The nurse in the gynecology clinic is interviewing a patient who informs the nurse that her mother and aunt had carcinoma of the cervix. what does the nurse recognize are two chief symptoms of early carcinoma that the patient should be questioned about?

Leukorrhea and irregular vaginal bleeding or spotting

Explanation:

Cervical carcinoma is caused by persistent infection with some types of Human Papillomavirus - HPV (called oncogenic types).

Genital infection with this virus is very common and causes no disease most of the time. However, in some cases, cellular changes occur that may progress to cancer. These changes are easily discovered on the preventive exam (also known as Pap smears), and are curable in almost all cases. Therefore, it is important to perform this exam periodically.

The most common symptoms in an early case of cervical carcinoma are leukorrhea (whitish or yellowish mucous discharge, sometimes pus), and irregular vaginal bleeding or blemishes. A patient with a family history of cervical carcinoma should be asked about the incidence of these two symptoms.

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