Cytologically Yours: CoW: 20140120

Clinical Summary

The patient is a 46 year old female with a new pleural effusion, pelvic mass, and ascites. She presented to the ED with increasing abdominal distension and discomfort. She also has nausea and has been unable to tolerate anything by mouth. She has shortness of breath and has had a recent >20lb weight loss in the last two months.

Past Medical History

Hyperlipidemia
Coronary artery disease
Hepatitis C

Past Surgical History

Cardiac stent (2011)
Exploratory pelvic surgery

CT

Ascites
Left hydronephrosis
enlarged uterus 12 x 7 x 7 cm.
13 cm pelvic mass
Right sided pleural effusion

Clinical Plan

Therapeutic paracentesis.

Pathology

Cytology

20x magnification of cohesive pleomorphic cells with abundant cytoplasm.(DQ)
40x magnification showing large atypical cells with abundant cytoplasm. (DQ)
40x magnification showing large groups of cohesive cells that are pleomorphic. (DQ)
40x magnification showing cells that are large and pleomorphic and in groups.(DQ)
40x magnification of large atypical cells one nucleus appears to have an inclusion.(DQ)
40x magnification of atypical cells. Some of the cells appear to have material in their cytoplasm .(DQ)