Earliest symptom of carcinoma cervix is
Ans. is a i.e. Irregular vaginal bleeding "In its very early stage, invasive carcinoma of cervix causes no symptoms and is discovered accidently or as a result of routine search. Symptoms come with surface ulceration and consist only of irregular uterine bleeding or discharge or both. These being pe-or postmenopausal in half the cases. The first episode of bleeding commonly follows coitus, straining at stool or trauma." "For those with symptoms, however, early stage cervical cancer may create a watery, blod tinged vagina! discharge. Intermittent vaginal bleeding that follows coitus or douching may also be noted." Thus earliest symptom is irregular vaginal bleeding which usually follows coitus. So I am taking option 'a' i.e. irregular vaginal bleeding as the correct answer. Also Know : CIN is most commonly detected in women in their 20's. Peak incidence of carcinoma in situ : 25 - 35 yearsdeg Ca cervix has bimodal peak - first at 35-39 yearsdeg and second at 60-64 yearsdeg. Histology of Ca cervix : Squamous cell carcinoma (Epidermoid carcinoma) Accounts for 80% of carcinoma cervixdeg Arises from squamocolumnar junctiondeg Squamous cell carcinoma can be fuher classified as : Adenocarcinoma Accounts for 20% of carcinoma cervixdeg Arises from Endocervixdeg Recently increased in incidence because of use of OCP, Progesterone pills for long time. MC suply be of adenocarcinoma is mucinous endocervical adenocarcinoma. Discharge : -- It is at first creamy and later becomes diy brown in colour and is very offensive.deg -- The odour is caused by infection of necrotic tissue with saprophytes. Symptoms of Advanced Stage : Deep pelvic paindeg often unilateral and radiating to hip or thigh. Urinary incontinence, dysuria, increased urinary frequency, ureteric colic. Rectal pain Low backache Sciatica Oedama of legs Weight loss, anorexia, malaise. Adenocarcinoma Accounts for 20% of carcinoma cervixdeg Arises from Endocervixdeg Recently increased in incidence because of use of OCP, Progesterone pills for long time. MC suply be of adenocarcinoma is mucinous endocervical adenocarcinoma.
Irregular vaginal bleed
Post coital bleed
Foul smelling discharge
Pain