Race Prevalence

■ More prevalent in African American (AA) women and urban Hispanic women than white women

■ AA mortality rate = two times greater than whites

SYMPTOMS

Early Stages

■ Irregular/prolonged vaginal bleeding/pink discharge

■ Postcoital bleeding (brownish discharge)

Middle Stages

■ Postvoid bleeding

■ Dysuria/hematuria

Advanced Stages

■ Bloody, malodorous discharge

■ Severe pain, due to spread to sacral plexus

Cervical cancer is the third most common gynecologic malignancy (breast cancer is first; ovarian cancer is second).

Symptoms of cervival cancer become evident when cervical lesions are of moderate size; looks like "cauliflower."

DIFFERENTIAL DIAGNOSIS

Cancer cells create foci of keratinization with cornified "pearls" that can be visible.

Adenocarcinoma is relatively resistant to radio-and chemotherapy compared to squamous cell carcinoma.

■ Papillary endocervicitis/papillomas

Tuberculosis, syphilitic chancres, and granuloma inguinale can also cause cervical lesions.

TYPES OF CERVICAL CANCER

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