Oncology and Fibroids
Not a clinical manifestation of carcinoma cervix:
|A||Can be diagnosed by biopsy|
|B||May be present as post-menopausal bleeding|
|C||In early stages spread to inguinal lymph node|
|D||All are the feature of Carcinoma cervix|
In early stages spread to inguinal lymph node
a. The cervix is the lower third of the uterus. It is roughly cylindrical in shape, projects through the upper, anterior vaginal wall and communicates with the vagina through an orifice called the external os.
b. Cancer of the cervix may originate on the vaginal surface or in the canal.
c. The cervix is drained by preurethral, post ureteral, and uterosacral routes into the Following "first station" nodes: parametrial, internal (obturator-hypogastric), external iliac, presacral and common iliac.
d. Para-aortic nodes are "second station".
1. The most common sites of "distant" spread include the aortic and mediastinal nodes, the lungs and skeleton.
2. The 4 main symptoms of carcinoma of cervix are
But of these the most important is hemorrhage. As there are 4 symptoms there are also 4 signs viz. the cervix bleeds on touch, it is friable, fixed and there is induration of either the cervix itself or of the surrounding structures (in advanced' cases). The treatment is either operation or radiotherapy.