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Cervical Cancer Progression and Staging - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Cervical Cancer Progression and Staging - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: The staging of cervical cancer refers to the extent of the disease. Doctors stage the disease according to the size of the tumor and whether it has spread to nearby tissues or other organs of the body. Stage 0 is not considered invasive because the cancer cells are found only in the top layer of cells of the cervix. Stage 1A is considered invasive cancer because the microscopic tumor grows through the top layer of cells into the underlying cervical tissue and is three to five millimeters deep by 7 millimeters wide. Stage 1B cervical cancer has two scenarios. One, where the tumor still can only be seen with a microscope but is larger than five millimeters deep and seven millimeters wide. In the second scenario, for stage 1B the cancer can be seen without a microscope and is larger than 4 centimeters in diameter. In stage 2A the tumor spreads beyond the cervix to the upper 2/3 of the vagina but not to the tissues around the uterus. In stage 2B the cancer spreads to the tissues around the uterus. In stage 3A the tumor spreads to the lower third of the vagina. In stage 3B, the cancer spreads to the pelvic wall, the lining of the body wall cavity between the hips, or it may spread to the ureters, tubes that carry urine away from the kidneys to the bladder. If the flow of urine is blocked, the kidneys can become enlarged or stop working. In stage 4A tumor invades nearby pelvic organs such as the bladder or rectum and may spread to the pelvic lymph nodes. In stage 4B, the cancer spreads past the pelvic lymph nodes to other places in the body, such as the liver, intestines, or lungs.

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"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

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Dunaway and Associates
Anderson, SC

"We got a defense verdict yesterday! Your exhibit was extremely helpful in showing the jury how unlikely it is to damage all four of the nerve branches which control the sense of taste."

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Silverman Bernheim & Vogel, P.C.
Philadeplphia, PA

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The Redfearn Law Firm, P.C.
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