AI Article Synopsis
- - A 56-year-old woman presented to the emergency department with symptoms like abdominal pain, diarrhea, fever, and low blood cell counts, which led to a diagnosis of advanced endometrial carcinosarcoma with local spread and a fistula.
- - Her case highlights how the COVID-19 pandemic increased strain on emergency services, potentially causing more gynae-oncology cases to be seen in the ED rather than through regular care channels.
- - The text suggests that restoring full primary care services could alleviate pressure on emergency departments, improve early detection of gynecological cancers, enhance multidisciplinary care, and ultimately lead to better patient outcomes.
Article Abstract
A case of rare endometrial carcinosarcoma with locoregional spread and sigmoid fistula presenting for the very first time at a hospital emergency department (ED). A 56-year-old female presented with abdominal pain, diarrhea, fever, and pancytopenia, which was diagnosed as advanced gynaecological cancer following assessment, imaging, and tissue biopsy. Increased pressure on the ED owing to coronavirus disease 2019 pandemic may cause the first presentation of gynae-oncology cases to ED physician. A full return of all primary care services may reduce such pressure, improve early detection of gynaecological malignancies, allow early multidisciplinary team care, and result in better patient experience in the long run.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395844 | PMC |
| http://dx.doi.org/10.4103/jwas.jwas_27_23 | DOI Listing |
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