ABOG Gynecologic Oncology case studies
ABOG Gynecologic Oncology · Put your knowledge to work in context.
The American Board of Obstetrics and Gynecology (ABOG) administers subspecialty certification in gynecologic oncology for obstetrician–gynecologists who have completed accredited fellowship training in the field. This page is an independent study resource describing that credential and how candidates typically prepare; it is not affiliated with, endorsed by, or sponsored by ABOG, and it is not an official source of exam information. The ABOG Gynecologic Oncology case studies are 7 cases and about 5,293 words.
1Postmenopausal Bleeding With a Non-Diagnostic Office Biopsy
A 64-year-old nulliparous woman (BMI 36, type 2 diabetes, hypertension) reports two episodes of light vaginal spotting over the past 6 weeks, 12 years after menopause. She has no pain, and examination is unremarkable.
732 words, about 4 min2Bulky Advanced Ovarian Cancer: Primary Debulking or Neoadjuvant Therapy
A 68-year-old woman presents with 3 weeks of bloating, early satiety, and increasing abdominal girth. CT shows a 9 cm complex pelvic mass, omental caking, moderate ascites, and a 1.5 cm umbilical nodule; there is no liver parenchymal disease or hydronephrosis.
741 words, about 4 min3Platinum-Sensitive Recurrence in a BRCA Wild-Type, HRD-Negative Patient
A 61-year-old woman with high-grade serous ovarian carcinoma, BRCA1/2 wild-type and homologous recombination deficiency (HRD) negative on both germline and tumor testing, completed primary debulking and six cycles of carboplatin/paclitaxel 14 months ago, with CA-125 normalizing after cycle 3. Now CA-125 has risen to 210 U/mL.
716 words, about 4 min4A 4.5 cm Cervical Cancer With a Single Pelvic Node
A 46-year-old woman, never screened, presents with 2 months of postcoital and intermenstrual bleeding. Examination shows a 4.5 cm exophytic cervical mass that does not involve the parametria or vaginal wall.
749 words, about 4 min5Grade 3 Endometrioid Cancer With Mismatch-Repair Loss in a Woman With a Suspicious Family History
A 57-year-old woman undergoes total hysterectomy and bilateral salpingo-oophorectomy for a 4 cm polypoid endometrial tumor. Final pathology shows grade 3 endometrioid adenocarcinoma with 40% myometrial invasion, no lymphovascular invasion, and no cervical or adnexal involvement; no nodes were sampled.
755 words, about 4 min6Reading a Positive Progression-Free Survival Trial at Tumor Board
A colleague presents a phase III trial at tumor board. Patients with newly diagnosed advanced ovarian cancer were randomized to standard chemotherapy plus a new agent or chemotherapy plus placebo, with progression-free survival as the primary endpoint.
830 words, about 4 min7Malignant Bowel Obstruction in Platinum-Resistant Ovarian Cancer
A 63-year-old woman with recurrent platinum-resistant high-grade serous ovarian cancer, treated with four prior lines including bevacizumab and a PARP inhibitor, presents with 5 days of vomiting, colicky abdominal pain, and no flatus or stool for 3 days. She has had two prior bowel resections for obstruction.
770 words, about 4 min