

Cervical cancer

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

Cervical Cancer - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK431093/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD25 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care

Verified against1 document
  • No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (3)

  • Usually asymptomatic in the early stages
  • History should probe age at first intercourse, postcoital bleeding, pain with intercourse, prior STIs including HPV/HIV, lifetime partner count, tobacco use, and HPV vaccination [abnormal uterine bleeding]
  • Ask about menstrual patterns, abnormal bleeding, persistent vaginal discharge, irritation, and known cervical lesions [bleeding · vaginal discharge]

Signs — what you find (1)

  • Exam may reveal a friable cervix, visible lesions, erosions, masses, bleeding on exam, or fixed adnexa, though many patients have no positive findings [bleeding]

Tests (6)

  • Pap screening starts at age 21; HPV co-testing joins at 30, and screening continues every 3 years if consistently negative
  • Past age 30, cytology with HPV co-testing can instead be spaced every 5 years
  • Screening can stop at age 65 for consistently negative, low-risk women, and after a total hysterectomy with cervix removal for benign disease
  • Guided biopsies and endocervical sampling at colposcopy are usually needed, except during pregnancy
  • For invasive disease, pelvic MRI best shows local tumor extent and treatment response, while PET outperforms CT for nodal and visceral metastases
  • A diagnostic biopsy is required to confirm the diagnosis

If not this — what else fits (2)

  • Other causes of cervical lesions or abnormal bleeding: STIs, cervical polyps or fibroids, and endometriosis
  • A routine Pap smear can rarely detect metastatic cancer involving the cervix

SourceStatPearls "Cervical Cancer" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Cervical cancer occurs in Egypt but at notably lower rates than in much of the world; it still needs recognition. Treatment (surgery, radiotherapy, chemotherapy) is oncology-specific and outside GP prescribing, but the GP has a real role advising on cervical screening and HPV vaccination, and referring promptly on suspicion. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Cervical cancer occurs in Egypt but at notably lower rates than in much of the world; it still needs recognition. Treatment (surgery, radiotherapy, chemotherapy) is oncology-specific and outside GP prescribing, but the GP has a real role advising on cervical screening and HPV vaccination, and referring promptly on suspicion.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Postmenopausal or intermenstrual vaginal bleeding, bleeding after intercourse, abnormal vaginal discharge with pelvic pain, or advanced pelvic or back pain: refer urgently.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.