Gynecologic Cancers: Case 2 - Episode 6
Dr. Tewari says that the key parameters to use to determine subsequent therapy
include performance status, bone marrow reserve, renal function, level of peripheral neuropathy (if any), current pain index and quality of life, and nutritional status.
CASE 2: Cervical Cancer
Stephanie M. is a 48-year-old Caucasian mother of 2 children who works as a dental hygienist.
She presented to her PCP in May 2012 with vaginal discharge and pain during intercourse. Prior medical history was notable for smoking (quit 3 years ago) and well-controlled hypertension. Patient had completed only sporadic cervical screening for the past 10 years.
In September 2014, she presented with worsening abdominal pain and fatigue. CT scan showed diffuse pelvic and aortic adenopathy consistent with disease recurrence. Her renal and hepatic function were adequate.