Medical OSCES

Medical OSCES for medical students and PG Doctors

Menu
  • Home
  • Static Page
  • Radiology Cases
    • Neurology
    • Peadiactric
    • Chest
    • GIT
    • GUT
  • Radiology Notes
    • Neurology
    • Peadiactric
    • Chest
    • GIT
    • GUT
  • Lectures
    • Radiology
    • Anatomy
    • Physics
    • Radiography
  • Videos
  • Books
  • Surprise Me
Gyn and Obs NEJ Cases A 51-year-old woman was found to have a small, pinkish tumor of the left iris

A 51-year-old woman was found to have a small, pinkish tumor of the left iris

imageimageA 51-year-old woman was found to have a small, pinkish tumor of the left iris The visual acuity was not affected, and the intraocular pressure was normal. A tumor of the iris can be a manifestation of metastatic disease, with a differential diagnosis including amelanotic melanoma and peripheral anterior synechiae. Whole-body computed tomography of the patient revealed a retroperitoneal tumor with erosion of the right ilium and multiple pulmonary lesions that were suggestive of metastases. A gynecologic examination revealed an endometrioid adenocarcinoma of the uterus, histologically identified as having a low level of differentiation, with a local vaginal metastasis. The pulmonary lesions were regarded as metastases of this primary tumor. We proposed to perform primary radiotherapy of the pelvis, followed by chemotherapy, but the patient declined treatment. In the absence of an acute eye-threatening condition and because of the patient's very poor overall prognosis, the iris tumor was not removed. One month later, no change in the appearance of the iris tumor was seen. The patient did not present for further gynecologic or ophthalmologic follow-up.

 

 

How do you counsel this patient using spike protocols ?

Add Comment
Gyn and Obs, NEJ Cases
  • Tweet
  • Share
  • Share
  • Share
  • Share

Related Posts

Post a Comment

Total Tayangan Laman

  • …

  • …

Weekly Posts

  • A 23-year-old man after  motor vehicle accident
    A 23-year-old man after motor vehicle accident
    This 23-year-old man was involved in a motor vehicle accident. What is the diagnosis? Aortic dissection Cardiac rupture Diaphragmatic rup...
  • Name the arrowed structure ?
    Name the arrowed structure ?
    Left Ventricle
  • After a short period of fever and malaise,patient develops pain in a dermatome,followed by appearance of lesion in the same dermatome,
    After a short period of fever and malaise,patient develops pain in a dermatome,followed by appearance of lesion in the same dermatome,
      1.What’s the lesion? 2.What’s the causative agent ? 3.What are the complications of this condition? 4.How would you treat?
  • Diffuse Axonal Injury
    Diffuse Axonal Injury
    Findings: Diffuse brain swelling Focal punctate hemorrhage scattered in the white matter, corpus callosum, and brain stem Right subgaleal...

Label

  • Cardiology (12)
  • Chest x-ray (9)
  • CT Scans (6)
  • Dermatology (56)
  • ECG (2)
  • Endocrinology (10)
  • ENT (2)
  • Gastroenterology (15)
  • Genetics (6)
  • Gyn and Obs (5)
  • gynaecology (4)
  • Haematology (17)
  • Image Challenge (214)
  • Immunology (3)
  • infectious and parasitic disease (3)
  • Infectious disease (5)
  • Instruments (1)
  • Microbiology (2)
  • Musculoskeletal (3)
  • NEJ Cases (9)
  • Nephrology (2)
  • Neurology (15)
  • oncology (3)
  • Ophthalmology (13)
  • Orthopaedic (8)
  • Parasitology (4)
  • Peadiactrics (12)
  • Pediatric EMCQ (1)
  • Pediatric EMCQs (5)
  • Pharmacology (4)
  • Pulmonology (9)
  • Radiology (30)
  • Real Cases (5)
  • Rheumatology (7)
  • Skull X-ray (2)
  • Surgery (4)
  • Vascular surgery (1)
  • x-ray (6)

Contact

Name

Email *

Message *

Copyright © 2014 Medical OSCES All Right Reserved
Blogger Templates Created by Arlina Design