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A 45-year-old woman was admitted to the hospital after complaining of dysmenorrh

ID: 3464104 • Letter: A

Question

A 45-year-old woman was admitted to the hospital after complaining of dysmenorrhea that was often accompanied by menorrhagia. A prior treatment of dilation and curettage did not eliminate the symptoms. The woman had no prior history of reproductive disease or cancer. A Pap smear showed some abnormality of the cells. Culturing the cells indicated the presence of HPV. Further evaluation of the cervix through colposcopy indicated carcinoma of the cervix. A cervicectomy procedure was performed. No metastasis was noted. What two complaints did the patient have upon admission to the hospital? What did the Pap smear culture reveal? What is colposcopy? Was there any evidence of the cancer spreading? What is done in a cervicectomy?

Explanation / Answer

1. The complaints that the woman had upon admission to the hospital was dysmenorrhea and menorrhagia.

2. The Pap smear culture revealed abnormality in the cells due to the presence of human papillomavirus (HPV). HPV in women can cause cervical, vaginal, and vulvar HPV cancers.

3. Colposcopy is a medical diagnostic procedure to examine an illuminated, magnified view of the cervix and the tissues of the vagina and vulva.

4. There is no evidence of the cancer spreading as no metastasis was noted after performing the cervicectomy procedure.

5. Cervicectomy involves the surgical removal of the cervix, the lower portion of the uterus that protrudes into the vagina.

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