Case study: Cancer-related lower abdominal and pelvic pain - NYSORA

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Case study: Cancer-related lower abdominal and pelvic pain

February 8, 2024

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.

Physical examination

  • Deep tenderness in the lower abdomen
  • Organomegaly
  • Normal leg neurological exam

MRI imaging

  • 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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