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40-year-old woman with 3 month history of worsening vaginal bleeding. PE - 6 cm friable mass extends from cervix into vaginal wall.
Chest X-Ray: normal.
Abdominal/Pelvic CT: fullness noted in region of cervix. No gross lymphadenopathy or sidewall involvement.
EUA/cystoscopy. EUA: large exophytic cervical mass approximately 6 cm across. No parametrial or sidewall involvement. Cystoscopy: Bladder negative.
Cervix biopsy: infiltrating wd adenoca. Stains strongly support endocervical origin.
Radiation: Began beam radiation to whole pelvis.
Radiation: Started HDR brachytherapy.
Chemotherapy: Started Cisplatin.