gynae unique cases with radio and clinical correlation

gynae unique cases

1. Radio-gynae clinical meet 20/3/2025

2. Case 1 c/o – dysmenorrhea, dub – sep 2024 h/o sec infertility, failed ivf , Pain persistent since 4 months

3. Tumor markers - wnl Endom bx in oct 2024 – disordered proliferative endometrium Iucd inserted in oct 2024 ( mirena )

4. Tlh with b/l salpingectomy planned Patient wants hysterectomy – admitted for the same on 19/3/25

5. Case 2 55 yo POST MENOPUSAL female came in feb’25 WITH C/O -- lower abd pain, abnormal bleeding pv (PMB)– 4 months Not relieved by medications TUMOR MARKERS - WNL

6. Pet ct – fdg avid soft ts lesion in lower uterine segment – neoplastic Hysteroscopy – friable growth in lower endometrium & upper cx Biopsy (3/3/2025) – endometroid endometrial ca.

7. endometroid endometrial carcinoma most common subtype of endometrial cancer ~75-80% of all endometrial cancers 55 to 65 year age group slow progression - relatively good prognosis considered estrogen-dependent -- influenced by estrogen levels Prognosis: depends on factors like grade, stage, and spread. 

8. grading Grade 1 5% or less nonsquamous solid growth pattern Grade 2 6% to 50% nonsquamous solid growth pattern Grade 3 >50% nonsquamous solid growth pattern

9. prognosis Low-Grade Tumors: FIGO grades 1 and 2 generally good prognosis High-Grade Tumors: FIGO grade 3 - poorer prognosis Treatment – surgery +/- radiation and/or chemotherapy

10. Case 3 37 yo female – c/o Secondary infertility, severe dysmenorrhea, anemia failed ivf in 2022 Usg DONE ELSEWHERE REPORTED bilateral ovarian cysts

11. Ca 125 = 34.6 u/ml Hb 10.2 g/dl S.ferritin 3.78 ng/ml

12. lap b/l salpingectomy and ovarian cystectomy, hysteroscopic removal of polyp  Done on 18/3/25