Clinical Picture 1-Vaginal discharge: Discharge is usually profuse, offensive, serosanguinous, mucopurulent . Clinical picture 2. Contact Bleeding: (post-coital bleeding)• Commonest presentation. Clinical picture 3-Pain : Late in advanced stages Infiltration ureter, bladder, rectum, pelvic wall or pelvic nerves. Clinical picture 4. Cachexia: 5-Advanced stages • Anorexia, pain, infection, anemia • Metastatic carcinoma ends fatally by multiple organ failures. Clinical picture Signs 1. Contact Bleeding: (Bleeding on touch): Commonest in cauliflower cancer Clinical picture • 2. Friability: Krobac's test: probing of lesion → breaking down. Clinical picture 3. Necrosis: ± ulceration: Lesion usually has necrotic, ulcerated aspect. 4. Indurated base: Induration may be due to malignant infiltration or chronic inflammatory reaction. FIGO STAGING FIGO staging classification for cervical cancer (1998-Revised 2009) FIGO STAGING FIGO STAGING