CMgWmharIk

evCbNti R)ak; BisidrgSI

GnubNti suxPaBsaFarN - keTsGaharUbtmnigrbbGahar

lTplrMBwgTuk

Expected outcome

( VIA )

niymny
CMgWmharIkKWCakarkekItnekasikaminFmtaEdlminGacRtYtBinit)anehIyTRnan
eTAdl; CasikaEdlenACMuvijbegItCadMuBk rIkraldalbnicmg eTAdl;srIrag
epSg eTotenAkgxn mnusS tamryRbBnLaMhVaTikkUnkNr ehIyeCosminrYc
BIkarsab; ebImin)aneFVIeraKvinicyTan;eBl.

eGBIedmIsaRsnCMgWmharIk
naeBlbcb,n CMgWmharIkKWCamUlehtumYynkarsab;rbs;RbCaCn7lan6Esnnak;
enAelIsklelakkgqaM 2008 GgkarsuxPaBBiPBelak)anrMBwgfakarsab;enH nwg
ekIndl;11lannak;kg qaM 2030 ehIyEdl70nGksab;KWzitenAkgRbeTs
EdlmanR)ak;cMNUlTabnigmFm edaymUlehtunkgVHviFankarkarBar kareFVIeraK
vinicy nig karBa)al.
enAkgqaM2000 mankrNIfI 47 1000 EdleKrkeXIjfaekItCMgWmharIkmat;s,Un
ehIykgenaH)ansab; 28 8000nak; ehIy80 CaRbCaCnEdlrs;enAkgRbeTs
kMBugGPivDn_

GRtaGaMgsIudg;nCMgWmharIkedaHnigmat;s,nenAtMbn;GasIu)asIuhVIk2008
Age-standardized incidence rate of breast and cervix uteri cancer
Western Pacific Region, 2008

Source: IARC Globocan 2008

mharIkenARbeTskm<Ca
tamkarcuHbBaIGkekItCMgWmharIkkgqaM2001-2003rbs;kmviFIRbyuTkarBarCMgWminqg
)anbgajeGayeXIjfa GRtaGaMgsIdg;nCMgWmharIkmat;s,nx<s;CageK KW 25/8 - mharIk
edaH 20 lMdab;TIBIr - mharIk TgsYtnigsYt 14/4 EdlkugenaHRsImanEt 3/1 mharIkQam 13 kgenaHRsI 5/1 - mharIkefIm 11/9 kgenaHRsI 2/3 -mharIk
RkBH 11/5 kgenaHRsI 3/4 - mharIkeBaHevonFM 5/6 kugenaHRsI 2 nig
mharIkEs,k 4/9 kgenaHRsI 2/1.
tamkarsikSaeGBIedmIsaRsrbs;GgkarsuxPaBBiPBelakeXIjfa GRtasab;eday CMgWmha
rIkKWman 190nak;kgcMeNamRbCaCn 100 000nak;.
CMgWmharIkKWPaKeRcInCaCMgWGackarBar)anenAeBlEdleKeFVIkarRsavRCavrkTan;eBlevla dUcCa
mharIk mat;s,n mharIkedaH mharIkefIm mharIksYt CaedIm .

GRtasab;nGkekItmharIkenARbeTskm<Ca

RbsiTiPaBnyuTsaRsRbyuTnwgmharIk
Primary
Prevention

Early
Detection

Curative
Treatment

Palliative
Care

Lung cancers

++

++

Colorectal cancers

++

+/-

++

++

++

Prostate cancer

+/-

++

Pancreas cancer

++

Skin cancers*

++

++

++

++

Bladder cancer

+/-

++

Oropharyngeal cancers

++

+ / ++

++

Cervix uteri cancer

++

++

++

++

Lymphomas, multiple myeloma

++

Leukemia

++

Cause

Breast cancer

mharIkmat;s,n
enARbeTskm<CamharIkmat;s,nKWQanlMdab;fak;TI1nRbePTmharIkekItelIRsI 25/8
ehIyebIsinCaKanviFankarGVITb;sat;eTenaHGRtasab;nwgekIneLIgeTVenAry 10qaMxagmux.
kickarBarnkarsab;edaysaCMgWenHKWRtUveFVIkarRsavRCavrkCMgWkgcMeNamRsIEdlmanGayu
GacbnBUC)an.

mUlehtu
mUlehtuEdlbgreGayekItmharIkmat;s,neRcInCageK

HPV (Human papillomavirus),

HIV,
Herpes simplex virus2,
Chlamydia trachomatis,
Neisseria gonorrhoeae.

ktaxageRkAman karCk;)arI karfaMBnakMeNItelIsBI5qaM karBntkUnEdlKansuvtiPaB nig

karbMBulbridan xl; Twk dI eRKOgbriePaKepSgEdleRbIR)as;sarCatiKImI.
BBYkvIrus HPV EdlExrniymehAfaekItesman;ehIyEdlCaCMgWpvePTekIteLIgbn bnab;
zitenACab; bgreGayQaneTAerobekItmharIknig mharIk kgryeBl 10 eTA
20qaMratt,atBaseBjmat;s,n.

ktahaniPyEdlbgeGayekItmharIkmat;s,n
CVD

Cancer

Cervix

Liver

Lung

Respiratory Disease

Breast

Diabetes

Stomach

Behavioural causes
Salt consumption

Tobacco use

Alcohol

x
x

Physical inactivity

Unhealthy diet

Indoor air pollution

x
x

x
x

Physiological causes
Hypertension

High cholesterol

Hep B& C infection

HPV infection

H. Pylori
Overweight

x
x

CMgImat;s,n

viFIRsavRCavrkCMgW (screening)
manviFI2ya:gEdlRbeTsPaKeRcInelIsklelak)anGnuvt
VIA ets nig Pap smear
VIA ets KWemIledayEPk edayeRbI acetic acid bk Lugol's
Iodine solution labenAelI mat;s,n.
viFIenH eKeRbIeRcIneRBaHminRtUvkarFnFaneRcIn nigsMParTMenIb GaceRbIenAtam
CnbT.
Pap smear ets eRbIRbdab;ekasykekasikamat;s,n mkviPaK vIFIenH
RtUvkaCMnaj nigeRbIfvika eRcIn PaKeRcIneFVIenAmnIreBTCMnaj

eKalkarN_ENnaM
eFVIkarRsavRCavRsITaMgGs;kgtMbn;NamYyEdlmanGayucab;BI 35-49 qaM tamviFI VIA
kgkrNIEdlmanFnFanRKb;RKan; KWRsIEdlmanGayu cab;BI 30-49 qaMGaceFVI)an
kgkrNIsgSyRsbtamlkxNkMNt;KWGacBa)alenAnwgkEngeday eRbI Cryotherapy
clt
kgkrNIsgSyc,as;lal; RtUvbBaneTAmnIreBTbEgk edIm,IrkeraKvinicyc,as;las;
CYTOLOGY/ PAP SMEAR Ba)al bbBaneTAesvaCMnaj
karcak;va:k;saMg karBar HPV KWRtUveFVIkgcMeNamyuvnarI GayuBI9 dl;12qaM
cMeBaHRsIEdleBjvynigRsIEdlFab;rYmePT KWRtUveFVIets HPV DNA Camunsin
ebIGviCmaneTIbGaccak;)an

ANAPATHOLOGY

mNlsuxPaB
m:asIun Cryotherapy bMBg;pk NO 2

rav

mnIreBT

SURGERY

LINEAR ACCELERATOR

-> Col sain: sans prparation, aprs acide actique et

Lugol

-> Lsion mosaque et ponctuation aprs acide

actique:

CIN2

CIN3

Leucoplasie priorificielle

->Polypedelendocolblanchiaprsbadigeonnage
lacideactique

->Condylomeaprstestlacideactique

Condylome plan

Condylome exophytique

 Divers

Sans prparation

Aprs acide
Actique 2%

Aprslugol 3%

kickarBar
Gb;rMsuxPaB nigpl;karRbwkSa
karelIkkMBs;suxPaBtamryGb;rMbuKlwknigsgmRKb;fak; KWCakarCYydl;RbCaCn
eGayyl;dwgnigkat; bnynUvhaniPynkarmanCMgW edayeCosvagnUv\riyabfNa
EdleGayTukeTas nigyl;RBmyknUvkar rs;enARbkbedaypasuxPaB.
karGb;rMdl;buKlwksuxaPi)alGMBIkarBnl;ENnaMdl;GtifiCnenAkgshKmn_EdleK
RKb;RKg nUvral;ktaeRKaHfak;EdlbgreGayekItmharIk .
karmkBinits,nedIm,IRsavRCavrk CMgWmharIkmat;s,nnigmharIks,n nigkareGay
RbwkSadl;bIRbBnBIkareRbIeRsamGnamyedIm,Ikat;bnykarcMlgeraKtamkarrYmePT
nigkarpSBVpSaytamrysarGb;rMKWCakarcaM)ac;bMput.

CMgWmharIkedaH

lTplrMBwgTuk

Expected outcome

( SBE) mmmography

mharIkedaH
mharIkedaHKWCadMuedaHkMritFn;Edlcab;epImkgCalikaedaH. dMuBkkMritFn;hak;dUcCaCab; sitnig
Tn;relag bniccMuvijrgVg;edaH ehIyenAkEngmandMuEs,kmansPaBdUcsMbkRkUc. dMuenHman
eRKaHfak;Fn;FreRBaHCa RbCMundMuxaj;nigdMuekasika.
karmandMuBktUcminQWcab;bNalmkBICati Grm:UnekIneLIgxaMgeBlmanrdUv ehIyBMumanfy
cuHmkvij yUreTAkayCadMurwgehIyekItCadMuBk. dMuBkenHCYnkalQWxaMgeBlb:Hva dMuenHGac
maneRKaHfak;Tn;Cab; mYykEng.
GRtaekItmharIkedaHenAkm<Caman20KW QanlMdab;TI2bnab;BImharIkmat;s,n.
mharIkedaHKWGacBa)alCaebIsinNaCaeyIgrkeXIjkar ekItdMusac;Tan;eBl.

mUlehtu
mUlehtuEdleKTTYlsal;faCamharIkedaHKW
qab;Gs;rdUvbRkGs;rdUv
bBaaGrm:UnERbRbYlenAkgxn karekIneLIgxaMgnGrm:UnkgkMLugeBlmanrdUv
manpeBaHdMbUgenAeBlmanGayu30qaMbelIsBIenH
PaBFat;elIRsIeRkayeBlGs;rdUv
briePaKGaharEdlmanCatixaj;x<s;GacCaktabgCMgW
karb:HTgicbrbYselIedaH
karEkrlMGbeRbIsarCatiepSgedIm,IeGayedaHFM

viFIRsavRCavrkdMuedaH
BinitedayeBT

Binitedayxng

viFIRsavRCavrkdMuedaH
karBinitedaHedayxng manbIdMNak;kal
TI1 QrBinitedayqHkBak; -edaHGavecj- dTaMBIrRct;cegHelIkdTaMgBIrdak;eRkayk,al
kg \riyabfnimYyRtUvBinitemIledaHTAMgsgagmanERbRblTMhM bkptragrUvkEngNamYy
xYcEs,kdUc sMbkRkUc bk,aledaHmankarERbRbYl
- rYcdmagdak;eRkayk,al dmaglatRmamdsabesIelI qwg CMnI nigrnekkedIm,IrkemIlkUn
kNr rYcsabCMuvijedaHCargVg;mUlrhUtdl;cugedaHedIm,IrkemIldMuEdl sit Cab;nwgRkeBjTwk
edaH
- pas;dBinitedaHmageTot.

viFIRsavRCavrkdMuedaH
TI2 karBinitedaysamIxneKgRtg;elIERK -edaHGavecj -eKgrabelIERKedayKgdmag
R BmTaMgdak; exIykl;BIeRkamxgedIm,IeGayedaHeBIg - ykdmageTotlatRmamdrYcsab
dUcxagelI.
TI3 Rc)ac;cugedaHBinitrkemIlQambxHecjRtUveFVI karBinitedaHedayxngCaeTogTat;
1 Exmg mYyGaTiteRkayfmanrdUv.
ebIsinCaminmanrdUv eTogTat;bGs;rdUvRtUvBinitnUvfkMNt;NamYyCaragral;Ex.
ebIsinCarkeXIjdMucMElk bmanecjTwkBI k,aledaHminFmtaRtUvRbjab;rYsran;eTAmnIreBT.

viFIRsavRCav
MAMMOGRAPHY

Positionnement face G

mharIkTgsYtnigsYt

RbCaCnkm<CaelIsBI50)anRbQmeTAnwgEpSg)arI tamr)aykarN_GegtenAtam
kEngsaFarNnigGKarrd KWenAmanGRtax<s;enAeLIy b:uEnRbCaCnRbEhl 80
)anyl;RBmeGaymankarhamXat;karCk;)arIenAtamGKarrd tamesvasuxaPi)al
ePaCnIydan esvadwkCBansaFarN nigkgkEngeFVIkar.

mharIkTgsYtnigsYt
mUlehtu

karCk;)arIKWCamUlehtucMbgnCMgWmharIksYt
- bursEdlRbQmnigeRKaHfak;nCMgWKW 5Edl)anCk;)arIBI 1-9edImkg1f nig 20
Edl)anCk;)arIelIsBI40edImkg1f
- RsIEdlRbQmnigeRKaHfak;nCMgWKW 1/3Edl)anCk;)arIBI 1-9edImkg1f nig 7/5
Edl)anCk;)arIelIsBI40edImkg1f
karRbQmnwgkarekItCMgWKWGaRsyeTAtamGayuEdlcab;epImCk;)arI ehIyebIsinCakarCk;
)arIenaHmincab;epImBIvyekgbCMTg;eTenaH karRbQmnwgekItCMgWkgGayu60-70qaM nig
Gackat; bny)an20

mharIkTgsYtnigsYt
RsIEdl)anCk;)arIeRcInkg1fGacRbQmnigeRKaHfak;nkarekItCMgWqab;Cagburs
GkEdlCk;)arIBIekgehIyCk;xaMgkaenaHnwgrgnUvkarekItCMgW 25cMeBaH burs RsIvijkan;Et
eRcInCagenHeTAeTot
cMeBaHGkEdlminCk;)arIehIyTTYlrgnUvEpSg)arI )anRbQmnwgkarkarekItCMgW13 cMeBaHGk
rs;enACamYyGkCk;)arI nig14 cMeBaHGkTTYlrgEpSg)arIBITIkEngepSg RsIGRtasab;
man 25 - 46 bursGRtasab;man 13- 37

mharIkTgsYtnigsYt
karRbQmnwgkargar ]sSahkm eragcRk sib,km EdlRbQmnwgsarFatuepSg
asbestos , radon, nickel, chronium, mustard gaz ehIyPab;CamYykarCk;)arI
vaeFVIeGayekIneLIgnUvhaniPyn CMgW mharIkTgsYt-sYt. karekIneLIgnUvhaniPyenH
vaGaRsyeTAnwgeBlevla nig karRbQmcMeBaHsarFatu TaMgenaH .
karRbQmnwgkarbMBultamxl;bgeGayekItmharIkTgsYtsYtBMuTan;)anbBaak;c,as;las;nUveLIy eRBaHmanxVHxatkug karvas;EvgrkkMrwtBulenAtamxl;
eRBaHtamkarsikSa)anbgajeGaydwgfakgGkCMgWmharIkTgsYt-sYt 100 000nak;
nGkCk;)arImanEt GkCMgW 10nak;b:ueNaHEdlTak;TgnwgkarbMBuledayxl;.
viTskm radiation karRbQmnwgviTskmx<s; vabegInnUvhaniPynCMgWmharIk
TgsYt-sYt

kickarBarnigkarRsavRCavrkCMgW
ral;CMgWmharIkeyIgGackarBar)antamrykarbgardMbUg
ecosvagbriePaKxaj;hYsehtu
briePaKbEnEpeQI nigRKab;FBaCatieGay)aneRcIn
rkSaTMgn;xneGay)anRtwmRtUvtamk,nevCsaRs
hat;R)aNeGay)aneTogTat;taMgBIekg
tmCk;)arI nig bnykaresBeRKOgRsvwg
BinitsuxPaB nig cUlrYmkarRsavRCavrkCMgW.