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What is A 50 yr old lady came to OPD with the h/o post menopausal bleeding for 2 month, on vaginal examination a growth of 1 x 2 cm is found on anterior lip of cervix, normal uterine size, on rectal examination, rectal mucosa and parametrium are free. Punch biopsy of lesion established a diagnosis of Ca cervix. What would be the Management? and explain in detail?
The patient has a clinically visible lesion measuring 2 cm without parametrial involvement. This is clinical stage IB2 of cervical cancer Treatment of Stage 1B2 is Radical Hysterectomy (Type 3) with Pelvic Lymphadenectomy Uterus, cervix, upper 1/3-1/2 vagina,entire parametria, uterine aery ligated at its origin from internal iliac aery, uterosacral ligament at most distal attachment (rectum) Simple extrafascial Hysterectomy (type I) is done only for stage 1A1 tumors without lymphovascular space invasion