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| IGCS Tumor Board August 2007 (Part 1) |
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Welcome to the IGCS Tumor Board Case for August 2007, submitted by Satoru Sagae. Below you will find a case of cervical cancer in five parts with five questions to poll your management opinions. All Members are encouraged to vote, but only one vote per question is permitted for each Member. Once you have completed all five votes, you will have an opportunity to view current statistics and expert commentaries. |
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A 32 year-old single woman presented with a history of vaginal bleeding for several months. She was without any significant past medical history. Her office gynecologist performed a Pap smear and biopsy of the cervix.
Figure 1. Pathology of primary lesion showing a non-keratinizing (poorly differentiated) squamous cell carcinoma.
After the biopsy, she was referred to a gynecologic oncologist. General physical examination was unremarkable. Her pelvic examination revealed a slightly enlarged cervix and colposcopy revealed an abnormal area at 8 to 11 o’clock.  Figure 2A. Pre-Therapy MRI showed a 3 cm cervical mass without any paracervical extension or pelvic lymphadenopathy.
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