Cervical cases

Question 1

CERVICAL CASE 1: CINI on colposcopy

Answer 1

CINI: observe and repeat colposcopy (will resolve in 60%)

Question 2

CERVICAL CASE 2 CINII on colopscopy

Answer 2

CINII: need LEEP or cone biopsy to rule our invasive

Question 3

CERVICAL CASE 3: 2mm deep and 3mm wide invasive on cone biopsy, LVI-negative

Answer 3

Low-risk IA1: simple hysterectomy, consider fertility sparing cone resection if desires pregnancy

Question 4

CERVICAL CASE 4: 3mm deep and 3mm wide invasive on cone biopsy, LVI-positive

Answer 4

High-risk IA1: needs radical hysterectomy/LNDx because of LVI-positive

Question 5

CERVICAL CASE 5: 2cm cervical cancer localized to cervix (no further disease identified)

Answer 5

IB1: radical hysterectomy + LNDx only.

Question 6

CERVICAL CASE 6: cervical lesion extending into parametria on exam or imaging

Answer 6

IIB: cis/RT definitive

Question 7

CERVICAL CASE 7: cervical ca extending into vagina

Answer 7

III: cis/RT definitive

Question 8

CERVICAL CASE 8: cervical ca, de novo lung mets

Answer 8

IVB: palliative cisplatin-based chemo

Question 9

CERVICAL CASE 9: cervical ca, invasion into rectum on imaging

Answer 9

IVA: cis/RT definitive

Question 10

CERVICAL CASE 10: cervical ca, invasion into parametrium seen during surgery

Answer 10

add adjuvant cis/RT