45 years old presents with history of irregular vaginal bleeding for 12 mnths. Pelvic examination reveals 5 cm mass at anterior wall of vagina. Cervix was normal on examination. Biopsy reveals clear cell carcinoma. How will you evaluate and manage her. What are the risk factors for clear cell carcinoma of vagina/cervix.
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"clear cell carcinoma" AND vagina AND management
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"vaginal cancer" AND "clear cell" AND treatment
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