Routine pelvic examination

Reference no: EM133725492

Question

A 65-year-old African American woman visited her primary care provider for an annual examination, including a routine pelvic examination. Although she had gained some weight since her last examination, she reported that her general health was good but that she had been experiencing some gastroin- testinal problems over the past 6 weeks. A palpable mass was discovered during her pelvic examination. A CA 125 assay and a transvaginal ultrasound examination were ordered. The patient's CA 125 was 425U / m * L (reference range, <35 U/mL) . The pres- ence of a mass in the right side of the abdomen and abdominal ascites were confirmed. The patient had a total abdominal hysterectomy with a bilateral salpingo- oophorectomy4 weeks after the operation, she began a chemotherapy series. The patient was judged to be in remission for 6 months when recurrence of the tumor was noted with diagnostic imaging. Subsequent chemotherapy was ineffective, and the patient died 8 months later.

Reference no: EM133725492

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