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HPV
ESTROGEN
Transformation zone (squamocolumnar junction) Cervical dysplasia (cervical intraepithelial neoplasia) Carcinoma in situ
Invasive cancer
EXOPHYTIC
NODULAR
INFILTRATIVE
ULCERATIVE
Formation of large, friable, bulky mass Tumors involving the superficial aspect of cervix Pressure to the cervix (thru vagina) Breaks in blood vessels Compresses the nerve endings
exocervica l Invades the vaginal fornices and upper part of vagina VAGINAL BLEEDIN G METRORRH AGIA
Complicated by infection
BARRELSHAPED CERVIX
MENORRH AGIA
VAGINAL BLEEDING
DYSPAREU NIA