Radiation Therapy for

Cervical Cancer

Delivering my very best expertise with compassion and dignity.

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What is Cervical cancer?

The cervix is the lower part of the uterus (womb) connecting the body of the uterus to the vagina (birth canal). Cancer of the cervix can take many years to develop. Before cancer occurs, the cervix undergoes pre-cancerous phases. These pre-cancerous phases cause changes in the cervix known as Cervical Intraepithelial Neoplasia (CIN) and can develop to cancer if left untreated.

What are the common signs and symptoms

  • Early cervical cancer may not show any noticeable signs or symptoms. Below are some symptoms of cervical cancer although other conditions may also cause those symptoms:

    • Vaginal bleeding (Between periods or after sexual intercourse)
    • Blood-stained vaginal discharge

    A doctor should be consulted if the symptoms above occur

Who is at risk?

  • Persistent Human Papillomavirus (HPV) infection
  • Multiple sexual partners
  • Early onset of sexual intercourse
  • Usage of oral contraceptives
  • Smoking
  • History of sexually transmitted disease
  • Weakened immune system e.g. HIV infection

How is cervical cancer diagnosed?

If you present with any of the symptoms mentioned, the doctor will perform a pelvic examination and a biopsy of the cervix may be taken to look for cancer cells.

What can you do to prevent cervical cancer?

These are two ways to prevent cervical cancer:

  • Go for regular Pap smear test
  • Get vaccinated against the Human Papillomavirus (HPV)

Pap Smear Test

A pap smear test is a simple procedure where cells are collected from the surface of the cervix and then sent to a laboratory to detect any abnormality. All sexually active women between 25 and 69 years old are advised to have a pap smear test regularly (every 3 years on average).

If you have an abnormal pap smear, the doctor may want to examine you closer by doing a procedure called colposcopy.

Colposcopy is a procedure in which the doctor uses a colposcope (a lighted, magnifying instrument) to check the vagina and cervix for abnormal areas. It is not inserted into the vagina.

Human Papillomavirus (HPV) vaccination

Cervical cancer is caused by a common virus called the Human Papillomavirus (HPV) Being vaccinated against HPV is recommended for all young women aged 9 to 26.

The HPV vaccine works best if given before the first sexual intercourse. Talk to your doctor to see if you are eligible for the vaccine. A 2 dose regime can be given for girls between the ages 9 and 14 years old. For those who are 5 years old and older, a 3 dose regime is recommended over 6 months.

What are the treatment options?

There are different treatments available for cervical cancer depending on the stage of cervical cancer, Factors other than the stage of the cancer that might have an impact on your treatment decision include your age, your overall health, and your own preferences. The three main types of treatment include surgery, radiation and chemotherapy.

Surgrery

Surgery is usually the first treatment for cancer of the cervix in the early stages (where cancer is confined to the cervix). The most common treatment is the hysterectomy to remove the uterus (womb) and cervix. The neighbouring reproductive organs such as the ovaries and fallopian tubes may be removed. However this depends on other factors such as your age.

Some patients with the earliest stage cervical cancers can be treated with cervical conisation (cone biopsy) or simple hysterectomy alone.

Radiation Therapy

Radiation therapy is cancer treatment that uses high energy x-rays or other types of radiation to kill cancer cells or to keep them from growing. There are two types of radiation therapy – external and internal. The way the radiation therapy is given depends on the type and stage of the cancer being treated.

Radiation can be used after surgery for early stage cervical cancer. It is also the main treatment for later stage (stage 2 and above) cancers. For cervical cancer, when radiation is the main treatment, it is often given along with low doses of chemotherapy for it to work better.

Chemotherapy

Chemotherapy is the use of drugs to help kill cancer cells and shrink the size of the tumour. It is often combined with radiation therapy. Usually the drugs are given into a vein. Once the drugs enter the bloodstream, they spread throughout the body. In cervical cancer, chemotherapy is also given to women with advanced or recurrent cancer.

"I guarantee my very best expertise delivered with compassion and dignity as we journey TOGETHER to BEAT this dreaded illness."

- Dr Johann Tang

Make An Enquiry

Got Queries? Book an appointment with Dr Johann Tang by filling up this form. We'll get on a call with you as soon as possible.

Prefer to talk? Call us directly at +65 6690 6811
or email us at drjohanntang@gmail.com
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About Dr Johann Tang

Senior Consultant Radiation Oncologist, Medical Director, MBBS (Aust), FRANZCR (Radiation Oncology), FAMS.

Dr Tang obtained his medical degree from the University of Newcastle, Australia in 1998, and completed his house officer training at the Hunter Area Health Service in Australia. After his successful training, Dr Tang returned to Singapore to start his speciality training in Radiation Oncology at the National University Hospital (NUH). Obtaining his fellowship from the Royal Australian College of Radiologist (FRANZCR) in 2006, Dr Tang underwent fellowships in breast brachytherapy at the University of Wisconsin and Arizona Breast Cancer Specialist Centre, as well as prostate brachytherapy, skin and paediatric fellowships at Peter Maccallum Cancer Institute, Australia.

Why Choose Dr Johann Tang

Dr Johann Tang is an experienced radiation oncologist in Singapore who provides quality cancer treatment using radiation therapy for patients diagnosed with various types of cancer. As the radiotherapy treatment in Singapore can be unfamiliar to patients, he will be there to provide constant encouragement and personalised care. With ethics and empathy at the core of their practice, Dr Tang and his team of capable staff strive to understand each patient’s individual needs, allowing them to provide care that is compassionate and responsive.

Experienced Radiation Oncologist

Dr. Johann Tang is a highly experienced radiation oncologist with several accolades to his name. Prior to entering private practice where he was a Senior Consultant at NUH for 18 years from 2001 to 2019. Dr Tang spearheaded and built up the breast brachytherapy (Accelerated Partial Breast Irradiation APBI), outpatient interstitial image- guided cervical brachytherapy and paediatric radiotherapy services at NUH, to provide an array of the latest and best treatment options for patients. Dr. Tang is also passionately involved in research having authored numerous peer reviewed publications, and has won several research prizes.

Evidence-based Treatments

Every patient responds differently to radiotherapy, and both patients and their families desire the most optimal outcomes in treating cancer while minimising discomfort over the entire duration of treatment. As an experienced radiation oncologist in Singapore, Dr Johann Tang adopts evidence-based treatments based on each patient’s medical condition using the latest and most advanced medical technology that is highly effective in treating cancers. With a wealth of experience in treating and researching various types of cancers in Singapore and overseas, Dr Tang is well versed with current radiotherapy treatment protocols, reassuring his patients that they will receive the best and latest treatment.

Patient-centered Care

Beyond providing effective treatment as a radiation oncologist in Singapore, Dr Johann Tang and his team of experienced staff are also fully committed to patient-centric care. Dr Tang and his team will journey with every patient from diagnosis to the completion of treatment, fully reassuring patients that their clinical needs and well being are properly attended to.

"I guarantee my very best expertise delivered with compassion and dignity as we journey TOGETHER to BEAT this dreaded illness."

- Dr Johann Tang

Make An Enquiry

Got Queries? Book an appointment with Dr Johann Tang by filling up this form. We'll get on a call with you as soon as possible.

Prefer to talk? Call us directly at +65 6690 6811
or email us at drjohanntang@gmail.com

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Contact Dr Johann Tang

ME Novena Specialist Group Pte Ltd
Mt. Elizabeth Novena Hospital
Address: 38 Irrawaddy Road
#08-36/7/8/9
Singapore 329563
Telephone: +65 6690 6811
Fax: +65 6690 6828
Whatsapp: +65 9641 4747
Clinic Hours:

Mon – Fri: 8:30am – 5:30pm
Sat: 8:30am – 12:00pm
Sun & Public Holidays: Closed

Farrer Park Hospital
Address: 1 Farrer Park Station Road, #07-14 Connexion
Singapore 217562
Telephone: +65 6690 6811
Fax: +65 6690 6828
Whatsapp: +65 9641 4747
Clinic Hours:

Mon – Fri: 8:30am – 5:30pm
Sat: 8:30am – 12:00pm
Sun & Public Holidays: Closed