Case 52-1990

Presentation of CaseA 31-year-old woman was admitted to the hospital because of headache, altered mental status, and dysarthria.The patient was well until seven years earlier, when squamous-cell carcinoma of the cervix, Stage IB, was found. A radical hysterectomy with pelvic lymph-node dissection was performed at this hospital, with the transfusion of one unit of packed red cells. Pathological examination showed invasive large-cell, nonkeratinizing squamous-cell carcinoma with extensive lymphatic invasion, but the pelvic lymph nodes and all resection margins were free of disease. Radiation treatment was administered to the pelvis. Estrogenic hormone was prescribed, and the patient recovered uneventfully. . . .