Metastasis of Ca Cx.

Distant metastases, including para-aortic nodal involvement, remote organ involvement, or invasion of adjacent structures such as bladder or rectum, occur late in the course of disease
appear as white areas on colposcopic examination after application of dilute acetic acid
unexpected vaginal bleeding, leukorrhea, painful coitus (dyspareunia), and dysuria
Detection of precursors by cytologic examination and their eradication by laser vaporization or cone biopsy is the most effective method of cancer prevention

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