HomeAnswersSurgical Oncologycervical cancerMy mother had cervical cancer surgery. Please review.

Operated for cervical cancer. Explain about the current stage of the tumor?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At May 15, 2018
Reviewed AtFebruary 14, 2024

Patient's Query

Hello doctor,

My mother was operated on for cervical cancer (Wertheim's Hysterectomy). The operation was successful, and she is fine and recovering. After the surgical biopsy, they declared it stage 2B. Further, we sent her slides to the laboratory for review, and there they found the left parametrium free and right parametrium with few tumor cells that are non-reactive. The report states, "right parametrium show few tumor cells. However, no reaction is seen against these tumor cells, thereby interpreted as floater." Can you please throw some light on what the above statement means in the lab report? What impact does this statement make in relation to the staging of the tumor?

Answered by Dr. Prakash. H. M.

Hello,

Welcome to icliniq.com.

I went through the reports and my opinion is as follows:

Diagnosis is that of squamous cell carcinoma of the cervix, moderately differentiated, non-keratinizing type. Your mother has undergone Wertheim's hysterectomy, also called radical hysterectomy. This is the surgical procedure of removal of the womb along with some of the surrounding structures. Tumor cells, at any location, induce inflammation. They are foreign cells, so some amount of inflammation will be found around the tumor tissue. During the time of taking bits of tissue for histopathology reporting, some tumor sections stay back in the sectioning area. These can attach to other areas and can present as tumor tissue. These are called as floaters. Parametrium is the fibrous tissue that separates the cervix from the bladder.

The above-mentioned tissue is found in the right parametrium and hence interpreted as floaters. Also, during sectioning times, tissue overlapping can occur.

Here the tumor tissue is attached to the parametrium, thereby being interpreted as parametrium invasion and hence changing the stage of the tumor. Unless tumor cells with surrounding inflammation are present, they would be floaters. Here it is only an overlap. Lymph nodes are not involved. So further treatment will not be necessary.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.
Dr. Prakash. H. M.

Hematology

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