On per speculum examination, the cervix appeared bulky with an irregular growth. Per vaginal examination revealed a firm cervix with restricted mobility, but no obvious parametrial involvement.
A clinical diagnosis of carcinoma cervix was suspected.
Further evaluation with MRI pelvis showed a cervical lesion measuring more than 4 cm, confined to the cervix, with no parametrial invasion or lymph node enlargement—suggestive of Stage IB2 cervical carcinoma (FIGO staging).
A biopsy from the cervical growth confirmed squamous cell carcinoma of the cervix.
After multidisciplinary discussion and preoperative optimization, the patient was planned for surgical management.
She underwent radical hysterectomy with bilateral salpingo-oophorectomy and pelvic lymph node dissection.
Intraoperatively, the uterus was bulky with a cervical growth, but no evidence of extra-cervical spread. Parametrium appeared free, and there were no enlarged pelvic nodes or peritoneal deposits.
The postoperative period was uneventful, and the patient recovered well.
Final histopathology confirmed Stage IB2 disease, with clear surgical margins and no lymph node metastasis.
The patient was advised regular follow-up, and no adjuvant therapy was required.
