instruction: hi doctor my query is regarding my relative who is suffering from carcinoma of cervix I would kindly request you to advise us regarding the stage of cancer based on the biopsy mri and it scan report which I have attached here for your reference in her mri report there is a feature suggestive of carcinoma of the cervix with parametrial extension in it scan it gives an impression of bulky cervix with parametrial fat stranding along with a few subcentimeter sized parenchymal and subpleural nodes in the bilateral lower lobes I would like to know whether the above mentioned reports are sufficient to identify the stage of cancer she even advised to get vaginal examination done is a pet scan necessary in this case in order to get a clear view than it scan kindly guide us
output: hi I would like to assure you that everything is going to be fine soon I have thoroughly gone through your case and the reports and can well understand your genuine concerns she has got cervical carcinoma it is a well differentiated type of adenocarcinoma that is an invasive cancer this is a less common type of cancer compared to the squamous carcinoma according to the staging systems devised for cervical cancers ajcc american joint committee on cancer tnm tumor lymph node and metastasis and fig international federation of gynecology and obstetrics the tumor in this patient had spread to the distant organs thus it shows the lung metastasis it falls into stage iv of the cervical cancer consult her treating physician for clinical correlation as it is very important since I do not have the complete case in front of me no need of pet scan in this case vagina is normal on mri of pelvis so no need to worry for vaginal examination for further queries consult an internal medicine physician online