Ovarian germ cell tumor physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2] The signs and symptoms
associated with these tumors are varied, but in general, most arise from tumor growth and the hormones they produce. Subacute abdominal pain is the presenting symptom in 85 percent of patients and reflects rapid growth of a large, unilateral tumor undergoing capsular distension, hemorrhage, or necrosis. Less commonly, cyst rupture, torsion, or intraperitoneal hemorrhage leads to an acute abdomen in 10 percent of cases (Gershenson, 2007a). In more advanced disease, ascites may develop and cause abdominal distension. Because of the hormonal changes that frequently accompany these tumors, menstrual irregularities may also develop. Although most individuals note one or more of these symptoms, one quarter of individuals are asymptomatic, and a pelvic mass is noted unexpectedly during physical or sonographic examination (Curtin, 1994).
Overview
Physical examination of patients with endometrial cancer is usually remarkable for vaginal bleeding, pallor, and pedal edema.
Endometrial cancer Physical Examination
Abdomen
- Abdominal distention [1]
- Abdominal tenderness
Pelvic exam
- Vaginal bleeding
- Adnexal masses
References
- ↑ Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. ISBN 9780071716727.