Cervical carcinoma spread and staging: Invasion of the lower v*gina or pelvic wall, or causing ureteric obstruction

Related MCQs

• Cervical carcinoma spread and staging: Microinvasion of the basement membrane, <7mm across, with no lymph/vascular space invasion
• A 19-year-old female comes to the physician because of left lower quadrant pain for 2 months. She states that she first noticed the pain 2 months ago but now it seems to be growing worse. She has had no changes in bowel or bladder function. She has no fevers or chills and no nausea, vomiting, or diarrhea. The pain is intermittent and sometimes feels like a dull pressure. Pelvic examination is significant for a left adnexal mass that is mildly tender. Urine hCG is negative. Pelvic ultrasound shows a 6 cm complex left adnexal mass with features consistent with a benign cystic teratoma (dermoid). Which of the following is the most appropriate next step in management?
• A 62-year-old woman comes to the physician because of bleeding from the v*gina. She states that her last menstrual period came 11 years ago and that she has had no bleeding since that time. She has hypertension and type 2 diabetes mellitus. Examination shows a mildly obese woman in no apparent distress. Pelvic examination is unremarkable. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management?
• Involves pelvic LN clearance, hysterectomy, removal of the parametrium and the upper third of the v*gina.
• Carcinoma cervix with involvement of upper 2/3 of v*gina is stage
• A 48-year-old woman has noted a small amount of irregular vaginal bleeding for the past 2 months. She has a pelvic examination that reveals no cervical lesions, and a Pap smear that shows no abnormal cells. Next, an endometrial biopsy is performed, and there is microscopic evidence for endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman is most likely to have?
• 5 year survival for someone with stage 3-4 cervical carcinoma
• The area where cervical carcinoma usually originates
• Cervical carcinoma is most common between the ages of
• Cervical carcinoma characteristically spreads in the