Carcinoma of the cervical stump after after a subtotal supracervical скачать в хорошем качестве

Carcinoma of the cervical stump after after a subtotal supracervical

Carcinoma of the cervical stump refers to the development of cervical cancer in the remaining portion of the cervix after a subtotal (supracervical) hysterectomy, where the uterus is removed but the cervix is left intact. 🧠 Background A subtotal hysterectomy preserves the cervix, often for perceived benefits in sexual function or pelvic support. However, the retained cervical tissue remains susceptible to neoplastic changes, including squamous cell carcinoma and adenocarcinoma. 🚨 Clinical Features Symptoms may resemble those of typical cervical cancer: Postcoital bleeding Abnormal vaginal discharge Pelvic pain Visible cervical lesion on speculum exam Urinary or rectal symptoms in advanced cases 🔍 Diagnosis Pap smear: Still required after subtotal hysterectomy HPV testing: Identifies high-risk viral strains Colposcopy and biopsy: Confirm malignancy Imaging (MRI, CT): For staging and surgical planning ⚠️ Risk Factors History of cervical dysplasia or HPV infection Inadequate follow-up after hysterectomy Smoking Immunosuppression 🩺 Management Surgical excision of the cervical stump (stump trachelectomy or radical surgery) Radiotherapy and/or chemotherapy depending on stage Regular surveillance post-treatment 📅 Prevention and Follow-Up Pap smears should continue after subtotal hysterectomy HPV vaccination reduces risk of cervical cancer #Carcinoma