Cervical cancer

Cervical cancer (UCC) is an invasive cancer that develops from the squamous epithelium of the cervix.

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What is cervical cancer?

The cervix is the lower part of the uterus that protrudes like a “turtleneck” into the vaginal cavity. Cervical cancer develops on the mucous membrane, i.e. the tissue that covers the cervix. 

The main cause is persistent infection from the sexually transmitted virus, papillomavirus. For this reason, young girls are encouraged to get vaccinated for HPV. If the virus is present in the cervix over a long period of time, it can cause precancerous lesions that could develop into cancer. This is a slow process, as cancer usually develops ten to 15 years after persistent infection.

Who should I consult to diagnose uterine cancer ?

A gynaecologist is a doctor that specialises in gynaecology, a branch of medical surgery that deals with functions and diseases of the female reproductive system.

What does a gynaecologist do?

A gynaecologist provides healthcare throughout a woman’s life. For example, care during or after pregnancy and during childbirth, screenings, contraception or medically assisted procreation (MAP). A gynaecologist performs surgical operations, treats benign or malignant pathologies such as gynaecological cancers (breasts, ovaries, fallopian tubes, uterus, vagina), and performs ultrasounds.

What happens during a gynaecological examination ?

Cervical cancer is suspected if an abnormality is detected during a screening examination (smear test) or if symptoms have appeared. To make a diagnosis, samples from the lesions are taken for pathological examination. The extent of the disease is then determined by imaging tests such as a pelvis MRI.

When and why should I see a gynaecologist ?

There is no specific age or reason to start seeing a gynaecologist. The choice of contraception is one of the main reasons for initially consulting a gynaecologist. 

What treatment is available for cervical cancer ?

Several doctors from different specialities will meet to discuss the best possible treatment for you during a Multidisciplinary Team Meeting (MDT).

  • Surgery is generally used to treat tumours that are smaller than four centimetres in size.
  • A combination of external radiotherapy with brachytherapy and chemotherapy is the standard treatment for tumours larger than four centimetres and for tumours that have spread beyond the cervix into the pelvis.

FAQ

How can I obtain a visa?

To obtain your visa for France, you will need to apply to the French Embassy in your country of residence. Once you have paid the care cost estimate provided by the ELSAN International Patients Department, you will be sent a letter of invitation and a certificate of payment signed by the hospital where your procedure will take place.  These documents should be attached to your visa application.

What about follow-up treatment?

Depending on your personal situation, your medical team may recommend a rehabilitation hospital stay. This will be discussed with you.

How long before I can fly?

Your doctor will make specific recommendations. We suggest that you ask them to issue a Fit to Fly certificate, as depending on your medical situation, it may be necessary to respect a certain time limit in the interest of your health.

Will I be reimbursed?

For patients not covered by French health insurance, we provide an estimate of the cost of treatment. You should submit this estimate, along with your treatment plan, to your insurer to obtain their prior agreement, in accordance with your insurance policy.  
In some cases insurers will pay directly (avoiding any advance payments by the policyholder) or reimburse the policyholder on proof of payment (paid invoice). This will depend on your insurance policy.

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