It also aims to reduce deaths from cervical cancer and to reduce the incidence of cervical cancer through the detection of precancerous lesions.

* A precancerous lesion is a cell tissue that has changed in a way that makes cancer more likely than normal. If detected at this stage, it can be treated before it becomes cancer.

Subjects are females of even ages over 20 years old . Approximately one month before the month of birth, the city will mail a “Notice of Cancer Screening” to eligible persons. Please see the cancer screening information page for information on how to apply.

In addition, if you receive a "required detailed examination" in the medical examination, be sure to undergo a detailed examination.

What is cervical cancer

The cervix is ​​the area from the entrance to the lower third of the uterus. Cervical cancer is a malignant tumor that develops in this area. There are two types of cervical cancer, squamous cell carcinoma and adenocarcinoma, depending on the type of cell. About 75% of cervical cancer cases are squamous cell carcinoma, but adenocarcinoma is also increasing. Cervical cancer is almost asymptomatic in its early stages, and as it progresses, bleeding other than menstruation (irregular bleeding), bleeding during sexual intercourse, Changes in vaginal discharge, low back pain, abdominal pain, etc. will appear. If you have any of these symptoms, don't wait for a check-up and seek medical attention. In Japan, about 11,000 women get cervical cancer each year, and about 2,800 die from it. In addition, the peak incidence is in the 40s, and it is increasing in the 20s and 30s who will become pregnant and give birth.

Cervical Cancer Risk Factors

Human papillomavirus (HPV) infection is known to cause cervical cancer. HPV is a very common virus, and nearly 80% of sexually active women are said to be infected with this virus at least once in their lifetime. In most cases, the infection is temporary and the virus goes away on its own. However, if the infection persists for a long time, a small percentage may develop abnormal cervical cells that may take years or decades to develop into cervical cancer. Smoking also increases the risk of developing cervical cancer.

Prevention of cervical cancer

HPV vaccine

There are two types of vaccines that can be given as a routine vaccination (as of March 2022), and they are available at public expense.

Depending on the type of vaccine, the inoculation interval differs, but both are inoculated three times in half a year to a year. We issue preliminary examination vote necessary for inoculation to target person of periodical inoculation. Please refer to the link below for details.

• Child Vaccination Guidance
• About HPV (human papillomavirus) vaccine

cervical cancer screening

The HPV vaccine alone cannot prevent infection with all types of HPV. It also cannot eliminate the virus you are already infected with or correct any abnormalities in the cells of the cervix. HPV vaccination and screening are the basics for preventing cervical cancer.
Cervical cancer is a curable cancer if detected early. It can be detected at the stage of dysplasia or carcinoma in situ, and with early treatment, almost 100% of the uterus can be preserved. Get a cervical cancer screening when you turn 20. Regular checkups can help prevent cervical cancer.

What is cervical cancer screening?

Interview, inspection, pelvic examination, and cervical cytology are performed. Avoid taking the test during menstruation, as it cannot be performed adequately.

Since cervical cancer generally progresses very slowly, it is said that it takes 2 to 3 years to progress from the precancerous stage to invasive cancer (advanced cancer). It is said that the preventive effect does not change whether the checkup is performed every year or every other year, and biennial checkup is recommended in Japan.

interview

During the medical interview, we will ask about your pregnancy/childbirth status, last menstrual period, age of menopause for postmenopausal women, presence or absence of subjective symptoms, checkup status, etc.

inspection/pelvic examination

During inspection, a speculum is inserted to check the condition of the entrance to the uterus.
It is performed by an obstetrician-gynecologist. In some cases, there are male doctors, but in all cases there is a female nurse to assist you, so please feel free to receive treatment.

cervical cytology

In cervical cytology, cells are scraped from the cervix with a special brush, smeared on glass, and examined under a microscope for the presence and type of cancer cells. I rub the mucous membrane, but there is almost no pain. Relax and take it without stress.

Consultation at a designated medical institution in the city

In addition to the Cancer Prevention and Health Promotion Center , cervical cancer screenings are also available at designated medical institutions in the city. (Within 6 months from the month of birth) If you wish to have a medical examination, please call the medical institution directly to make a reservation , and bring the "Medical Examination Notice" mailed from the city and your insurance card . Yes, please go see a doctor.

Cervical cancer screening designated medical institution (as of April 1, 2022)

Medical institution name	address	telephone number
Utsuno Ladies Clinic	4-7-1 Minamisenju BiVi Minamisenju 3F	03-3803-4107
Heart Clinic Minamisenju	7-1-1 Minamisenju Acresty Minamisenju 305	03-5604-0810
Araki Memorial Tokyo Riverside Hospital	8-4-4 Minamisenju	03-5850-0311
Hori Medical Clinic	1-1-9 Machiya Medical Center Medium (Medium) Machiya 2F	03-3895-5400
Clinic for women and mind	1-1-9 Machiya Medical Center Medium (Medium) Machiya 4F	03-5855-1233
Kato Obstetrics and Gynecology Clinic	2-9-21 Machiya	03-3895-3521
Arakawa Ladies Clinic	1-8-8 Machiya	03-6807-8867
Koro Clinic	2-26-7 Nishiogu	03-3894-6836
Yoshida's office	4-36-23 Higashi Nippori	03-3891-5760
Mikawashima Tower Clinic	6-1-1 Higashi Nippori Atlas Brands Tower Mikawashima 2nd floor	03-3806-1133
white cross clinic	2-19-10 Nishi-Nippori Nippori KS Building 3F	03-3802-3911
Nippori Ladies Clinic	2-20-1 Nishinippori Station Port Tower 5F	03-5615-1181

Those who are not suitable for cervical cancer screening

• Those who weigh more than the weight limit of the examination table (130 kg or more)
• Those who are menstruating on the day of the test
• Please avoid washing the vagina and sexual activity for 3 days before the examination date.
• Vaginal irrigation and treatment with vaginal suppositories may cause inaccurate test results. Wait at least one week after the end of treatment before seeing a doctor.

*If you are pregnant or may be pregnant, please consult your doctor during your prenatal checkup.

If a detailed inspection is required

The city will issue a referral letter for a detailed examination. (free)

It does not mean that "a detailed examination is necessary = cancer is found", but if you do not judge yourself as "maybe by chance" and do not leave it as it is, please be sure to undergo a detailed examination as a result of the examination. . The examination will be covered by health insurance.

Also, even if there are no abnormalities in the screening results, continue to receive regular cancer screenings.

Types of detailed examinations for cervical cancer screening

A general detailed examination for cervical cancer screening is performed by combining histological examination, cytological examination, HPV test, etc. under a colposcope.

Histology under colposcopy

A colposcope (vaginal magnifier) ​​is used to take a closer look at the cervix. If an abnormal area is found, a piece of tissue is removed to determine whether it is malignant.

HPV test

A test in which cells are taken from the cervix to check for HPV infection. Depending on the results of the cytology of the cervical cancer screening, it may be performed to determine whether a colposcopy is necessary.

Cooperating medical institutions that can perform detailed examinations (as of April 1, 2022)

Medical institution name	address	telephone number
Nippon Medical School Hospital Women's Clinic Outpatient Department	1-1-5 Sendagi, Bunkyo-ku	03-3822-2131
Obstetrics and Gynecology Outpatient Department, Adachi Medical Center, Tokyo Women's Medical University	4-33-1 Kohoku, Adachi-ku	03-3857-0111
Utsuno Ladies Clinic	4-7-1 Minamisenju Bivi Minamisenju 3F	03-3803-4107

Please be sure to call in advance to confirm.

You can also see a doctor at a medical institution other than the above, but please be sure to bring a letter of introduction .

If you have been diagnosed with cervical cancer, please see the "Cancer Consultation/Support" page .

Related Links

For more information on cervical cancer screening, please visit the link below.
Tokyo Health Station homepage (we link to the outside site) (open with the other window)

If you would like to know more about other cancer screenings, please see the links below.
Guidance of cancer screening Stomach cancer screening Lung cancer screening Colorectal cancer screening Breast cancer screening