Clinical case A 64-year-old female presents to the Gynecologic Oncology clinic for a second opinion regarding a new diagnosis of uterine serous carcinoma. She originally presented to her gynecologist within the last 3 months complaining of postmenopausal vaginal spotting. Pelvic…
Clinical case A 75-year-old African American woman presents to your clinic with complaints of new onset vaginal bleeding. She has a past medical history significant for obesity and history of breast cancer managed with tamoxifen maintenance. On pelvic exam, she…
Clinical case A 51-year-old patient presents with abnormal uterine bleeding and a 6 cm intrauterine, polypoid mass on pelvic ultrasound imaging ( Fig. 10.1 ). Office endometrial biopsy (EMB) was suggestive of uterine adenosarcoma. She was taken to the operating…
Clinical case A 59-year-old nulliparous woman with history of multiple uterine fibroids status post myomectomy for abnormal uterine bleeding 20 years prior and recent total abdominal hysterectomy and salpingo-oophorectomy for recurrent, intermittent postmenopausal bleeding presented for management of pathological diagnosis…
Introduction Ovarian cancer encompasses a wide variety of tumors, all with different clinical patterns, histologies, and molecular features. Ovarian cancer is typically classified as epithelial (serous, mucinous, endometrioid, clear cell, carcinosarcoma, and mixed) vs nonepithelial (germ cell and sex cord…
Clinical case A 22-year-old G0 female presents with a newly diagnosed small cell carcinoma of the ovary, hypercalcemic type (SCCOHT). She reported pelvic pain and her physical exam was within normal limits. Pelvic sonography identified a 5 cm complex cystic…
Clinical case A 36-year-old, G1P1, previously healthy woman presents with left sided pelvic pain. She presents to her PCP who performs a CBC and comprehensive panel that are unrevealing, abdominal exam shows bloating without point tenderness. She has a history…
Clinical case A 34-year-old female presents with worsening abdominal distension. She is found to have a 22 cm solid and cystic pelvic mass likely arising from the right ovary on MRI, and no evidence of metastatic disease ( Fig. 5.1…
Clinical case Forty-year-old G1P1 presented to her local emergency department with back pain. A CT scan showed a 14 cm right ovarian cyst, and CA-125 was elevated at 49 U She underwent a robotic-assisted laparoscopic right salpingo-oophorectomy, with surgical findings…
Clinical case A 76-year-old female presents with vague abdominal pain, increased abdominal girth, and early satiety over the past 3 months. On physical exam, she was noted to have abdominal distension, right lower quadrant tenderness on palpation, and a fixed…