34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary...
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Transcript of 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary...
HISTORY
34yG1L1(NVD)CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago.Urinary Retention 2times in the past few months
Exam:mass about 18wk in suprapubic palpated. Lab data: Tumor marker: CA125(198) CA9-19,AFP,BHCG,CEA:normal
Sonogeraphy(TVS +TAS)
UT:7.2*5*4.6 ET:9.3mm(secretory) Left ovary:mass 25*19mm solid-cystic and solid
compent have int.echo and cyst include compacted debri =endometrial cyst?
Right ovary not seen and huge cystic mass 17.4*14.5cm in right adnexa spreading to abdomen , include vegetative nodule 9.8*5.4cm=neoplastic complex cyst=mucinouscystadenocarcinoma?
Operation:
RT Salpangoophorectomy , sent for
frozensection: Serocystoadenocarcinoma
then:TAH+BSO+OMENTECTOMY+PELVIC LYMPHADENECTOMY
Pathology report Right ovary :low grade papillary cyst
adenocarcinoma, intact capsul.Fallop:normal. Cytology:negative Ut :early secretory endometrium.Acute on
chronic cervitis.Paratubal cyst,cystic follicol and hemorrhagic cyst in omentum.
Lymph nodes: reactive pattern.