Metastatic cervical cancers to the oral cavity are uncommon. These metastases most commonly present as lesions of the jaw bones and the mandible. A 57-year-old female patient complained of mass lesion in her oral cavity after definitive treatment for squamous cell carcinoma of the cervix stage IIIB. On examination a swelling of 3cm in size was found on the left side of buccal vestibule adjacent to the lower canine tooth. Wide local excision was performed, and histopathology results showed a squamous cell carcinoma of moderate differentiation. She was continued with segmental mandibulectomy, supraomohyoid neck dissection and plate-screw reconstruction. Radiotherapy was given as an adjuvant therapy.

BACKGROUND: We compared the diagnostic accuracy between visual inspection with acetic acid (VIA) and modified cervicography as an alternative screening method for cervical precancerous lesions. METHODS: A diagnostic cross-sectional study was performed at the outpatient clinic at an Indonesian national referral hospital from February until April 2015. We collected samples from patients who sequentially underwent VIA examination, modified cervicography, and colposcopy. RESULTS: A total of 185 patients were included in this study. Modified cervicography showed positive results in 7.6% of patients, while 7.0% of patients had a VIA positive result. This is compared to 5.4% of patients showing abnormal colposcopy results. From those results, we obtained that sensitivity and specificity of VIA were 96.0% and 90.9%. Meanwhile, sensitivity and specificity of modified cervicography were 97.7% and 90.9%, respectively, compared to colposcopy as a gold standard. CONCLUSIONS: Modified cervicography and VIA are reliable tools for cervical cancer screening, with comparable sensitivity and specificity. Modified cervicography can be used as a supplementary tool to improve the documentation of VIA and as an alternative to VIA alone.
Acetic Acid* ; Ambulatory Care Facilities ; Colposcopy ; Cross-Sectional Studies ; Humans ; Mass Screening* ; Methods* ; Referral and Consultation ; Sensitivity and Specificity ; Uterine Cervical Neoplasms

OBJECTIVE: The purpose of this study was to describe the implementation of single visit approach or See-visual inspection of the cervix with acetic acid (VIA)-and Treat-immediate cryotherapy in the VIA positive cases-model for the cervical cancer prevention in Jakarta, Indonesia. METHODS: An observational study in community setting for See and Treat program was conducted in Jakarta from 2007 until 2010. The program used a proactive and coordinative with VIA and cryotherapy (Proactive-VO) model with comprehensive approach that consists of five pillars 1) area preparation, 2) training, 3) awareness, 4) VIA and cryotherapy, and 5) referral. RESULTS: There were 2,216 people trained, consist of 641 general practitioners, 678 midwives, 610 public health cadres and 287 key people from the society. They were trained for five days followed by refreshing and evaluation program to ensure the quality of the test providers. In total, 22,989 women had been screened. The VIA test-positive rate was 4.21% (970/22,989). In this positive group, immediate cryotherapy was performed in 654 women (67.4%). CONCLUSION: See and Treat program was successfully implemented in Jakarta area. The Proactive-VO model is a promising way to screen and treat precancerous lesions in low resource setting.
Acetic Acid ; Cervix Uteri ; Cryotherapy ; Developing Countries ; Dietary Sucrose ; Early Detection of Cancer ; Female ; General Practitioners ; Humans ; Midwifery ; Public Health ; Uterine Cervical Neoplasms

occur sporadically. It is defined as a primary carcinoma ofthe endometrium composed of squamous cells of varyingdegrees of differentiation. A 57-year-old female patient wasreferred to the gynaecological clinic of Faculty of Medicine,Universitas Indonesia, Dr Cipto Mangunkusumo NationalReferral Hospital because of abdominal enlargement withpain. Total hysterectomy and bilateral salpingectomy wereperformed. Histopathological examination confirmed amoderately differentiated squamous cell carcinoma, withlymph-vascular invasion. Two weeks after the operation, thepatient complained of a mass on her left supraclaviculararea. Fine needle aspiration biopsy revealed squamous cellcarcinoma metastatic in nature. The recommendedtreatment was paclitaxel (175mg/m2) and carboplatin (AUC-6), combined with pelvic radiotherapy.