Itchy lesions & Fibromatous uterus

Chief Complaint A 69 y/o female presented with multiple itchy lesions over the chest, abdomen, and arms for 1 and half years. History Past medical, surgical and family history was unremarkable. Investigations Histology shows the lesions are seborrheic keratoses. Further investigations were done to check for underlying malignancy. CBC, LTF, blood tests, Chest x-ray, Ultrasound. everything was normal. Abdominal & pelvic ct shows fibromatous uterus but patient was asymptomatic. Later she was diagnosed with endometrial cancer. Treatment Advise the management plan for this patient.

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Concern is chest lesion and not fibroid uterus which history says asymptomatic Hence at present attend to chest lesions as doctor is asking Yes fibrous uterus will require hystrectomy

Thanx dr Kute Ankush
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Sebborrhic dermititis Rx tab azithromycin or clindamycin Tab Levocetrizine5mg 1bd Locally flutibact oint twice daily Review after one week

Thanx dr Kute Ankush
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SURGICAL INTERVENTION WITH.. CHEMOTHERAPY.. RADIOTHERAPY.. WITH ONCOLOGISTS OPINION..

Tnx Dr Ashok Leel sir
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Hysterectomy followed by chemotherapy & Radiotherapy

Management of Endometrial cancer depends on the type of Endometrial cancer (I or II), age, comorbidities, and stage of the disease. Staging is surgical with a radical hysterectomy followed by adjuvant radiation or chemotherapy depending on the pathological stage. Please ask the patient to see a gyn oncologist. Will need extensive workup before coming up with a treatment plan

Total Hysterectomy. Cobalt therapy & Chemotherapy.. Dat scan..

SUGGESTIVE. OF ENDOMETRIAL CARCINOMA

Petscan Plan hysterectomy with oophrectomy with nodes spread possible Opinion of oncogynaec

Needs surgical intervention like hysterectomy.

Thanks Dr Pushkar Bhomia
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Hysterectomy chemotherapy

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