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HISTORY 34yG1L1(NVD) CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

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Page 1: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

HISTORY

34yG1L1(NVD)CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago.Urinary Retention 2times in the past few months

Page 2: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

Exam:mass about 18wk in suprapubic palpated. Lab data: Tumor marker: CA125(198) CA9-19,AFP,BHCG,CEA:normal

Page 3: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

Sonogeraphy(TVS +TAS)

UT:7.2*5*4.6 ET:9.3mm(secretory) Left ovary:mass 25*19mm solid-cystic and solid

compent have int.echo and cyst include compacted debri =endometrial cyst?

Right ovary not seen and huge cystic mass 17.4*14.5cm in right adnexa spreading to abdomen , include vegetative nodule 9.8*5.4cm=neoplastic complex cyst=mucinouscystadenocarcinoma?

Page 4: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 5: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 6: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 7: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 8: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 9: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 10: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 11: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 12: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 13: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 14: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 15: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
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Page 17: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

Operation:

RT Salpangoophorectomy , sent for

frozensection: Serocystoadenocarcinoma

then:TAH+BSO+OMENTECTOMY+PELVIC LYMPHADENECTOMY

Page 18: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Page 19: 34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

Pathology report Right ovary :low grade papillary cyst

adenocarcinoma, intact capsul.Fallop:normal. Cytology:negative Ut :early secretory endometrium.Acute on

chronic cervitis.Paratubal cyst,cystic follicol and hemorrhagic cyst in omentum.

Lymph nodes: reactive pattern.


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