NICRH ; Gynae Onco Surgery

28/05/2023

Incidentally found double ureter while performing para aortic lymph node dissection for malignant ovarian tumor with CKD , hypothyroidism and previous h/o va**nal hysterectomy.
Courtesy : prof Shahana Pervin

30/01/2023

Ms. X ,22 years old , unmarried girl attended to gynaecological oncology outdoor with complaints of rapidly growing vulvar mass ..Mass was very ugly looking and "Maggots " was also appeared over that .
Her biopsy report revealed undifferentiated malignant neoplasm
Spindle cell also found
Wide local excision of vulvar mass with ipsilateral inguinofemoral lymphadenectomy was done .
Awaiting for final histopathology report

N.B.Permission taken from patient before creating this post as this is for academic interest.

10/01/2023

Miss X
15 yrs
Unmarried, regularly menstruating lady, hailing from jessore,admitted with
Diagnosed case of dysgerminoma 10 yrs back
Abdominal distension for 1 yr.
She had H/O laparotomy f/ b right sided salpingo ophorectomy due to dysgerminoma 10 yrs back, she received 6 cycle CT with BEP, Was on regular f/u for 2
yrs,was symptom free at that period
Then she lost f/u
Now has abdominal distension for last 1 yr
CT scan : huge complex abdomino pelvic mass(20×18 cm)
Tumor markers r normal
Laparotomy with frozen done
Frozen report : benign

10/01/2023

Surgical approaches to a big abdomino -pelvic mass
Miss X
15 yrs
Unmarried, regularly menstruating lady, hailing from jessore,admitted with
1. Diagnosed case of dysgerminoma 10 yrs back
2. Abdominal distension for 1 yr.
She had H/O laparotomy f/ b right sided salpingo ophorectomy due to dysgerminoma 10 yrs back, she received 6 cycle CT with BEP, Was on regular f/u for 2
yrs,was symptom free at that period
Then she lost f/u
Now has abdominal distension for last 1 yr
CT scan : huge complex abdomino pelvic mass(20×18 cm)
Tumor markers r normal
Laparotomy with frozen done
Frozen report : benign

10/12/2022

Ca endometrium

Mrs.Romesa,67 yrs Ca.Endometrium with DM,HTN,CKD,Hypothyroid.Diagnostic Curretage-Serous/Endometroid gr-I,MRI-no myoinvasion,left inguinal lymphadenopathy..After resection of uterus seems to be more than half myoinvasion..So,Extrafascial hysterectomy with BLSO,BLPLND and infracolic omentectomy done.

08/12/2022

Pic showing radicality of radical hysterectomy

( how much parametrium and part of va**na should be removed )
Mrs Alaiba,36 yrs presented with post co**al bleeding
Cervical biopsy -Squamous cell carcinoma gr II
Clinical diagnosis: CaCx IB2
MRI of pelvis: A large cervical mass (3.2x 3.4) cm from anterior lip of cervix with enlarged Left iliac LN

Radical Hysterectomy with Bilateral pelvic Lymphadenectomy done(Left and right pelvic LN found enlarged)

05/09/2022

H/0 TAH with BSO ( outside NOCRH)
HPR: Endometroid adenocarcinoma of o***y;
Received 10 cycles of chemotherapy.
Now present with parietal mass

Pic courtesy: prof shahana pervin

04/09/2022