Another Dilemma

Female Reproductive System & Breast

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Vaginal bleeding after the first trimester is always abnormal, and can be caused by a gamut of conditions ranging from vaginal erosions to placenta previa and abruption.\n\nHowever, in this patient, the friable cervical mass seen is a carcinoma of the cervix until proven otherwise; this is confirmed by the colposcopy and biopsy findings.\n\nNote that cervical polyps and second trimester miscarriage (where fetal parts and clots are seen in the cervix) can also present as a cervical mass; however, their gross appearance is usually far different.\n\nCervical cancer during pregnancy is a complex situation which endangers two lives; thus, making a decision is often challenging.\n\nThree key factors should be considered when devising a plan of management"}]}

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