Introduction The overwhelming majority of cervical cancer cases will be either squamous cell or adenocarcinoma. In a National Cancer Database (NCDB) study of cervical cancer in the United States, 79.5% of cervical cancer cases consisted of the squamous cell subtype,…
Clinical case A 32-year-old G0 female presents with a newly diagnosed small cell neuroendocrine carcinoma (NEC) of the cervix. On physical exam, she is noted to have a 1.5 cm lesion on the anterior lip of the cervix with no…
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 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 58-year-old G2P2 female presents with a 10 cm complex adnexal mass and postmenopausal bleeding. CT imaging also demonstrates a 4 cm perihepatic tumor implant ( Fig. 2.1 ). Image-guided biopsy of this implant demonstrates an adult granulosa…