Case study: Cancer-related lower abdominal and pelvic pain
A 55-year-old woman, recently diagnosed with cervical uterine malignancy, presented with chronic lower abdominal and pelvic pain. The patient has no comorbidities and was diagnosed with moderately differentiated non-keratinizing squamous cell carcinoma of the uterine cervix six months ago. Described as constant and severe, her pain includes shooting, stabbing, and pressure-like sensations in the lower abdomen and pelvis. These painful episodes occur multiple times a day, with her pain levels peaking at 10 on the Numeric Rating Scale (NRS), while her baseline pain ranges from 7 to 8.
Distribution of pain.
- Deep tenderness in the lower abdomen
- Normal leg neurological exam
- Large mass in the lower uterine cervix/upper vagina
- Additional masses in the iliac, para-aortic, and adnexal regions
The patient was diagnosed with cancer-related, chronic lower abdominal and pelvic pain, and pelvic malignancy.
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