Wellington: Ministry of Health. For more information about Avastin, download the Avastin Consumer Medicine Information here. Results of cervical smears are confidentially kept on the register and reminders are sent out if a smear is missed. Radical hysterectomy For this operation, the surgeon … Avastin is not funded by PHARMAC for the treatment of advanced cervical cancer. Please keep in mind that this booklet is not intended to replace medical advice from a doctor or other healthcare professionals. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. Surgery is the main treatment for cervical cancers. Phone: (04) 494 7270  The bimanual exam involves the doctor inserting two fingers into the vagina and with the other hand on the lower abdomen trying to get an appreciation of the size and shape of the ovaries and uterus, and any abnormalities. Chemotherapy can be combined with radiotherapy to try to cure cervical cancer, or it can be used as a sole treatment for advanced cancer to slow its progression and relieve symptoms (palliative … Last Updated – July 2020, The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Auckland: New Zealand HPV Project – Sexually Transmitted Infection Education Foundation. Generally speaking, the earlier cancer is diagnosed, the better the outcome. The cervix … It also contains important safety and side effect information. The HPV vaccine (which involves a three-dose course) is recommended (and funded by PHARMAC) for males and females aged from 9 years to under 27 years. Cervical cancer (Web Page). With cervical screening about one out of 570 will develop cervical cancer … Take time to learn about all of your treatment … Wellington: Cancer Society of New Zealand. There are two different types of radiotherapy (also known as radiation therapy). Cancer Society of New Zealand (2016). To learn more about how Avastin is given and works please refer to the Avastin patient booklet. © 2020 Roche Products (New Zealand) Limited. Sometimes you'll get chemotherapy or radiation to shrink the tumor before surgery, or to kill cancer cells that remain afterward. Human papillomavirus (HPV) (PDF Pamphlet). These tests may include: All cancers are given a stage. Treatment for cervical cancer . Cervical cancer occurs when the cells of the cervix grow abnormally and invade other tissues and organs of the body. Find out what the treatment … For the cervical smear, a speculum (instrument to hold the vaginal walls apart) is gently inserted into the vagina and the doctor visually inspects the cervix. Avastin works by blocking an important growth factor called vascular endothelial growth factor or VEGF. Side Effects: Avastin may worsen some chemotherapy side effects when used in combination with chemotherapy agents, including hair loss, nail disorders, pain, redness and/or swelling of your hands and/or soles of your feet, and a feeling of numbness or tingling in the hands or feet. This involves the removal of a cone shaped piece of tissue from the cervix while under local or general anaesthetic. Website: www.timetoscreen.nz/cervical-screening/. It is estimated that, without cervical screening, one out of 90 women will develop cervical cancer and one in every 200 will die from it. Print it off, take it along to your next appointment, and take notes in the spaces provided. Stage III: The cancer has spread throughout the pelvic area. After the diagnosis and treatment of cervical cancer, regular follow-up visits with healthcare professionals will be scheduled, involving a range of monitoring procedures such as physical examinations, imaging (ultrasound scans/x-rays), blood tests and biopsies. Most guidelines suggest beginning screening for cervical cancer and precancerous changes at age 21.Screening tests include: 1. Once a patient reaches the cap, Roche will provide ongoing Avastin at no cost. Early diagnosis is … The cervix is the lower, narrow end of the uterus (the hollow, pear-shaped organ where a fetus grows). Because Avastin and chemotherapy work in different ways, the two types of medicine complement each other when they are used to treat the cancer. This means that you will need to pay for the medicine yourself. Chemotherapy medications can be given either by tablets or as injections into the bloodstream. First, she underwent hours of chemotherapy. For patients with advanced cervical cancer, Avastin is given in combination with chemotherapy. It can be prevented, however, through screening and early detection. The Cancer Society also provides an information service that is staffed by specialist cancer nurses. You can also talk to your current doctor about referral to a private doctor or treatment centre. Avastin® (bevacizumab), 100 mg/4mL and 400 mg/16 mL vials, is a Prescription Medicine used to treat metastatic (spreading) colorectal, kidney, breast, brain, lung, ovarian and cervical cancers. Almost all cervical cancer is linked to certain types of the human papilloma virus (HPV). https://auckland-northland.cancernz.org.nz/assets/Cancer-information/Cervical-cancer/Cervical-cancer.pdf  A Pap test can detect abnormal cells on the cervix before they become … https://www.timetoscreen.nz/cervical-screening/why-go/about-cervical-cancer/ [Date accessed: 15/07/20]  Cervical cancer can be cured if identified and treated early. Treatments for cervical cancer include surgery, radiation treatment, chemotherapy or a combination of these treatments. What about the future? Stage 0: Abnormal cells are found in the first layer of cells lining the cervix. https://www.immune.org.nz/sites/default/files/resources/Written%20Resources/DiseaseHpvImac20200703V01Final.pdf Auckland: Immunisation Advisory Centre. When it is invasive, this cancer affects the deeper tissues of the cervix and may have spread to other parts of the body (metastasis), most notably the lungs, liver, bladder, vagina, and rectum. National Screening Unit (2005). Wellington: Ministry of Health. This site was last updated in September 2020. However, other costs (such as doctor fees and administration costs) will still apply. Yes. I was lucky to have my … https://www.nsu.govt.nz/system/files/resources/ncsp-statistical-review.pdf  Then she had a hysterectomy, which means a surgeon removes the uterus, cervix and parts of the vagina in the hopes of removing any traces of … Avastin is not funded by PHARMAC. Pelvic examination Roche does not endorse or control, the content of any linked websites and if you click on any of those links you agree that Roche has no responsibility or duty to you for anything that happens to you as a result. The Cartwright Inquiry was a committee of inquiry held in New Zealand from 1987 to 1988 that was commissioned by the Minister of Health, Michael Bassett, to investigate whether, as alleged in an article in 'Metro' magazine, there had been a failure to treat patients adequately with cervical … Please refer to the Data Sheet or Consumer Medicine Information on the Medsafe website for product information applicable to New Zealand. External radiotherapy can cause skin irritation and the skin can appear sunburned for some time. Avastin is usually used with chemotherapy – another type of cancer treatment – which aims to kill the cancer cells. Always seek specific medical advice for treatment appropriate to you. Ask your oncologist if Avastin is right for you. The introduction of cervical screening has more than halved rates of cervical cancer in New Zealand but still over 150 women contract it and about 55 women die from it every year. For more articles go to the Medical Library index page. For more articles go to, Examinations of the bladder and bowel under an anaesthetic (cystoscopy and proctosigmoidoscopy). Common side effects include: fatigue, diarrhoea, vomiting, nausea, loss of appetite, and pain when passing urine due to bladder irritation. The HPV vaccine is most effective if given before becoming sexually active. A lot. Do not use Avastin if: you have had an allergic reaction to Avastin, any of its ingredients or other antibodies, or if you have been coughing or spitting up blood. https://www.timetoscreen.nz/cervical-screening/ [Date accessed: 15/07/20]  Avastin has risks and benefits. Avastin is not a cure for cervical cancer, but it may give you more time before your cancer grows and spreads further. An oncologist (cancer specialist) will be involved to advise which treatments are most appropriate for the individual woman. ... HPV tests need to meet the current Guidelines for Cervical … New Zealand has a very effective programme for cervical screening and this has reduced the rate of cervical cancer by 60% since 1990. The Cancer Society of New Zealand is able to supply further information, support, and resources for women with cervical cancer and their families. Avastin, also known as bevacizumab, is a targeted therapy for the treatment of a number of cancers. Colposcopy Time to screen: About cervical cancer (Web Page). Males are included in the vaccination programme because research shows that HPV infection is shared during sexual activity and males are at risk of HPV-related cancers. Always seek specific medical advice for treatment appropriate to you. doxorubicin) for cancer, or radiotherapy to your chest; you are 65 years of age or older, or you are taking any other medicines. Avastin is not funded by PHARMAC for the treatment of advanced cervical cancer. Wellington: National Cervical Screening Programme Ministry of Health. For maximum protection, the full three-dose course of the HPV vaccine should be completed. For more information about Roche, please visit www.roche.co.nz. Chemotherapy is usually given in cycles; with a period of treatment followed by a period of recovery, before beginning the cycle again. Access to this site is subject to the terms in our Legal Statement. New Zealand has one of the best cervical screening programmes in the world to help you. It may involve the lower portion of the vagina, ureters, and surrounding lymph nodes. Usually, cervical smears are taken every three years unless a previous smear has indicated the presence of abnormal cells, in which case the smear is performed more frequently. The stage indicates the size of the tumour and the extent of its spread throughout the body. Email: info@cancersoc.org.nz, New Zealand HPV Project (2019). The report was triggered by the publication in Metro magazine of ‘An Unfortunate Experiment’, an article by Sandra Coney and Phillida Bunkle which alleged that cervical cancer patients at Auckland’s National Women’s Hospital were receiving inadequate treatment.. Dr Herbert Green of the hospital’s cervical cancer … New Zealand Gynaecological Cancer Foundation, Auckland, New Zealand. Cervical cancer was caused by the HPV virus and the self-test picked up the strains most … For further information on Avastin, please talk to your health professional or visit www.medsafe.govt.nz for Avastin Consumer Medicine Information. Cervical cancers may be given the following stages: Treatment of cervical cancer depends on the extent of the cancer, the stage of the disease and the woman’s age and general health. If symptoms continue or you have side effects, see your healthcare professional. Providing education and awareness on Cervical, Endometrial (Uterine), Ovarian, Vaginal & Vulval Cancers. Pap test. All trademarks herein are protected by law. HPV is a common sexually transmitted viral infection in females and males affecting an estimated 80% of sexually active adults at some point in their lives. There were 889 new cases of cervical cancer … Cervical cancer (Web Page). Early treatment is highly successful. A prescription charge and normal oncologist fees may apply. Ministry of Health (2014). Most HPV infections in women clear by themselves but some variations of the infection can cause abnormal cell changes on the cervix that may lead to cervical cancer 10 years or more after infection. Possible common side-effects may also include: high blood pressure (symptoms include, headache, dizziness, ringing in the ears, tiredness, blurred vision); body pain, tiredness/ weakness; diarrhoea, constipation or rectal bleeding; sore mouth or mouth ulcers; loss of appetite, being thirsty; shortness of breath; runny, blocked or bleeding nose; dry, scaling or inflamed skin, change in skin colour; taste changes; blurred vision or other eye problems; dizziness; headache; frequent infections with symptoms such as fever, chills or sore throat; changes in your voice or difficulty speaking; loss of body weight;  abdominal, pelvic, rectal or back pain. A colposcopy is a procedure that enables a gynaecologist to examine the cervix with the aid of a special instrument called a colposcope. Approval & funding of medicines in New Zealand, Understanding your cancer through genomic profiling. Smear tests are recommended for women starting from age 25 years as a means of detecting abnormal cervical cells that may develop into cancer. If the linked site is outside New Zealand’s jurisdiction, the information may not be consistent with New Zealand’s legislation, advertising codes or the relevant New Zealand registered Data Sheet. https://www.mayoclinic.org/diseases-conditions/cervical-cancer/symptoms-causes/syc-20352501 [Accessed: 15/07/20]  Without cervical screening about one out of 90 women will develop cervical cancer and one out of 200 will die from it. Adenocarcinoma is less common and more difficult to diagnose because it starts higher in the cervix. And guess what? Treatment of cervical cancer depends on the extent of the cancer, the stage of the disease and the woman’s age and general health. The medications aim to destroy any cancer cells that may be circulating in the body but they can also affect healthy tissue. A school-based immunisation programme for students in year 8 is available in most areas of New Zealand. It is available to all women in New Zealand between the ages of 25 and 69 years. Cervical cancer is a disease in which malignant (cancer) cells form in the tissues of the cervix. Freephone: 0800 729 729 Your treatment depends on where in the cervix your cancer is, how big it is, whether it has spread anywhere else in your body and your general health. Treatment is only required if there are certain abnormal cell changes of the cervix. You usually … Wellington: Ministry of Health. The Avastin Cost Share Programme caps the cost of the medicine after either a specific number of doses or a specific cost. More information about managing the sexual side effects of cervical cancer treatment can be found in Sex and the Woman with Cancer. All treatments need to be considered in line with your individual situation, and your specialist will determine whether Avastin is the right treatment for you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. This means that you will need to pay for the medicine yourself. Common treatment approaches Depending on the type and stage of your cancer, you may need more than one type of treatment. Website: www.cancernz.org.nz. The treatment of cervical cancer depends on several factors, including the type and stage of cancer, possible side effects, and the woman’s preferences and overall health. The most common cervical cancer is squamous cell carcinoma, accounting for 70% of cases. This is usually used if it is suspected or confirmed that the cancer has spread to other areas of the body. If a diagnosis of cervical cancer is made, other tests will be performed to determine if the cancer has spread. Email: admin@cancer.org.nz This risk is small, but the benefits of early treatment of cell changes and prevention of cervical cancer far outweighs the risks. It may include some form of surgical intervention, chemotherapy, radiotherapy, or a combination of these treatments. Freephone: 0800 CANCER or 0800 226 237 In New Zealand about 160 women are diagnosed with cervical cancer each year and approximately 50 women die from the disease. You will need to pay the full cost of this medicine. Tell your doctor if: you are pregnant or breast-feeding, or plan to become pregnant or breast-feed; you have any other health problems, especially the following: inflammation of the bowel or stomach ulcers, high blood pressure, a history of blood clots or stroke, bleeding problems, bleeding in the lungs or coughing or spitting up blood, low white blood cell counts, you have/ had a fistula, or have a history of diabetes; you have had major surgery in the last 28 days or a wound that has not healed properly; you have had a blocked lung artery (pulmonary embolism); you have heart disease; you have received anthracyclines (e.g. Use strictly as directed. We’ve put together a discussion guide to help you begin a conversation with your doctor. Ministry of Health (date not stated). lf you have health insurance, carefully check what is covered — every health insurance provider has different rules and benefits that cover cancer treatment, surgery, tests and appointments. Because cervical cancer usually develops slowly and has no symptoms in the initial stages, regular cervical smears to detect early cell changes are recommended. M-NZ-00000084/NA11148/SEPT2020. Cells are scraped from the surface of the cervix and sent to a laboratory for testing. Treatments for cervical cancer Treatments for cervical cancer include surgery, radiation treatment, chemotherapy or a combination of these treatments. Cervical cancer tends to grow slowly. The tissue that is removed will be sent to a laboratory for analysis and to determine if all abnormal tissue was removed. If the doctor observes any suspicious areas of tissue during this procedure a biopsy is done, which involves removing a small piece of cervical tissue – the size of a match head – and sending it to a laboratory for analysis. This bleeding may occur between periods, following sexual intercourse or after menopause. For more information about cervical testing, the National Cervical Screening Programme can be contacted as follows: National Cervical Screening Programme Stage II: The cancer has spread beyond the cervix to the upper portion of the vagina. The results will take approximately one week to become available. Roche has created a Cost Share Programme which offers assistance with the cost of the medicine. Menstrual bleeding may also be heavier. The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Ministry of Health (date not stated). lf you have health insurance, carefully check what is covered — every health insurance provider has different rules and benefits that cover cancer treatment… Remember People React Differently. Treatments for cervical cancer Treatments for cervical cancer include surgery, radiation treatment, chemotherapy or a combination of these treatments. Stage IV: The cancer has spread to nearby organs such as the bladder or rectum, or to other parts of the body (eg: lungs, liver, bones). Rochester, MN: Mayo Foundation for Medical Education and Research. During a Pap test, your doctor scrapes and brushes cells from your cervix, which are then examined in a lab for abnormalities. There are branches throughout New Zealand and contact details for the branches are available in the local telephone directory. Contact details for the national office are as follows: Cancer Society of New Zealand For the earliest stages of cervical cancer, either surgery or radiation combined with chemo may be used… This booklet is for designed for people receiving treatment with Avastin. The two main types of cervical cancer are: Factors that can increase the risk of developing cervical cancer include: During the early stages of cervical cancer there are often no symptoms at all but the most common symptom experienced is abnormal vaginal bleeding. 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