14/05/2026
A 44 year old presented with severe bleeding pv and biopsy proven SCC cancer cervix. There was no provision of hemostatic radiotherapy in vicinity.
In such a precarious situation, we stabilised her with 3units PRBC, performed urgent MRI pelvis and CECT chest+ abdomen, and ruled out distant metastasis.
I performed a type C radical hysterectomy with BSO+ RPLND for her. Fortunately the final histopathology revealed stage IIA2 non keratinizing SCC carcinoma cervix with anterior upper va**na involved but there was 1.5cm margin negative, 3.5-4cm parametria all around negative and all 16 pelvic nodes and 1 para aortic node negative.
She will undergo adjuvant EBRT and ICBT soon improving long term chances of cure, preventing recurrence and most importantly symptom relief. Her Hb before discharge picked up to 10.6gm% from pre op value of 5gm% and her bowel and bladder habits are back to normal.
This highlights the importance of a gynaec-oncologist/ experienced gynaecologist with cancer surgery knowledge and skills to expedite over tumultous situations.
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