STWS Home Module Home  Cervix: Case #1 Print

Physical Exam

05/05/XX

40 year old woman with 3 month history of worsening vaginal bleeding. PE – 6 cm friable mass extends from cervix into vaginal wall.

   
X-Rays & Scans 05/20/XX Chest X-Ray: normal.
05/23/XX Abdominal/Pelvic CT: fullness noted in region of cervix. No gross lymphadenopathy or sidewall involvement.
   
Scopes 05/21/XX EUA/cystoscopy. EUA: large exophytic cervical mass approximately 6 cm across. No parametrial or sidewall involvement. Cystoscopy: Bladder negative.
   
Pathological Reports 05/05/XX

Cervix biopsy: infiltrating wd adenoca. Stains strongly support endocervical origin.

   
Treatment 06/04/XX Radiation: Began beam radiation to whole pelvis.
06/21/XX Radiation: Started HDR brachytherapy.
06/11/XX Chemotherapy: Started Cisplatin.

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