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Ulcers and Lumps on the Cervix

Writer's picture: EditorEditor

Updated: Sep 20, 2024

CLINICAL DIAGNOSTIC MANUAL



Ulcers and lumps on the cervix are significant clinical findings that can indicate a variety of conditions, ranging from benign changes to malignant neoplasms. These abnormalities may be detected during a routine gynaecological examination or as a result of specific symptoms such as abnormal bleeding or pain.

Condition

Symptoms and Clinical Signs

Suspected Diagnosis

Confirmatory Diagnosis

Cervical Ectropion

Postcoital bleeding, mucous vaginal discharge

Physical examination revealing ectropion (eversion of glandular cells on the cervix)

Colposcopy

Nabothian Cyst

Generally asymptomatic, may present as small, smooth masses on the cervix

Pelvic examination showing small, smooth masses on the cervix

Transvaginal ultrasound

Cervical Polyps

Intermenstrual bleeding, postcoital bleeding, vaginal discharge

Pelvic examination showing polyps

Polyp biopsy

Cervicitis

Pelvic pain, postcoital bleeding, purulent vaginal discharge

History of infection symptoms, physical examination revealing inflammation

Cervical secretion culture, STI testing

Cervical Intraepithelial Neoplasia

Generally asymptomatic in early stages, may have postcoital bleeding or abnormal vaginal discharge

Abnormal Pap smear

Colposcopy-guided biopsy

Cervical Carcinoma

Abnormal vaginal bleeding, postcoital bleeding, pelvic pain, abnormal vaginal discharge

History of persistent symptoms and pelvic examination revealing suspicious mass or ulcer

Cervical biopsy, imaging (such as MRI or CT) to assess extent


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