CTgyn case studies
CTgyn · Put your knowledge to work in context.
The CTgyn - Certified Tumor Registrar, Gynecology Oncology Specialty - is a specialty credential for cancer registrars who abstract and report gynecologic malignancies. It signals that a registrar can work a gynecologic case from casefinding through follow-up without hand-holding: identifying reportable diagnoses, applying current staging rules, coding treatment accurately, and defending the abstracted data in a quality review. The CTgyn case studies are 5 cases and about 2,634 words.
1Ovarian Mass in a Patient with Prior Breast Cancer: Staging vs. Histologic Assignment
A 58-year-old woman with a history of ER-positive breast cancer treated with mastectomy and adjuvant endocrine therapy 6 years ago presents with a 9 cm complex right adnexal mass, ascites, and a CA-125 of 640 U/mL. She undergoes primary cytoreductive surgery.
706 words, about 4 min2Endometrial Cancer with Positive Peritoneal Washings: Stage I or III?
A 64-year-old woman with postmenopausal bleeding undergoes total hysterectomy, bilateral salpingo-oophorectomy, and pelvic washings. Final pathology: endometrioid adenocarcinoma, grade 2, invading 40% of the myometrium, no cervical stromal invasion, no adnexal involvement, and 0 of 18 pelvic nodes positive.
537 words, about 3 min3Recurrence Versus New Primary After Cervical Cancer Treatment
A 47-year-old woman treated 3 years ago for FIGO IB2 squamous cell carcinoma of the cervix with chemoradiation and brachytherapy presents with a 3 cm vaginal apex mass and a 2 cm left pelvic sidewall mass. Biopsy of the vaginal mass shows squamous cell carcinoma.
514 words, about 3 min4Neoadjuvant Chemotherapy and Interval Debulking: Capturing Sequencing Correctly
A 71-year-old woman with a 12 cm pelvic mass, omental caking, and CA-125 of 1,850 U/mL is diagnosed with advanced high-grade serous ovarian carcinoma by core biopsy. Because of medical comorbidities, she receives 3 cycles of neoadjuvant carboplatin/paclitaxel, followed by interval debulking surgery with residual disease <1 cm, then 3 more cycles of adjuvant chemotherapy.
430 words, about 2 min5Ethical and Reporting Judgment: Suspected Non-Gynecologic Primary in an Adnexal Mass
A 55-year-old woman with a 7 cm adnexal mass and weight loss undergoes surgery. Pathology shows a mucinous adenocarcinoma involving the ovary and appendix.
447 words, about 2 min