Endometrial Cancer Case Studies

Endometrial cancer is the most prevalent gynecologic malignancy in the Unites States. Even though the cancer occurs most frequently in postmenopauasal women, 5% of the total number cases are found in women 40 years and younger. These women usually have specific risk factors such as morbid obesity, chronic anovulation, and hereditary syndromes (Schuiling & Likis, 2013). As future providers, it will be vital to know and understand the risk factors for endometrial cancer and the signs and symptoms of the disease so prompt diagnosis and treatment can happen for the patient.
Subjective Data Ms. C.G is a very pleasant 23 year old Caucasian female who was referred to the office by a local physician for endometrial cancer. Her mother is here with her at the visit. The patient was seen by another physician on 9/8/15 as a new patient referred by the local ER for epigastric abdominal pain and endometrial thickening. She had an ultrasound done
External genitalia no lesions. Vagina no lesions, no discharge or blood. Cervix nulliparous, small. Adnexa not tender or enlarged. No perineum/anal lesions.
Lab Tests
A basic metabolic panel and complete blood count with differential was ordered to rule out an infectious process, anemia, electrolyte abnormalities or any other condition that could make the patient not a surgical candidate. Also, a prolactin level was ordered to rule out a possible prolactin-secreting tumor.
Assessment and Diagnosis
Due to the pathology report, the final diagnosis is adenocarcinoma of the endometrium (C54.1). Due to her history, the diagnosis of Bardet-Biedl Syndrome ( Q87.89) was given, as well. The nursing diagnosis for the patient is fear/anxiety related to a diagnosis of cancer.
Plan and