A 51-year-old woman is hospitalized for treatment of right pyelonephritis. An IVP shows right-sided hydronephrosis and a dilated ureter. Physical examination is unremarkable. Durin... A 51-year-old woman is hospitalized for treatment of right pyelonephritis. An IVP shows right-sided hydronephrosis and a dilated ureter. Physical examination is unremarkable. During pelvic examination, you observe a malodorous vaginal discharge. A firm, irregular right adnexal mass extends to the pelvic sidewall. The patient experiences vaginal bleeding after examination. Which of the aforementioned options is the most likely diagnosis?
Understand the Problem
The question is asking for the diagnosis of a patient with a specific set of symptoms and findings, including pyelonephritis, hydronephrosis, irregular adnexal mass, and malodorous vaginal discharge. We need to identify the most likely medical condition based on these clinical indicators.
Answer
Cervical cancer
The most likely diagnosis is cervical cancer.
Answer for screen readers
The most likely diagnosis is cervical cancer.
More Information
The symptoms of an irregular, firm adnexal mass extending to the pelvic sidewall, malodorous discharge, and post-examination bleeding are indicative of cervical cancer, which can also cause hydronephrosis due to ureteral obstruction.
Tips
A common mistake might be attributing the symptoms solely to pyelonephritis or simple hydroureter, but the presence of a firm adnexal mass and vaginal symptoms is key to diagnosing a gynecological malignancy.
AI-generated content may contain errors. Please verify critical information
