Clinical Case Database / Category: Patient Management
Benign Large Gynaecological Masses
Publication details
Dr Rajalakshmi Rajagopal, Dr Greg Ofili
Foundation Years Journal, volume 8, issue 9, p.10 (123Doc Education, London, October 2014)
Abstract
Benign gynaecological masses usually present with menstrual abnormalities and pressure symptoms. Clinical examination and relevant investigations aid in the diagnosis. Management should be tailored to suit the needs of the patient. Complications should be promptly recognised and treated. Critical incident reporting of major post- operative complications should be done to learn lessons and prevent recurrence. Effective communication is essential to prevent complaints.
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Authors
Dr Rajalakshmi Rajagopal
Wishaw General Hospital
50 Netherton Street, Wishaw, ML2 0DP
docrajar@yahoo.co.uk
Dr Greg Ofili
Wishaw General Hospital
50 Netherton Street, Wishaw, ML2 0DP
ubaka.ofili@lanarkshire.scot.nhs.uk
References
1. Laughlin SK, Stewart EA. Uterine leiomyomas: Individualizing the approach to a heterogeneous condition. Obstet Gynecol 2011;117:396-403.
2. Criscitiello M. A case of sarcomatous degeneration of uterine leiomyoma with metastases to lungs and heart. AM J Cancer 1933;18:919-923.
3. Tristan M, Orozco LJ, Steed A, Ramirez-Morera A, Stone P. Mifepristone for uterine fibroids. Cochrane Database Syst Rev 2012;15:CD007687.
4. Sangkomkamhang US, Lumbiganon P, Laopaiboon M, Mol BW. Progestogens or progesterone â€"releasing intrauterine system for fibroids. Cochrane Database Syst Rev 2013;28:CD008994.
5. Donnez J, Tomaszewski J, Vazquez F, Bouchard P, Lemieszczuk B, Baro F, et al. Ulipristal Acetate versus Leuprolide Acetate for Uterine Fibroids. N Eng J Med 2012;366:421-432.
6. National Institute For Clinical Excellence http://publications.nice.org.uk/heavy-menstrual-bleeding-cg44.
7. National Institute For Clinical Excellence http://publications.nice.org.uk/uterine-artery-embolisation-for-fibroids-ipg367.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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