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Case Presentation CA Cervix - Israt

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Dr.Helal kabir
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35 views12 pages

Case Presentation CA Cervix - Israt

Uploaded by

Dr.Helal kabir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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CASE PRESENTATION

DR. ISRAT JAHAN


•Indoor Medical Officer

UNIT II
Department of Obstretics & Gynaecology
Rangpur Medical College Hospital, Rangpur
Mrs. Rehena begum, 57 years old, multiparous, a post
menopausal lady housewife of low socioeconomic family,
hailing from Taraganj, Rangpur, got herself admitted into
RpMCH on 13th october, 2024 with the complaints of
 Irregular per vaginal bleeding for 6 months.
 Dirty brownish per vaginal discharge for 3 months
 Several episodes of post coital bleeding for 3 months.
According to statement of the patient, she was reasonably well 6
months back, then she developed irregular per vaginal bleeding for
last 6 months which was scanty in amount, bright red in
color,irregular lasting for 1-2 days and subsided spontaneously .
She also complaint of dirty brownish per vaginal discharge for 3
months which was initially scanty in amount , thin, watery ,
odourless, then gradually became dirty brown in colour, profuse in
amount and foul smelling. The discharge not associated with itching
or lower abdominal pain.
She also give history of post coital bleeding for 3 months
which was small, bright red in color, painless.

She give no history of dysuria, burning sensation during


micturation and per rectal bleeding.

Her bowel and bladder habit was normal. She was


nondiabetic, normotensive and nonsmoker.
Regarding menstrual history, she attained her menarche at
age of 13 years. Her cycle was regular with average flow and
duration.Now she is menopausal for 7 years.
Regarding her obstetric history, she got married at the age of
14 years which was about 43 years back and delivered her
first child at 16 years.
She is a mother of 4 children, all delivered per vaginally at
home. ALC is 18 years.
She took OCP for 10 years before menopause. Her husband
was a farmer and they were in monogamous relationship.
She give no history of hormone replacement therapy and
no other relevant medical or surgical illness.
With due consent and maintaining adequate privacy, I examined
her and found anxious but co operative with average body built.
She was mildly anaemic, non icteric , non oedematous .
Her pulse was 86 beats/min, BP- 110/70 mm (Hg), RR- 18
breath/min, Temp- 98 F, Thyroid gland not enlarged.
Both breast were normal according to her age. No accessible
lymph nodes were palpable. Her cardiorespiratory system showed
no abnormalities.
On per abdominal examination:
-abdomen was soft, non tender, no palpable mass or organomegaly
was found .
On per vaginal examination: on inspection-
-vulva vagina was atrophied. There was no abnormal visible pathology.
On per speculum examination:
- there was an exophytic growth measuring about 1.5* 1.5 cm arising
from anterior lip of cervix.
On bi manual examination:
- there was an exophytic growth measuring about 1.5*1.5 cm
arising from anterior lip of cervix which was hard, fixed , friable
and bleed on touch and occupy the upper 1/3rd of vaginal wall .
All fornices were free.
Uterus was atrophied, anteverted, mobile and non tender.
Both adnexa and pouch of douglous were normal.
.
On Digital rectal examination(DRE):
 parametrium was smooth and free
rectal mucosa was free and findings corresponded to Bi manual
examination
So, from history and clinical examination, my provisional diagnosis is –

Post menopausal bleeding due to


??????? Carcinoma cervix

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