About Cervical Cancer

Cervical Cancer Diagram

Understanding cervical cancer is the first step toward prevention and effective care.

What Is Cervical Cancer ?

Cervical cancer starts in the cells of the cervix—the lower, narrow part of the uterus that connects to the vagina.

Most cases are linked to infection with certain types of human papillomavirus (HPV), a sexually transmitted virus.

In many people the immune system clears HPV naturally. In some, persistent infection can lead to changes in cervical cells that may develop into cancer over time.

Screening and vaccination greatly reduce the risk of cervical cancer by detecting cell changes early and preventing high-risk HPV infection.

  • The endocervix (closest to the uterus) is lined with glandular cells.

  • The ectocervix (next to the vagina) is covered in squamous cells.

These cell types meet at the transformation zone. Its location shifts with age and after childbirth — and it’s where most abnormal cell changes begin.

Types of Cervical Cancer

Types of Cervical Cancer

Cervical cancers and cervical pre-cancers are classified by how they look under a microscope. The main types of cervical cancers are squamous cell carcinoma and adenocarcinoma.

Most (up to 9 out of 10) cervical cancers are squamous cell carcinomas. These cancers develop from cells in the exocervix and the cancer cells have features of squamous cells under the microscope. Squamous cell carcinomas most often begin in the transformation zone (where the exocervix joins the endocervix).
Adenocarcinomas develop from glandular (mucus-producing) cells of the endocervix. They are less common but clinically important and may require different diagnostic approaches.
Mixed carcinomas contain both squamous and glandular elements. These are relatively uncommon compared with pure subtypes.

Understanding where and how these cancers develop helps guide how abnormalities are identified and managed in modern cervical cancer prevention.

Cervical Cancer Care

Modern cervical cancer prevention focuses on identifying risk, guiding treatment decisions, and delivering care without delay.

See how a screen-triage-treat model supports timely treatment and improves outcomes.

References:

  1. World Health Organization. Cervical cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
  2. World Health Organization. WHO guidelines for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention. 2nd ed. Geneva: World Health Organization; 2021.
  3. National Cancer Institute. Cervical Cancer Treatment (PDQ®)–Patient Version. Available at: https://www.cancer.gov/types/cervical
  4. American Cancer Society. What is Cervical Cancer? Available at: https://www.cancer.org/cancer/cervical-cancer/about/what-is-cervical-cancer.html
  5. Crosbie EJ, Einstein MH, Franceschi S, Kitchener HC. Human papillomavirus and cervical cancer. Lancet. 2013 Sep 7;382(9895):889–99.
  6. de Sanjosé et al. eLife 2023;12:RP91469. DOI: https://doi.org/10.7554/eLife.91469
  7. Schiffman M, Wentzensen N. From human papillomavirus to cervical cancer. Obstet Gynecol. 2010 Jul;116(1):177–85.