Cervical mass in a breast cancer patient

Chief complaint A 45 y/o G2P2 female presents with a large uterine cervical mass. History She has h/o breast Ca treated by surgical & radiotherapy. Examination Physical examination shows a large greyish cervical mass extended to both sides. Investigations Cervical smear shows atypical squamous cells. Radiographic Image shows a homogeneous cervical tumour measuring 6 cm. Lab report shows Hb: 5.9 g/dl, WBC: 5.4 × 105/mm3 Hematocrit: 5%, Platelet count: 20 × 105/mm3 Treatment How we should approach to this case?

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A case of carcinoma breast with surgery and radiotherapy done . The cervical mass seems to be a separate clinical entity - it requires a biopsy to confirm the diagnosis whether it is 1.A benign mass or 2 Cervical primary malignancy or 3 A rare case of distant metastasis from ca breast . Treatment depends upon the biopsy report

Treat anaemia and further investigation like biopsy, x Ray and evaluation and treatment depends upon the result of biopsy and clinical assessment. Rare of distant metastasis from ca breast .

Thanks Dr Dinesh Gupta
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ADVISABLE.. 1. BIOPSY 2. RULE. OUT DISTANT. METASTASES 3. CORRECTION. .OF. ANEMIA

Get cx mass biopsied.

Maintenance of the vital, biopsy of the cervical mass,chemoradiation. With surgery

Biopsy of cervical mass to be done & correction of anaemia

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