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 2024/10/11 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.