132th Interinstitute conference
Gynecologic Oncology Unit Department of Obstetrics and Gynecology
A Thai female 17 years old
Occupation: High school
Chief complaint: Palpable pelvic mass 5 days PTA
― 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.
― 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
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
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?