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Cervical Cancer. Keith Unger 2/24/06. Clinical History. 47 yo F with vaginal bleeding and pelvic pain On exam, large cervical mass with parametrial involvement Biopsy performed. Pathology revealed moderately differentiated squamous cell carcinoma. FIGO Staging of Cervical Ca. Lymphatics.
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Cervical Cancer Keith Unger 2/24/06
Clinical History • 47 yo F with vaginal bleeding and pelvic pain • On exam, large cervical mass with parametrial involvement • Biopsy performed. Pathology revealed moderately differentiated squamous cell carcinoma
Lymphatics • Predictable Lymph Node • Spread in Cervical Ca • Paracervical LNs → • External Iliacs LNs → • Common Iliac LNs→ • Periaortic LNs
1.4 cm Left External Iliac Lymph Node 0.9 cm Left Paraaortic Lymph Node