Cancer of the Cervix in a seventeen-year-old virgin: A case report

Abstract

Cervical cancer among virgins is very rare. This is due to the main causative factors being the sexually transmitted Human Papilloma Virus (HPV), which accounts for 99% of all cervical cancer cases. Presented here is a case of a seventeen-year-old patient with no history of any sexual intercourse, who presented with pelvic bleeding and upon undergoing an ultrasound scan, a cervical mass was noted. The biopsy showed an adenocarcinoma of the uterine cervix with no trace of HPV DNA. Radical modified hysterectomy was performed which was followed by adjuvant radiation treatment given concomittantly with 6 cycles if chemotherapy. She also received brachytherapy. Unfortunately, the patient deceased, almost two yeas after initial diagnosis due to kidney failure caused by radiation nephropathy. This case report shed light on the possibility of cervical cancer in virgins being attributed to factors other than HPV infection. It underscores the potential risk of overlooking cervical cancer in virgins, which might lead to late-stage diagnosis.