Date | Event |
1994 | Treatment of Hodgkin’s Lymphoma by splenectomy, chemotherapy, and radiation. |
March 2014 | Development of one year of menometrorrhagia. Biopsy: grade 1 endometrial adenocarcinoma. Cervical cytology: normal. Pelvic ultrasound: 12 × 6.2 × 6.2 cm uterus. Endometrial stripe was 3 cm. |
April 2014 | Total laparoscopic hysterectomy, Bilateral salpingo-oophorectomy, lysis of adhesion, release of incarcerated hernia (Figure 5(a)), omentectomy, cystoscopy and ventral hernia repair. Pathology: Grade 2 endometrioid adenocarcinoma (Figure 2 and Figure 3). |
May 2014 | Development of left subclavian and internal jugular deep vein thrombosis. Treated with enoxaparin. |
June 2014 | Development of large bowel obstruction. Abdominal CT scan: port site metastases (Figures 5(b)-(d)). |
July 2014 | Exploratory laparotomy and complete cytoreductive surgery, resection of port site metastases, sigmoid resection, colostomy Finding: multiple port-site metastasis; omental disease; large tumor mass encasing and penetrating rectum and vagina; plaque of tumor on the external surface of the bladder. No ascites, no peritoneal studding, no carcinomatosis. Pathology: Grade 2 endometrioid adenocarcinoma (Figure 4). |
August 2014 | Admission for pain control and wound infection. Abdominal CT scan: significant regrowth of her disease. Patient received first dose of Carboplatin and Paclitaxel. |
January 2015 | Completion of six cycles of Caboplatin and Paclitaxel. Clinical remission: CA-125 marker was 10 U/ml (range 0 - 35) and a negative abdominal CT scan. |
May 2015 | No evidence of recurrence. |