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Cervical Cancer - Stage IIIB

Scism JTS - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Cervical Cancer - Stage IIIB

History: Patient is a 42 y/o G5 P4014 female who had not had cervical cancer screening for several years.

Findings: Normal pelvic ultrasound. PET/CT - right hydronephrosis with abnormal pelvic uptake in region of uterus. No pathologic up-take seen in region of local lymph nodes. Fluoroscopic images obtained during a right percutaneous nephrostomy tube placement showed right sided hydronephrosis and high-grade stricture of distal right ureter. Stricture was dilated using balloon angioplasty technique, and a nephroureteral stent (NUS) was placed.

Ddx: Transitional cell carcinoma. Endometrial carcinoma. Drop Metastasis

Dxhow: PET and Pap Smear

Exam: Patient developed right sided pelvic pain and presented to a local Emergency Department, where she was initially felt to have an enlarged uterus and symptomatic fibroids. She was referred to a local primary care physician for a Pap Smear. Physical exam showed an irritated cervical os, and Pap smear results returned High-grade SIL. Patient was then referred to OB/GYN.

No MeSH data available.


CT showing right sided hydronephrosis without obvious plevic abnormality.
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MPX2058_synpic33788: CT showing right sided hydronephrosis without obvious plevic abnormality.


Cervical Cancer - Stage IIIB

Scism JTS - MedPix (2007)

CT showing right sided hydronephrosis without obvious plevic abnormality.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2058&req=5

MPX2058_synpic33788: CT showing right sided hydronephrosis without obvious plevic abnormality.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Cervical Cancer - Stage IIIB

History: Patient is a 42 y/o G5 P4014 female who had not had cervical cancer screening for several years.

Findings: Normal pelvic ultrasound. PET/CT - right hydronephrosis with abnormal pelvic uptake in region of uterus. No pathologic up-take seen in region of local lymph nodes. Fluoroscopic images obtained during a right percutaneous nephrostomy tube placement showed right sided hydronephrosis and high-grade stricture of distal right ureter. Stricture was dilated using balloon angioplasty technique, and a nephroureteral stent (NUS) was placed.

Ddx: Transitional cell carcinoma. Endometrial carcinoma. Drop Metastasis

Dxhow: PET and Pap Smear

Exam: Patient developed right sided pelvic pain and presented to a local Emergency Department, where she was initially felt to have an enlarged uterus and symptomatic fibroids. She was referred to a local primary care physician for a Pap Smear. Physical exam showed an irritated cervical os, and Pap smear results returned High-grade SIL. Patient was then referred to OB/GYN.

No MeSH data available.