Question

Mrs. Black is a 68-year-old woman who is admitted to the hospital emergency room after 3 days of severe abdominal pain. Her peritoneal cavity is very bloated, and seems to be filled with a fluid. She reports feeling loss of appetite and fatigue over the last few months, but still managed to gain 5 lbs in the last 3 months. BP is 128/84. Ultrasound imaging reveals a large mass in the lower left quadrant, and legions on the kidneys and liver. Preliminary blood work reveals a concentration of CA-125 at 190 units/mL. Patient has smoked for the last 9 years, but denies alcohol and drug use, and was previously diagnosed with endometriosis 15 years ago. What reproductive disease does she likely have?

Family History:

Grandmother died from complications of cervical cancer.

Father suffered from hypertension, and died of coronary artery disease.

Mother died from ovarian cancer.

Separated from husband of 27 years, no children.

Answer 1

CA 125 is abnormal and this says that she had cancer. Fluid collection in the peritoneal cavity is called as ascities and the possible diagnosis of the patient is may be malignant ascites or abdominal cancer.

She had a family history of cancer.

CA 125 is a tumor marker test and it's high which says that the mass may be a malignant one.

Cancer is one of the causes of ascities and due to this fluid colllection patient may feel fullnessnof stomach taking little food .