Written by: Sara Nasser Gynecological Oncology Fellow, Berlin-Germany & Moiad Alazzam Consultant Gynaecological Oncology Surgeon, Oxford-UK
Presenting history:
Mrs. B, a 61 year old lady, presents with a 4 week history of abdominal discomfort and bloating. She lost 4 Kgs in the last month and has had reduced appetite.
She has also noticed an increased shortness of breath on exertion for the week prior to admission .
Mrs. B has mild asthma and no other relevant comorbidities.
She has not been to the gynaecologist and hasnt attended cervical screening for over 5 years as her daughter has been unwell and she has had to look after her.
Past surgical history:
On Examination:
Ultrasoound:
Minimal free fluid in the pelvis, 60x50mm solid tutor formation at the vaginal vault with increased Doppler perfusion.
Investigations
Biomarkers:
Imaging