Photo Gallery: Gynecologic Oncology
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Cervical
Carcinoma: Stage IIIB with extension to left pelvic
sidewall. A large cauliflower lesion obliterating the cervix is
seen. The cervical os is not apparent. The distal vagina appears
normal with vaginal rugae, consistent with estrogen effect
in this premenopausal patient. A good resource for patients with
cervical cancer is the online booklet
"What You Need To Know About Cervical Cancer" An excellent
reference for physicians and healthcare workers is the
PDQ Cervical Cancer Treatment Summary. This detailed summary
includes diagnosis, workup, staging, treatment, prognosis, and
information on clinical trials for cervical cancer.
Cervical Carcinoma, Post Treatment: Same patient as
above, 3 years after receiving 5FU, cisplatinum chemo, and
concurrent pelvic radiation. She received 5000 cGy external beam and
3500 cGy low dose rate brachytherapy. She is NED with side effects
of vaginal shortening and vaginal stenosis.
Cervical Carcinoma Post Treatment: Same patient as
above. The cervix appears normal. Telangiectasia are visible around
cervical os from radiation effect. The vaginal mucosa is flattened
and the rugae are gone from lack of estrogen effect. The patient is
now postmenopausal from the effect of pelvic radiation on her
ovaries.
