Hello. I'm an NP volunteering in Guatemala on a cervical cancer project. We have a patient with a cervical biopsy path report that reads as follows, and roughly translated:
Microscopic exam of cervical bx
infiltrative neoplasia, comprised of large cells with eosinofilic cytoplasm and irregular nuclei. Abundant atypical nuclei and mytosis. The neoplasm infiltrates without glandular formation nor keratinization. There are necrotic zones.
Infiltrative epidermoid carcinoma, of large cells, without keratinization
"Se observa neoplasia infiltrante constituida por cellulas grandes con citoplasma eosinofilo y nucleo irregular. Hay abundantes atipias nucleares y mitosis. La neoplasia infiltra en mantos sin formaciones glandulares ni queratinizacion. Hay zonas de necrosis."
"Carcinoma epidermoide infiltrante, de cellulas grandes, no queratinizante"
My question is, can treatment recommendations be based on this cervical bx path report alone, or are additional procedures required? If the recommendation would be for a hysterectomy, we can easily arrange for this. If additional procedures/chemo/radiation are recommended, this would be much more complicated, but hopefully doable. This is a 50 year-old woman G10 P10.
Any opinions/suggestions would be much appreciated!