Long-term vaginal bleeding should alert you to the occurrence of cervical cancer

The patient, Miao Lei, is 40 years old and a middle school teacher. She had vaginal bleeding six months ago. As she was the head teacher of the graduating class, she was busy at school all day and had no time to see a doctor. Also, apart from the bleeding, she did not have any other discomfort, so she did not take it seriously until her vaginal discharge increased and was accompanied by a foul odor. Only then did she remember to see a doctor.

The doctor learned that Ms. Miao usually had regular menstruation, dark red in color, with a small amount of blood clots. Half a year ago, she was found to have vaginal bleeding after having sex with her husband. The color was bright red and the amount was moderate, accompanied by vaginal discharge of yellow watery fluid, a lot. Apart from this, she had no other discomfort such as dizziness, headache, abdominal distension, abdominal pain, etc.

However, Ms. Miao had an increase in leucorrhea two months ago, which was yellow and accompanied by a foul odor, and symptoms of back pain, which have continued until now, and she did not seek medical treatment until now. Later, the doctor conducted relevant examinations for her. Gynecological examination showed that the patient had severe cervical erosion, protruding outward, accompanied by a small amount of bleeding, a normal-sized uterus, soft paracervical tissue, no tenderness, and no obvious abnormalities in both adnexa. Pelvic magnetic resonance imaging showed uterine cancer. Cervical biopsy showed "poorly differentiated squamous cell carcinoma."

Afterwards, we conducted a preoperative screening for Teacher Miao, ruled out contraindications, and performed laparoscopic extensive hysterectomy + bilateral adnexectomy + pelvic lymph node dissection. During the operation, the uterus was found to be anterior, normal in size, smooth in surface, with no difference in appearance of bilateral adnexa, soft paracervix on both sides, no obvious enlargement of pelvic lymph nodes, and no difference in the rest of the pelvis. During the operation, the uterus was removed and autopsied, and severe cervical erosion was found, some of which were granular, and no obvious lesions were found.

The operation went very smoothly. The patient's vital signs were stable during and after the operation. Teacher Miao is currently recovering.