sarika
Forum Guru
Topics: 195
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A 65 yrsold woman who had menopause at 50 yrs of age, is the mother of two kids which she had in her twenties. She presents to your office with Vaginal bleeding for 10 days. PE shows enlarged uterus.Ultrasound shows a large uterus with an abnormal endometrial mass 5 * 6 * 11 cms.
Whats the differential diagnoses and further evaluations required?
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| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
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Endometrial biopsy----> if cancer is found----------> endometrial cancer----------->hysterectomy included surgical removal of cervix
CT scan to look for enlarged LN------->peri-aortic, retro-peritoneal LN etc and staging of the cancer
DDX-----> endometrial cancer, peri-menopausal withdrawl bleeding------> luteal phase deficiency---------->Factor V leiden deficiency------------->Von Wille factor deficiency----------->pregnancy---------->(A British doctor 63 years old just got pregnant)------------> missed abortion
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seeking study partner in USMLE, Canadian MCC OSCE examination
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| sarika
Forum Guru
Topics: 195
Posts: 1,200
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What is the role of MRI in this patient prior to biopsy?
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| yasmeen
Forum Guru
Topics: 70
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NO ROLE FIRST STEP IS ENDMETRIAL SAMPLING PREFERABLY BY PIPELLE METHOD WHICH CAN B DONE IN OUT PATIENT AND PREFERED METHOD NOW.
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| wyvern
Forum Guru
Topics: 3
Posts: 132
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endometrial aspiration in conjunction with hysteroscopy is the next step but MRI may be done if biopsy specimen shows endometrial CA, to determine extent of disease.
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