A Case Report on Carcinoma of Cervix with Postmenopausal Bleeding

Abstract

The uterus is a hollow, pear-shaped structure that sits between the bladder and the rectum in a woman's lower belly. The cervix  is the lowest, thin portion of the uterus that forms a canal that connects to the vagina, which leads to the outside of the body. Cervical cancer develops when healthy cells in the cervix becomes cancerous. This generally takes several years to occur, but it can potentially occur in a matter of weeks. Cervical cancer can be detected through a cytological examination of epidermal cells taken from the cervix during the pap smear procedure. In the United States, roughly 15,000 women are diagnosed with cervical cancer each year. The term "squamous intraepithelial lesion" (SIL) refers to the abnormal proliferation of squamous cells on the cervix's surface. Depending on how much of the cervix is damaged and how aberrant the cells are, the changes in the cells are classified as low grade or high grade.

Presenting complaint and investigation: A 45year-old female admitted in Acharya Vinoba Bhave Rural Hospital, with chief complaint of bleeding from the vagina for 2 months duration , bleeding after intercourse, vaginal discharge, pelvic pain, swollen legs, weakness and weight loss. After physical examination and investigation doctor diagnosis the patient as a case of carcinoma of cervix.

The main diagnosis, therapeutics interventions and outcomes : A patient with a case of carcinoma of cervix. After physical examination and investigation, doctor detected  this as a case of carcinoma of cervix .  Patient was treated analgesic drugs to reduce pain. Also provides a chemotherapy drugs i.e. Tab. Avastin, tab. Clindamycin, protein powder. According to ultrasonographic findings the cancer is in third stage.

Nursing perspectives: Administration fluid replacement i.e. DNS and RL. Monitored for blood pressure and vital signs checked per hourly. Proper drugs administered to the patient i.e Tab Clindamycin BD, tab pan 40 mg BD, protein powder given to the patient.

Conclusion : Early diagnosis and timely treatment helped her to get condition improved