Oncology and Fibroids
True regarding Squamous carcinoma of cervix includes all of the following EXCEPT (AIPG 2008)
|A||Occurs at squamocolumnar junction|
|B||Type 16 and 18 HPV|
|C||Most common presenting feature is postcoital bleeding|
|D||CT is recommended for staging|
CT is recommended for staging
1. Squamous carcinoma accounts for 85% of cervical cancers and 15% of adenocarcinomas. Several uncommon tumors such as adenoid cystic, small cell, adenosquamous carcinoma, and lymphoma, to mention a few, may also affect the cervix.
2. The cervix is divided by the vagina into supravaginal and vaginal regions. The vaginal portion, or portio vaginalis, is covered by stratified squamous epithelium that meets the columnar epithelium of the endocervical canal at the squamous–columnar junction over the external os. Squamous tumors arise from metaplasia at this junction
3. Cervical cancer is staged by the International Federation of Gynecology and Obstetrics (FIGO) staging system, which is based on clinical examination, rather than surgical findings. It allows only the following diagnostic tests to be used in determining the stage: palpation, inspection, colposcopy, endocervical curettage, hysteroscopy and cystoscopy.
4. The early stages of cervical cancer may be completely asymptomatiC. Vaginal bleeding, contact bleeding or rarely a vaginal mass may indicate the presence of malignancy. Moderate pain during sexual intercourse and vaginal discharge or bleeding after an intercourse are the most common symptoms of cervical cancer. In advanced disease, metastases may be present in abdomen, lungs or elsewhere.