Signs, Symptoms, and Patient Management
Signs and Symptoms
Pre-invasive or early cervical cancer rarely causes signs and symptoms.
Invasive cervical cancer may cause bleeding or abnormal discharge from the vagina, commonly following sexual intercourse.
The workup of a patient with vaginal discharge or abnormal bleeding—
- Speculum and pelvic bimanual exam.
- Cervical testing: Pap test, potentially with HPV testing.
- Wet mount or nucleic acid amplification test for vaginitis/vaginosis.
- Cervical culture or nucleic acid amplification tests if appropriate for chlamydia, Neisseria gonorrhoeae, and possibly herpes simplex virus.
- Vaginal test for trichomonas.
- If a mass or lesion is found, colposcopy and/or referral to gynecologic oncologist.
Refer patients who are diagnosed with cervical cancer to a gynecologic oncologist.