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Abnormal cervix — DRCOG MCQ

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HardGynaecological OncologyAbnormal cervixDRCOG

A 74-year-old has postcoital bleeding and an ulcerated cervix is seen on speculum examination. What is the most appropriate action?

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Correct answer: E — Suspected-cancer referral for specialist assessment

The best answer is “Suspected-cancer referral for specialist assessment”. A cervix with an appearance consistent with cervical cancer requires referral on a suspected-cancer pathway. Infection testing can be performed when clinically relevant, but it must not delay cancer assessment. Cervical screening is not a diagnostic substitute for referral of a visibly suspicious cervix.

Reference: NICE NG12: Suspected cancer recognition and referral: https://www.nice.org.uk/guidance/ng12/chapter/recommendations-organised-by-site-of-cancer