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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest next course of action for stage 2 cervical cancer

hi! I am 52 yrs old, a mother of 5 & currently undergoing investigations for cervical cancer. I had lower abdominal pain on & off with vaginal discharges (watery) since few months. Accidentally it was found out during an abdominal ultrasound: Uterus normal sized measures 6.2 x 5.1 cms. Endometrium - 1.31 cm with hypoechoic shadows most likely blood. Rt. ovary - 2.01 x 1.87 cms. Lt. ovary - 1.67 x 1.15 cm. No adnexal masses detected. No free fluid in the cul de sac. Cervix appears normal The fluid in my uterus was removed by D&C wherein a biopsy was done & here is the finding: Uterine cervix, cervical biopsy from cervical growth: - Invasive moderately to poorly differentiated squamous cell carcinoma with glandular extension. - No definite vascular invasion seen in this biopsy specimen. My OBG told me that it is a stage 2 Cevical CA. She ordered for me CT scan & MRI, both with contrasts. here is my CT result: Impression: Bulky uterine cervix Multiple non-enhancing lesions in both lobes of liver ? cysts ?? metastasis. Ultrasound correlation is recommended for differentiation Low attenuating lesion of fat density in the right renal lower pole possibly lipoma My MRI will be resulted after 2 days. I am very anxious & afraid about this. Can you help me more on this? What is the next best thing to do?
Thu, 19 Mar 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

You have a cancer in the cervix of uterus that is still in early stages. The biopsy report shows the cancer cells which are of invasive moderate to poorly differentiated type squamous cell carcinoma. This is a type of cancer involving the cervix.

It is important to know the exact size of the cancer area and the CT and MRI scans will help in this. I understand your concern at having multiple areas in the liver which have been given as cysts. A cyst is a fluid filled structure that is harmless. It is important for you to have a detailed review of the liver so that there is no confusion and doubt of disease spread to liver which will then change the stage and treatment decision and might be bad for you. The MRI scan will also show the areas and can be compared with the CT scan to get a better picture of the cysts being harmless.

The kidney lesion is confirmed to be containing a fat component and this is a benign lesion.
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Suggest next course of action for stage 2 cervical cancer

Hi, Thanks for writing in. You have a cancer in the cervix of uterus that is still in early stages. The biopsy report shows the cancer cells which are of invasive moderate to poorly differentiated type squamous cell carcinoma. This is a type of cancer involving the cervix. It is important to know the exact size of the cancer area and the CT and MRI scans will help in this. I understand your concern at having multiple areas in the liver which have been given as cysts. A cyst is a fluid filled structure that is harmless. It is important for you to have a detailed review of the liver so that there is no confusion and doubt of disease spread to liver which will then change the stage and treatment decision and might be bad for you. The MRI scan will also show the areas and can be compared with the CT scan to get a better picture of the cysts being harmless. The kidney lesion is confirmed to be containing a fat component and this is a benign lesion.