1 / 12

Case presentation- Ovarian cancer

Case presentation- Ovarian cancer. Agatha Stanek. Case presentation. 32 year old female patient presents to clinic with bloating. A constant sense of abdominal fullness Abdominopelvic cramping Fatigue; patient is quite pale Weight loss and a loss of appetite. Patient hx.

hazina
Download Presentation

Case presentation- Ovarian cancer

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Case presentation- Ovarian cancer Agatha Stanek

  2. Case presentation • 32 year old female patient presents to clinic with bloating. • A constant sense of abdominal fullness • Abdominopelvic cramping • Fatigue; patient is quite pale • Weight loss and a loss of appetite

  3. Patient hx Medical hx: • Appendicitis 2 years ago • All immunizations are current- except HPV Family hx: • Grandmother and aunt both died of breast cancer • Father was an alcoholic

  4. Social hx • Patient is married and has been trying to conceive for 6 months now • Supportive husband and close- knit family • Lives with husband in small apartment downtown Occupational hx • Patient recently graduated from law school and has begun practicing

  5. Physical Exam • HEENT: PERRLA, EOMI Abd: • Ascites, tenderness • (+) hepatosplenomegaly Cardio: RRR

  6. Differential Diagnosis • Colitis • Hepatic failure with ascities • Diverticulitis • Gastrointestinal malignancy • Tubo-ovarian abscess • Pelvic kidney

  7. Laboratory Tests • Liver function tests to rule out hepatic involvement • CBC • Urinalysis • Chorionic gonadotropin- check if patient is pregnant

  8. Imaging Tests • MRI:

  9. Diagnosis • Ovarian cancer. Stage? 4 Additional tests: colonoscopy, x-rays

  10. Treatment • Surgical staging • Chemotherapy and/ or radiotherapy- refer to oncologist • Biopsy of omentum and uterus • Inspect peritoneal surfaces, liver, small intestine and bowel for tumor • Pelvic and para-aortic lymph node biopsy

  11. Prognosis/ Follow-up • Referral for palliative in home care/ at hospice • Palliative chemotherapy if desired

  12. Possible complications • Pleural effusion • Adverse reactions to chemotherapy or radiotherapy • Bowel obstruction • Malnutrition • Electrolyte disturbances • Fistula formation • Breast carcinoma • Death

More Related