How to Answer Case Study Soprano Questions (Complete Guide)
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Original Question
Case Study 5 Ms. Soprano, a 38-year-old woman, comes in for her first visit with you. She is an immigrant from Malawi and has lived in the United States for 3 years and has not had regular health care. She takes no medications. She is married (gravida 7, para 6) and her first sexual contact was at age 11. She reports vaginal bleeding after intercourse, which she thinks is related to vaginal dryness after menopause. She reported regular menstrual cycles until 9 months ago. A pelvic examination reveals a moderate bleeding cervical mass. Two biopsies were taken and confirmed as invasive squamous cell carcinoma. The Pap smear was reported as squamous cell carcinoma. Relevant lab values (assume all other lab values are normal): HPV+; WBC: 3300; Hb: 8; HCt: 24.0. In your review of this case, please address the following questions. Please include at least 2 research articles and/or Web citations as references. 1. What is the etiology and pathogenesis of cervical cancer in this case? 2. What is the pathophysiological basis for the signs/symptoms that are seen in this case? 3. In general, compare the spread of SCC and adenocarcinoma (AC)? 4. What types of cells in the body can potentially destroy tumor cells?
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