CARCINOMA CERVIX...PATHOLOGY, C/F, Ix
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Transcript of CARCINOMA CERVIX...PATHOLOGY, C/F, Ix
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CERVICAL CANCERPATHOLOGY
CLINICAL FEATURES INVESTIGATIONS
R.NARAYANEEII OG UNIT
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PROF.HAROLD ZUR HAUSEN
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TADPOLE CELL
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PATHOLOGICAL TYPES OF CERVICAL CARCINOMAS
SQUAMOUS CELL CARCINOMA- 85% ADENOCARCINOMA- 15% ADENOSQUAMOUS CARCINOMA NEUROENDOCRINE CARCINOMAS 5%
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SQUAMOUS CELL CARCINOMA
• PROLIFERATIVE GROWTH• ULCERATIVE• FLAT INDURATED AREAS
MORPHOLOGY
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MODE OF SPREAD
• DIRECT SPREAD
• LYMPHATIC SPREAD
• VASCULAR SPREAD
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FEATURES IN EARLY INVASIVE STAGE
AGE 35-45 YEARSMENORRHAGIAMENOMETRORRHAGIAPOSTCOITAL BLEED, PAINBLOOD STAINED LEUCORRHOEA WITH
OFFENSIVE ODOUR
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FEATURES IN ADVANCED DISEASE
PELVIC PAINANEMIA
ANOREXIACACHEXIA
OLIGURIA, FEATURES OF UREMIASYMPTOMS OF METASTASIS TO
OTHER ORGANS
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ON EXAMINATION
FRIABLE GROWTH AND/OR ULCER IN CERVIX –BLEEDS ON TOUCH
INDURATION CAN BE FELTBULKY UTERUS IN ADVANCED STAGESTHICKENED INDURATION OF UTEROSACRAL
LIGAMENTS ON RECTAL EXAMINATION
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INVESTIGATIONS• TO CONFIRM THE DIAGNOSIS, PUNCH BIOPSY
OF THE LESION• FOR HISTOLOGICAL SUBTYPE• DIFFERENTIATION OF THE TUMOUR CELLS
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INVASIVE SQUAMOUS CELL CARCINOMA
MICROINVASIVE CARCINOMA
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WELL DIFFERENTIATED SQUAMOUS CELL CARCINOMA
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MODERATELY DIFFERENTIATED SQUAMOUS CELL CARCINOMA
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INVESTIGATIONS
COMPLETE HEMOGRAMURINALYSISBLOOD GLUCOSELIVER AND RENAL FUNCTION TESTSSERUM ELECTROLYTESBLOOD GROUPING AND TYPINGECG
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INVESTIGATIONS
STAGING IS ESSENTIALLY BASED ON CLINICAL FINDINGS..BUT THE FOLLOWING INVESTIGATIONS HELP IN FINALISING THE STAGE
CYSTOSCOPYPROCTOSCOPY IV PYELOGRAMCHEST X-RAYCT , MRIPET SCANFDG-PET
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FDG-PET IN ADVANCED CARCINOMA CERVIX
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INTRAVENOUS PYELOGRAPHY SHOWING B/L MEGAURETER AND CALYCEAL DILATATION
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CANNON BALLS
CANNON BALL SECONDARIES LUNG
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THANK YOU