Dawaa Reference

Clinical reference

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.