Title: Squamous Cell Carcinoma of cervix

Authors: Deepanshu Singla, Surabhi Gupta

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.20

Abstract

Introduction
Pre-invasive as well as early invasive cervical cancer usually is asymptomatic and is detected during screening procedures. However, advanced-stage cervical cancer almost always presents with abnormal vaginal bleeding or foul-smelling vaginal discharge. Here we report a case of cervical cancer with unusual presentation of mass coming out of the introitus.

Case Report
A 70 year old woman presented to the gynaecology department with complaint of a mass coming out of the introitus since 3 months. There was associated backache and dribbing of urine since last one month .Patient is postmenopausal since 20 years. She is P4L4 with all full term vaginal birth. Patient has no past history of diabetes, hypertension, asthma, tuberculosis, PID. Patient was thin built and cachectic. She had mild pallor. There was no lymphadenopathy, no oedema. Her car- diorespiratory examination findings were within normal limit. In perabdominal examination, there was no palpable lump. There was no organomegaly.
Local examination revealed a mass coming out of the introitus measuring 6*4 cm with a pedicle attached to it.The mass had foul odour and was fragile.

References

  1. Shah M, Moogerfeld MS, Ahmed J, Mughal M, Aziz K. Metastatic cervical cancer with un- usual presentation: A case report. Conn Med 2001;65:523-5.
  2. Manoharan M, Satyanarayana D, Jeyarajah AR. Cervical 4 lymphadenopathy-An unusual presentation of carcinoma of the cervix: A case report. J Med Case Rep 2008;2:252.
  3. Kanthan R, Senger JL, Diudea D, Kanthan S. A review of duodenal metastases from squamous cell carcinoma of the cervix presenting as an upper gastrointestinal bleed. World Journal of Surgical Oncology 2011;9:113.

Corresponding Author

Deepanshu Singla

MBBS Student, JN Medical college, DMIMS (Sawangi) Wardha-442001, Maharashtra, India