Staging of cervical cancer

A. Histologic confirmation of invasive cervical cancer should be followed by a careful staging evaluation.

B. Physical examination. The cervix and entire vagina should be carefully inspected and palpated to identify overt tumors or subepithelial vaginal extension. Rectovaginal examination permits the best clinical assessment of tumor size and parametrial involvement. Palpation of the right upper quadrant and inguinal and supraclavicular lymph nodes is important to screen for metastatic disease.

C. Laboratory studies. Laboratory studies should include a complete blood count and renal and liver function tests.

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