CARCINOMA CERVIX...PATHOLOGY, C/F, Ix
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Transcript of CARCINOMA CERVIX...PATHOLOGY, C/F, Ix
CERVICAL CANCERPATHOLOGY
CLINICAL FEATURES INVESTIGATIONS
R.NARAYANEEII OG UNIT
PROF.HAROLD ZUR HAUSEN
TADPOLE CELL
PATHOLOGICAL TYPES OF CERVICAL CARCINOMAS
SQUAMOUS CELL CARCINOMA- 85% ADENOCARCINOMA- 15% ADENOSQUAMOUS CARCINOMA NEUROENDOCRINE CARCINOMAS 5%
SQUAMOUS CELL CARCINOMA
• PROLIFERATIVE GROWTH• ULCERATIVE• FLAT INDURATED AREAS
MORPHOLOGY
MODE OF SPREAD
• DIRECT SPREAD
• LYMPHATIC SPREAD
• VASCULAR SPREAD
FEATURES IN EARLY INVASIVE STAGE
AGE 35-45 YEARSMENORRHAGIAMENOMETRORRHAGIAPOSTCOITAL BLEED, PAINBLOOD STAINED LEUCORRHOEA WITH
OFFENSIVE ODOUR
FEATURES IN ADVANCED DISEASE
PELVIC PAINANEMIA
ANOREXIACACHEXIA
OLIGURIA, FEATURES OF UREMIASYMPTOMS OF METASTASIS TO
OTHER ORGANS
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
INVESTIGATIONS• TO CONFIRM THE DIAGNOSIS, PUNCH BIOPSY
OF THE LESION• FOR HISTOLOGICAL SUBTYPE• DIFFERENTIATION OF THE TUMOUR CELLS
INVASIVE SQUAMOUS CELL CARCINOMA
MICROINVASIVE CARCINOMA
WELL DIFFERENTIATED SQUAMOUS CELL CARCINOMA
MODERATELY DIFFERENTIATED SQUAMOUS CELL CARCINOMA
INVESTIGATIONS
COMPLETE HEMOGRAMURINALYSISBLOOD GLUCOSELIVER AND RENAL FUNCTION TESTSSERUM ELECTROLYTESBLOOD GROUPING AND TYPINGECG
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
FDG-PET IN ADVANCED CARCINOMA CERVIX
INTRAVENOUS PYELOGRAPHY SHOWING B/L MEGAURETER AND CALYCEAL DILATATION
CANNON BALLS
CANNON BALL SECONDARIES LUNG
THANK YOU