When Surgery Is Accidentally Done in Cervical Cancer — Can Radiation Still Cure the Patient?
Cervical cancer treatment requires careful planning and staging before surgery or radiation. However, in real-world practice, some women present with severe bleeding per vagina and undergo emergency or unintended surgery before the diagnosis of cervical cancer is confirmed. Such situations can create major challenges in treatment planning. Recently, I managed one such complex and highly rewarding case at Anvita Onco Clinic. A Challenging Beginning A woman presented with heavy bleeding per vagina and underwent surgery elsewhere before the complete diagnosis was established. During surgery, the upper body of the uterus was removed, but the cancerous lesion in the cervix remained inside the pelvis. Later, investigations confirmed that the disease was actually carcinoma cervix. When she came for further treatment, the residual tumor measured nearly 6–7 cm , which is considered a locally advanced cervical cancer. Such cases are technically difficult because normal anatomy is altered a...