Ovarian Cancer Management in the Pandemic Era: Does it make a difference?
Clinical History & Examination
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:
- Total Abdominal Hysterectomy due to uterine Fibroid 10 years ago.
- Appendectomy as a child
- Abdomen distended, non-tender.
- Speculum: No abnormalities
Minimal free fluid in the pelvis, 60x50mm solid tutor formation at the vaginal vault with increased Doppler perfusion.
- CA-125: 894
- CEA and CA19-9 within normal
- SARS CoV2 Test: Positive ( Tested 4 days prior to admission)
- CT Scan Thorax: No abnormalities detected
- CT Scan Abdomen/Pelvis: 60×50 Tumor at vaginal vault, peritoneal carcinomas and omental cake