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Case 10
Presented by: Ekrem Yavuz
Clinical History
The patient was a 39-year-old female who presented with abnormal vaginal bleeding and flank pain of two and six-month duration, respectively. A gynecological examination displayed a cervical polypoid lesion protruding into the left vaginal fornix and fixation of the left parametrial area. An abdominopelvic computerized tomogram showed a uterine cervical mass of 2.5x4 cm extending through parametrial soft tissue and grade 4- left hydronephrosis and hydroureterium. An incisional biopsy was taken from the lateral vaginal fornix. The lesion was considered clinically malignant and a total abdominal hysterectomy with resection of parametrium and left nephrectomy and ureterectomy was done. The operation took almost six hours due to the fact that the lesion showed close proximity to pelvic vascular structures and several vascular injuries occured during the operation. The patient is well two years after the operation.
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POLYPOID ENDOMETRIOSIS OF THE UTERINE CERVIX AND PARAMETRIAL-PELVIC SOFT TISSUES
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28.12.2007 |
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