SYMPTOMSThe classic symptom is intermittent, painlessmetrorragia or spotting only postcoitally or afterdouching.Probably the first symptom of early cancer of thecervix is a thin, watery, blood-tinged vaginaldischarge that frequently goes unrecognized by thepatients.As the maligancy enlarges, the bleeding episodesbecome heavier and more frequent, and they lastlonger
SYMPTOMS The classic symptom is intermittent, painless metrorragia or spotting only postcoitally or after douching. Probably the first symptom of early cancer of the cervix is a thin, watery, blood-tinged vaginal discharge that frequently goes unrecognized by the patients. As the maligancy enlarges, the bleeding episodes become heavier and more frequent, and they last longer
SYMPTOMSLate symptom or indicators of more advanced diseaseinclude the development of pain referred to the flank or legMany patients c/o dysuria, hematuria or rectal bleeding orobstipation resulting from bladder or rectal invasion.Distant metastasis and persistent edema of one or both lowerextremities as a result of lymphatic and venous blockage byextensive pelvic wall disease are late manifestation ofprimary disease and frequent manifestations of recurrentdisease
SYMPTOMS Late symptom or indicators of more advanced disease include the development of pain referred to the flank or leg. Many patients c/o dysuria, hematuria or rectal bleeding or obstipation resulting from bladder or rectal invasion. Distant metastasis and persistent edema of one or both lower extremities as a result of lymphatic and venous blockage by extensive pelvic wall disease are late manifestation of primary disease and frequent manifestations of recurrent disease
How can we make a diagnosis?SIGNSVagina:mucous,fornixCervix:erosiongrowthulcerationbarrel-shapedUterus:size,mobilityParamet:thickening
How can we make a diagnosis? SIGNS Vagina: mucous, fornix Cervix: erosion growth ulceration barrel-shaped Uterus: size, mobility Paramet: thickening
Gross appearenceThree categories of gross lesions havetraditionally beendescribed.The most common is the exophytic lesion, which usuallyarises on the ectocervix and oftergrows to form a largefriable,polypoid mass, arises on the endocervical canal,creating barrel-shaped lesion.Little visible ulceration or exophytic mass like a stone-hardcervix that regresses slowly with radiation therapy.Ulcerative tumor,usually erodes a portion of the cervix orreplacing the cervix,erodes a portion of the upper vaginalvault with alarge crate
Gross appearence Three categories of gross lesions have traditionally been described. The most common is the exophytic lesion, which usually arises on the ectocervix and ofter grows to form a large, friable,polypoid mass, arises on the endocervical canal, creating barrel-shaped lesion. Little visible ulceration or exophytic mass like a stone-hard cervix that regresses slowly with radiation therapy. Ulcerative tumor,usually erodes a portion of the cervix or replacing the cervix , erodes a portion of the upper vaginal vault with a large crate
