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NDVH done in case of multiple uterine fibroid today.12 fibroid enucleated.

female unmarried 25 yrs no any complain except pain in abdomen periods on time usg attached..fibriod uterus since 2 yrs treatment of fibrioid uterus 26 x 20mm ocp should b given or not?

An interesting case. This patient a female with a uterine mass - probably a large subserosal fibroid with degenerative changes - Ultrasound scan reporting one year back .Pt is 85 years old .Considering her age gynaecologists refused to operate telling that it is an advanced malignancy. Now after 1 year - Patient is having bleeding P/V - moderate to severe to the extent that Hb has come down to 4 gm . On home visit I examined the patient, there was a protruding fungating mass from vagina with secondary haemorrhage. A CECT abdomen was advised to look for present status. It revealed a Bosnaci Type 3- 4 right renal cyst , a large subserosal fibroid and a vulval malignant mass ? with bilateral enlarged inguinal lymph nodes . Now management advice . One year back can patient would have been operated? USG report is 1 year back and CECT abdomen is done today on 11 th March

A 13-year-old female presented with diffuse abdominal pain. She reported a 13 kg weight loss in the past 6 months along with decreased appetite, nausea, and increased urinary frequency. On physical exam, a hard, palpable lower abdominal mass was noted. Give your valuable opinion please.

A 30-year-old woman with, hematuria and anemia was presented with skin spots. Ultrasound of abdomen detected normal kidneys; at the pelvis, there was a big mass with size of 25 cm from pubis to umbilicus. Suggest the treatment for the same?