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?

A 52 y/o postmenopausal gravida 8, para 5, aborta 3 presented with a history of lower abdominal pain and distension for about 10 months. The patient's personal history revealed fatigue, loss of appetite, dyspnea and chronic constipation. LMP 1 year back and she had no post-menopausal bleeding. But her menstruation was 7-8 days of the 21-day menstrual cycle. On physical examination, an abdominopelvic mass with dullness on percussion - a solid mass was palpated. Abdominal tenderness was not present. Gynecologic examination revealed a large, mobile abdominopelvic mass with a normal external genitalia and uterine cervix. Lab tests normal except the Hb level, which was 8 g/dl.