Failure to Diagnose & Delay in Treatment of Cervical Cancer

Evaluate breaches in the standard of care when evaluating a Failure to Diagnose & Delay in Treatment of Cervical Cancer

Answer the following questions to find out if the standard of care was followed for your case.

  • With which of the following symptoms did the patient present? (Choose all that apply)
    Symptoms not elicited
    Change in urinary/bowel habits
    Answer unknown
    Post-coital bleeding
    Post-menopausal bleeding
    Abnormal vaginal bleeding
    Pelvic pain or leg pain
    Why is this important?
    The most common presenting symptoms for cervical carcinoma are abnormal vaginal bleeding or post-coital bleeding.
    (2001) 28 EOGCNA 4 727-742

  • With which of the following risk factors did the patient present? (Choose all that apply) Why is this important?
    Answer this question
    A detailed medical history is essential as it may uncover pertinent risk factors associated with cervical cancer.
    (2001) 28 EOGCNA 4 727-742

  • Was a physical examination performed? Why is this important?
    Answer this question
    A complete medical history and carefully focused physical examination serve as the core of the diagnostic process. The information obtained guides the further direction of the patient's evaluation and enables the clinician to make the most judicious use of additional tests.
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  • Was a routine screening performed to detect early cervical cancer? Why is this important?
    Answer this question
    Periodic screening needs to be performed on all patients who were previously treated for cervical carcinoma, as well as any women with increased risk factors.
    (2001) 28 EOGCNA 4 727-742

  • What was the result of the screening test? Why is this important?
    Answer this question
    The US Preventive Services Task Force has published new guidelines for cervical cancer screening and also discusses the evidence and recommendations regarding various screening modalities like tests for human papilloma virus and cytology.
    Click here for additional information at ClinicalKey.com

  • Which of the following diagnostic studies were performed? (choose all that apply) Why is this important?
    Answer this question
    The Papanicolaou test is the initial screening test in the diagnosis of cervical carcinoma.
    (2001) 28 EOGCNA 4 727-742

  • What was the result of the Pap smear and human papilloma virus infection test? Why is this important?
    Answer this question
    Papanicolaou smear test is used as a diagnostic test in women with symptoms and signs of cervical dysplasia and malignancy. A positive result identifies patients who harbor DNA from one or more HPV subtypes within the panel included in the test and, thus, are at higher risk for cervical dysplasia and cancer. A negative result identifies patients at lower risk for cervical cancer.
    Click here for additional information at ClinicalKey.com

  • Were follow-up evaluations advised? Why is this important?
    Answer this question
    Routine follow-up evaluations are necessary to off set any complications that may arise. Regular check-ups ensure that changes in health are quickly assessed and remedied.
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  • Was the patient discharged with a differential diagnosis and later diagnosed with cervical carcinoma? Why is this important?
    Answer this question
    The differential diagnoses of cervical cancer include cervicitis, endometrial carcinoma, vaginal cancer, vaginitis, and pelvic inflammatory disease that result in irregular or heavy vaginal bleeding, vaginal discharge, or a visible cervicallesion.
    (2001) 28 EOGCNA 4 727-742

  • Were Pap smear and human papilloma virus infection tests recommended? Why is this important?
    Answer this question
    The Pap smear is the initial screening test in the diagnosis of cervical carcinoma. Human papillomaviral infection is also tested as it is closely associated with cervical carcinoma.
    (2001) 28 EOGCNA 4 727-742

  • To which of the following specialists was the patients referred? (Choose all that apply) Why is this important?
    Answer this question
    Once the diagnosis of cervical carcinoma is confirmed, it is necessary to refer the patient to a gynecologic oncologist for further plan and management.
    (2001) 28 EOGCNA 4 727-742

  • Was a colposcopy recommended? Why is this important?
    Answer this question
    Colposcopy is carried out when Pap smear is abnormal.
    (2012) 39 EOGCNA 2 233-253

  • Was cervical intra-epithelial neoplasia grading of the lesion performed? Why is this important?
    Answer this question
    Cervical intra-epithelial neoplasia (CIN) is a pre-cancerous condition that can be treated effectively to prevent invasive cervical cancer. The appropriate management of women with cervical intra-epithelial neoplasia (CIN) is a critical component of cervical cancer prevention.
    (2007) 197 ESAJOG 4 340-345

  • Was a biopsy of the lesion performed? Why is this important?
    Answer this question
    Histologic confirmation of the diagnosis of cervical carcinoma can only be made by biopsy. The method of obtaining the biopsy will vary depending up on the individual patient.
    (2001) 28 EOGCNA 4 727-742

  • What was the result of the biopsy? Why is this important?
    Answer this question
    Once the diagnosis of cervical carcinoma is confirmed by a biopsy, it is necessary to refer the patient to a gynecologic oncologist for further plan and management.
    (2009) 200 ESAJOG 5 472-480

  • Was a biopsy of the lesion recommended? Why is this important?
    Answer this question
    Histologic confirmation of the diagnosis of cervical carcinoma can only be made by biopsy. The method of obtaining the biopsy will vary depending upon the individual patient.
    (2001) 28 EOGCNA 4 727-742

  • With which stage of cervical cancer was the patient diagnosed? Why is this important?
    Answer this question
    In cervical cancer, stage is directly correlated with survival. Staging is performed with theInternational Federation of Gynecology and Obstetrics (FIGO).
    (2001) 28 EOGCNA 4 727-742

  • Which of the following surgical procedures were performed? (choose all that apply) Why is this important?
    Answer this question
    Cervical Cancer, once detected, must be treated immediately. The type of treatment depends up on the stage of cancer.
    (2001) 28 EOGCNA 4 727-742

  • Which of the following treatment methods were initiated? (choose all that apply) Why is this important?
    Answer this question
    Patients with locally advanced cervical cancer (FIGO stage IIB-IVA) are treated with primary radiotherapy. In patients with stage IVB disease, a combination of radiotherapy for local control and chemotherapy for distant metastasis is usually employed.
    (2001) 28 EOGCNA 4 727-742