| List of contributors |
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| Preface |
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| Section I General gynecology |
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1 A 45-year-old woman with heavy vaginal bleeding |
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1 | (3) |
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2 A 29-year-old woman with a pelvic mass and altered mental status |
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4 | (3) |
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3 Acute exacerbation of chronic pelvic pain in a 32-year-old woman |
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7 | (3) |
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4 A 19-year-old woman with diabetes and hypertension requiring emergency contraception |
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10 | (3) |
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5 Bleeding, pain, and fever four days after first-trimester termination |
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13 | (4) |
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6 A 25-year-old woman requesting emergency contraception |
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17 | (3) |
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7 Persistent trichomonas infection |
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20 | (3) |
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8 A 42-year-old woman with recurrent unexplained vaginitis symptoms |
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23 | (3) |
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9 A 30-year-old woman with vaginal itching |
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26 | (3) |
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10 Sudden-onset left lower quadrant pain in a 21-year-old woman |
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29 | (2) |
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11 A 35-year-old woman with IUD string not visible |
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31 | (3) |
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12 A 38-year-old woman with sudden-onset shortness of breath |
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34 | (3) |
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13 Vaginal bleeding in a 75-year-old woman |
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37 | (4) |
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14 A 60-year-old woman with severe vulvar itching and an ulcer |
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41 | (3) |
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15 Urinary retention in a 19-year-old woman |
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44 | (3) |
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16 Recurrent herpes infection in a 28-year-old woman |
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47 | (2) |
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17 Vulvar infection and sepsis in a 42-year-old woman |
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49 | (3) |
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18 A 42-year-old woman with irregular bleeding |
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52 | (3) |
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19 Persistent HSV in an HIV-positive woman |
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55 | (3) |
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20 Incidentally discovered vaginal cyst in a 34-year-old woman |
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58 | (2) |
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21 A 45-year-old woman with an enlarging pelvic mass |
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60 | (3) |
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22 A 23-year-old woman with pelvic pain and fever |
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63 | (5) |
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23 A 21-year-old woman with a new sexual partner |
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68 | (3) |
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24 A 21-year-old woman with persistent pain and fever after treatment for PID |
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71 | (3) |
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25 Acute vaginal and abdominal pain after defecation in a 79-year-old woman |
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74 | (3) |
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26 Tachycardia and vaginal bleeding in pregnancy |
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77 | (3) |
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27 Vaginal spotting at eight weeks' gestation |
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80 | (3) |
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28 Heavy bleeding after medical management of a missed abortion |
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83 | (3) |
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29 Abdominal pain and vaginal bleeding in a 24-year-old woman |
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86 | (3) |
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30 Unanticipated ultrasound findings at follow-up prenatal visit |
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89 | (4) |
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31 Early pregnancy spotting and an unusual ultrasound |
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93 | (3) |
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32 Undesired pregnancy in a 19-year-old woman |
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96 | (3) |
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33 A pregnant 37-year-old woman with lower left quadrant pain |
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99 | (4) |
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34 Unruptured advanced ectopic pregnancy |
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103 | (3) |
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35 A 23-year-old pregnant woman with acute-onset abdominal pain and hypotension |
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106 | (3) |
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36 A woman with first-trimester vaginal bleeding |
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109 | (4) |
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37 Midcycle spotting and worsening menorrhagia |
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113 | (4) |
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38 A 40-year-old woman on tamoxifen therapy with a uterine mass |
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117 | (3) |
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39 Small mass prolapsing from the cervix found on routine pelvic examination |
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120 | (2) |
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40 A 35-year-old woman with a painful vulvar mass |
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122 | (2) |
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41 A 32-year-old woman urgently referred for a cervical mass noted on routine pelvic examination |
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124 | (2) |
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42 An 18-year-old woman with long-acting reversible contraception and new-onset bleeding |
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126 | (3) |
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43 Cyclic pain after endometrial ablation |
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129 | (3) |
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44 Positive hCG in a patient who reports no sexual activity for one year |
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132 | (2) |
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45 Recalcitrant severe vaginal discharge and odor |
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134 | (2) |
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46 A 25-year-old woman with a painful vulvar mass |
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136 | (3) |
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47 Acute abdominal pain two weeks after successful vaginal birth after Cesarean |
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139 | (3) |
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48 A 64-year-old woman with a simple ovarian cyst |
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142 | (3) |
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49 A 26-year-old woman with acute pelvic pain and free fluid in the pelvis |
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145 | (3) |
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50 A 36-year-old woman with fever and pelvic pain at 14 weeks' gestation |
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148 | (3) |
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51 Acute fever and tachycardia in a 21-year-old woman during laparoscopy |
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151 | (4) |
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52 A 40-year-old woman with hypertension and first-trimester bleeding |
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155 | (4) |
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| Section II Pregnancy |
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53 Nausea and vomiting at eight weeks' gestation |
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159 | (3) |
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54 A 27-year-old woman with severe nausea and vomiting in pregnancy |
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162 | (4) |
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55 Early pregnancy with vaginal spotting |
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166 | (3) |
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56 Positive RPR on initial prenatal labs |
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169 | (3) |
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57 A high-speed motor vehicle accident during pregnancy |
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172 | (3) |
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58 A 32-year-old woman with fever and unilateral breast pain |
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175 | (3) |
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59 A 36-year-old woman with nipple pain postpartum |
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178 | (3) |
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60 A woman in first-trimester pregnancy with fever, malaise, nausea, and vomiting |
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181 | (3) |
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61 First-trimester flu-like symptoms in a 31-year-old woman |
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184 | (3) |
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| Section III Reproductive endocrinology and infertility |
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62 Abdominal pain and distension seven days after egg retrieval for planned IVF |
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187 | (3) |
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63 Irregular bleeding in a 39-year-old nulliparous woman desiring fertility |
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190 | (3) |
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64 A 24-year-old woman with her third pregnancy loss |
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193 | (3) |
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65 A 38-year-old woman with worsening postpartum fatigue |
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196 | (3) |
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66 A 19-year-old woman with primary amenorrhea |
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199 | (4) |
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67 A 26-year-old woman with secondary amenorrhea |
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203 | (4) |
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68 Irregular bleeding in a 25-year-old woman |
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207 | (4) |
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69 A 28-year-old woman with irregular bleeding requiring transfusion |
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211 | (3) |
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70 A 29-year-old woman with secondary amenorrhea after a septic abortion |
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214 | (3) |
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| Section IV Pediatric and adolescent gynecology |
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71 Worsening dysmenorrhea in a 14-year-old girl |
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217 | (3) |
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72 A seven-year-old girl with vaginal bleeding |
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220 | (3) |
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73 A four-year-old girl falls while exiting the bathtub |
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223 | (3) |
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74 Worsening cyclic pain and amenorrhea in a 13-year-old girl |
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226 | (3) |
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75 Worsening cyclic pain and amenorrhea in a 13-year-old girl with a normal appearing but short vagina |
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229 | (2) |
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76 A 19-month-old girl with labial adhesions and acute urinary retention |
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231 | (3) |
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77 A 13-year-old girl with irregular menses and significant weight gain |
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234 | (3) |
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78 A 14-year-old girl with anemia |
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237 | (4) |
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79 A 13-year-old girl with vulvar irritation and new-onset behavioral problems |
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241 | (3) |
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80 A 10-year-old girl with lower abdominal pain |
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244 | (3) |
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| Section V Urogynecology |
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81 Complete procidentia in a 70-year-old woman |
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247 | (2) |
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82 Incontinence in a 50-year-old woman after pessary placement |
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249 | (3) |
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83 A periurethral mass in a 25-year-old woman |
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252 | (3) |
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84 A periurethral mass in a 45-year-old woman |
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255 | (3) |
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85 New-onset incontinence in a 42-year-old woman |
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258 | (3) |
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86 Urinary leakage following hysterectomy |
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261 | (3) |
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87 Urinary retention following urethral sling surgery |
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264 | (3) |
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88 A urethral mass in a postmenopausal woman |
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267 | (2) |
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| Section VI Gynecologic oncology |
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89 A 70-year-old woman with a new vulvar mass |
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269 | (2) |
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90 A 45-year-old woman with a fungating cervical mass |
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271 | (3) |
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91 A 48-year-old woman with a 4-month history of intermittent abdominal pain and urinary frequency |
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274 | (4) |
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92 A 65-year-old woman with profuse vaginal bleeding |
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278 | (4) |
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93 A 38-year-old woman with heavy vaginal bleeding 6 months after D&C for complete mole |
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282 | (3) |
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94 A 62-year-old woman with a vulvar lesion |
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285 | (2) |
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95 A 62-year-old woman with ovarian cancer and new-onset pelvic and right-leg pain |
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287 | (3) |
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96 A 64-year-old woman with ovarian cancer, emesis, and abdominal pain |
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290 | (4) |
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97 A 65-year-old woman with new-onset fatigue, parasthesias, and muscle cramps after chemotherapy for ovarian cancer |
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294 | (3) |
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| Index |
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