Indian Journal of Obstetrics and Gynecology Research
  • Year: 2016
  • Volume: 3
  • Issue: 1

Window of lost opportunities: Time to consider a mandatory cervical cancer screening protocol??

Assistant Professor, Dept. of Gynec-Oncology, Gujarat Cancer and Research Institute, Ahmedabad

*Corresponding Author: E-mail: anusha.kamath@gmail.com

Online published on 26 August, 2016.

Abstract

We report 2 cases of carcinoma cervix treated at our institution where a window to detect malignancy at an early stage was available, yet missed. Case 1: A 38 year old nulligravida, post-renal transplant patient, reported with abnormal discharge per vaginum and intermenstrual bleeding. She was found to have Squamous Cell Carcinoma of Cervix Stage Ib2 on evaluation. A decision to start IMRT was taken. The patient didn't continue further treatment at our institute and was lost to follow up. Case 2: A 47 year old lady presented with 4 months postpartum bleeding. She had undergone caesarean delivery post-IVF 6 months ago. She was found to have Squamous cell carcinoma Stage IIa on evaluation, for which she underwent Radical Hysterectomy with bilateral pelvic lymph node dissection. She received Postoperative radiotherapy along with Intracavitary Radiotherapy.