Fellow ClubInterinstitue Conference
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08 กรกฏาคม 2562 11:48:16

Interinstitute conference ครั้งที่ 132 จากคณะแพทยศาสตร์ ศิริราชพยาบาล






132th Interinstitute conference

Gynecologic oncology unit, Department of obstetrics and Gynecology

Siriraj Hospital

………………………………………………………………………..

22 year-old Thai female patient

Chief complaint : AUB for 3 months

Present Illness :

            3 months PTA, the patient presented with intermenstrual bleeding. No palpable abdominal mass. No abdominal pain or discomfort. No weight loss. No GI and GU disturbance.

Past History

·       No U/D

·       No known drug allergy

·       No history of previous abdominal surgery

·       No smoking

 

OB/GYN History

•      P1 last NL 1 yr , active SI , no contraception

•      LMP : 7 Feb 2019

•      Previously regular menstrual cycle, no dysmenorrhea

•      No previous vaginal or pelvic examination

 

 

Physical examination

V/S : T 37.5 , BP 129/79 mmHg , P 94/min , RR 20 min , BW 64.5 kg , Ht 162 cm

GA : not pale , no jaundice , no superficial lymphadenopathy

H&L : WNL

Abdomen : soft, not tender, no mass

Extremities : no edema

Pelvic examination

·       MIUB : normal

·       Vg : normal mucosa, free all fornices

·       Cx : exophytic growth 5cm involved the whole cervix  

·       Uterus : normal size

·       Adnexa : no mass

·       CDS : free

·       RVS : smooth

·       PRM : smooth, free both side

 

Investigation

            UPT : negative

            Cervical biopsy : poorly differentiated carcinoma DDx squamous cell Vs adenosquamous

 

Impression : poorly differentiated carcinoma of cervix IB3

 

 








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