RT Book, Section
A1 Mayeaux, Jr., E.J.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164351820
T1 Colposcopy of Cervical Cancer
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164351820
RD 2024/04/25
AB A  51-year-old  woman  presents  with  postcoital  bleeding.  She  has  not  had  a  period  in  3  years,  but  has  started  spotting  after  intercourse.  Her  last  Papanicolaou  (Pap)  test  was  after  the  birth  of  her  last  child  25  years  ago  and  was  normal.  Other  than  an  occasional  mild  hot  flash,  she  has  no  other  complaints.  On  colposcopy  she  was  found  to  have  a  densely  acetowhite  lesion  with  abnormal  vessel  near  the  cervical  os  (Figure  93-1).  Biopsy  demonstrated  invasive  squamous  cell  carcinoma.  The  patient  then  had  a  radical  hysterectomy  with  pelvic/paraaortic  lymphadenectomy.  Fortunately,  her  lymph  nodes  were  all  negative.