Fellow ClubInterinstitue Conference
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08 กรกฏาคม 2562 11:47:04

Interinstitute conference ครั้งที่ 132 คณะแพทยศาสตร์ มหาวิทยาลัยศรีนครินทรวิโรฒ






132th Interinstitute conference

Gynecologic Oncology Unit Department of Obstetrics and Gynecology

Srinakharinwirot University

………………………………………………………………………………

Patient identification

A Thai female 17 years old

Occupation: High school

Hometown: Lopburi

Chief complaint: Palpable pelvic mass 5 days PTA

Present illness

     10 days PTA the patient felt intermittent dull suprapubic pain, which was not associated with movements, there was no other symptom.

     5 days PTA the patient began to palpate a suprapubic mass with a diameter of about 5 cm. There was tenderness around the mass. The patient decided to visit the MSMC.

Past history

     No underlying disease

     No history of food & drug allergy

     No smoking & alcohol drinking

     No history of cancer in family

Obstetrics and Gynecologic history

     Para 0

     LMP 22th February 2019 (Regular menstruation)

     Active sexual intercourse

     Contraception: condom

Physical examination

V/S:       BT 37 °C, PR 68 /min, BP 108/68 mmHg, RR 16/min

                BW: 51 kg, Ht 160 cm, BMI 19.9 kg/m2

GA: Good consciousness

HEENT: not pale conjunctivae, anicteric sclerae

CVS: regular rhythm, normal S1S2, no murmur

Lungs: equal breath sounds, no adventitious sound

Abdomen: pelvic mass, 2/3 above suprapubic in size, cystic consistency, mild tender

Lymph node: no supraclavicular and groin node enlargement

Extremities: no edema

Pelvic examination

MIUB: normal

Vagina: normal mucosa, no lesion

Cervix: os close, no lesion

Uterus & Adnexa: Bilateral pelvic mass, cystic consistency, irregular surface, fixed, mild tender, size approximately 10 cm in right side and 8 cm in left side

Cul-de sac: bulging by pelvic mas

Point of discussion

     What is the most likely diagnosis?

     What is the plan of management?

 

 








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