Cervical mass

Chief Complaint A 39 y/o female came with the complaint of occasional lower & upper abdominal pain for the past 4 months which has increased since yesterday. History She had visited to doctor for 3-4 times in the past year for irregular menstruation and last time she also complains of prolonged bleeding. Examination Physical examination shows a hard painful cervical mass. Investigations A CT scan was done which shows 60*37 mm retro-uterine mass. Ultrasound shows slightly enlarged ovaries but no mass was noted. Serum Ca125 and Ca19.9 were raised. Treatment Advise management.

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* Cervical cancer ** Ovarian cancer Markers raised possibility of CA cervix can be ruled out by biopsy . Treatment as per reports.

Thanks Dr Pushkar Bhomia
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Likely CA cervix as markers are raised and mass is hard in consistency Opt for biopsy and confirm so line of treatment may be decided

Thanx dr Pushkar ji Bhomia
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Advise total abdominal hysterectomy as there is retrouterine mass and should be sent for histopathology examination

Thanks Dr. Sandeep Ghodeker, Dr. A Dutta, Dr.Dinesh Gupta
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? UTERINE PATHOLOGY.. ? CERVICAL PATHOLOGY.. NEED.. GYNECOLOGICAL EXAMINATION.. HPE STUDY..

Tnx Dr Ashok Leel sir
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Cervical mass should be removed surgically & sent for HPE Till then symptomatic treatment

Surgery and radiation therapy are the most common treatments for invasive cervical cancer. Others are chemotherapy and biological therapy. If the cancer is only on the surface of your cervix, your doctor can remove or destroy the cancerous cells with procedures like LEEP or cold knife conization.

Most likely it is CA- cervix. Need to undergo radical excision and followed by Radiotherapy and chemotherapy..

Look CA cervix Or Ovarian carcinoma Adv: biopsy

Oncologist and onco surgeon's reference.

POSSIBLY MALIGNANCY DD ENDOMETRIOSIS

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