RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57675752
T1 Chapter 91. Colposcopy of Cervical Cancer
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57675752
RD 2024/04/19
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)  smear  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  91-1).  Biopsy  demonstrated  invasive  squamous  cell  carcinoma.  The  patient  then  had  a  radical  hysterectomy  with  pelvic/paraaortic  lymphadenectomy.  Fortunately  her  lymph  nodes  were  all  negative.