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.