Female Reproductive System & Breast

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady\u0027s history has two key symptoms : vaginal bleeding and a chronic cough. Note that the first involves the genital tract, while the second involves the respiratory system.\n\nVery few pathologies are likely to involve both systems simultaneously - mainly malignancies of the genital tract (with metastasis), or rarely, disseminated tuberculosis.\n\nThe malignancies of the genital tract which most often give rise to vaginal bleeding are cervical carcinoma, endometrial carcinoma and less often, ovarian carcinoma. However, metastasis to the lung is rare and is almost always a feature of advanced disease. One would expect her to be far more debilitated if that were the case.\n\nChoriocarcinoma is a rare malignancy of the genital tract which meta"}]}

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