Cervical cancer differential diagnosis: Difference between revisions

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Revision as of 20:29, 24 January 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nima Nasiri, M.D.[2]

Overview

Cervical cancer must be differentiated from other diseases that cause abnormal vaginal bleeding, such as cervical polyp, cervical leiomyoma, invasion of the cervix from primary uterine malignancy, vaginal cancer, cervical lymphoma, metastases to cervix, and cervical ectopic pregnancy.

Cervical cancer differential diagnosis

Cervical cancer must be differentiated from a mass involving the cervix, and causing abnormal vaginal bleeding:

Cervical polyp
Cervical leiomyoma
Cervical lymphoma
Cervical sarcoma

Metastases to the cervix
Cervical ectopic pregnancy
Cervical polyp
Cervicitis
Cervical erosion ( Ectropion )
IUD use
Pelvic inflammatory disease
Endometriosis
Adenomyosis
Postcoital bleeding
Clear cell adenocarcinoma

	Symptoms									Physical exam	Lab Findings				Imaging			Histopathology
Diseases	Clinical manifestations										Para-clinical findings								Gold standard	Additional findings
	Abnormal vaginal bleeding	Abnormal vaginal dyscharge	Pelvic pain or pressure	Itching or burning of the vulva	Vaginal/vulvar sores or change in color	Abdominal pain	Fever	Swollen lymph nodes	Weight loss	Gynecological examinations	HPV	Pap smear	STI Panel	Coagulation studies	Imaging 1	Imaging 2	Imaging 3	Histopathology
Cervical cancer			+	+
Cervical polyp	Postcoital bleeding Intermenstrual bleeding Postmenopausal bleeding
Cervical leiomyoma
Cervical lymphoma
Cervical sarcoma
Cervical erosion(Ectropion)
Cervicitis
IUD use
Pelvic inflammatory diseases
Endometriosis
Adnemyosis
Postcoital bleeding
DES exposure (Clear cell adenocarcinoma)
Paget's disease of vulva
Vaginal cancer

References

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-| colspan="17" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
+| colspan="10" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
 ! colspan="8" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings
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-! colspan="14" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
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+! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam
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-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Prolonged menstrual bleeding
+! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Abnormal vaginal bleeding
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Heavy menstrual bleeding
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Postcoital bleeding
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+* Postcoital bleeding
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Cervical cancer differential diagnosis: Difference between revisions

Revision as of 20:29, 24 January 2019

Overview

Cervical cancer differential diagnosis

References

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