1. Emergency Presentations in Gynaecological Oncology
Rob Gornall
Gynaecological Oncology

2. Urgent presentations with gynaecological malignancy
Relatively uncommon
However only 25% of cases are diagnosed through 2ww clinic
Ovarian cancer characterised by late presentation
Advanced Cervical cancer now less common
Rarely endometrial cancer may present with heavy bleeding

3. Ovarian Cancer What are the late symptoms and signs?
How do women typically present as emergencies?
What is the differential diagnosis?
How do we manage them in hospital?
Could we do better?

6. Cervical Cancer Screening coverage 80% Remaining 20% at most risk
Symptomatic presentation associated with more advanced stage
Very rare in the under 25s – approx 40 cases a year
Major world wide health issue

7. Cervical Cancer – Urgent presentation
What are the symptoms?
How may women present as emergencies?
What are the key investigations?
Will I recognise it if it I see it?
How do we manage them in hospital?

8. Emergencies for those already known to have cancer
Post operative Complications
Urgent ? Sepsis/ Peritonitis
Chemotherapy and radiotherapy
Palliative Care issues
Is Community Care possible

9. Take Home Messages
Early diagnosis key to minimising emergency admissions
Unexplained abdominal symptoms always consider ovarian cancer
Early multidisciplinary intervention may allow palliative care to stay at home