Case Conference August 29th 2012

29-Aug-2012, Divisi Ginekologi Onkologi RSCM

Identity

Mrs.S, 65 yo, 3549374 JAMKESMAS

 

Refered by  Rumah Sakit Islam Jakarta  due to endometrial adeno carcinoma

Since march 2012, vaginal bleeding +

No weight loss, urinating and defecating wnl

P5, no family planning

Menopause 10 y

Hypertention(+), DM type II (+)

 

17/4/2012

Performed curretage with histopathology result adeno carcinoma

 

US :5/6/2012

Uterus , shape wnl, size 7x4x4 cm, retroflexion, no mass intraparenchimal. Endometrium was 28.6 cm thicked,  made invasion to the posterior corpus 15-23 mm. Other wnl

Conclusion

Endometrial thickened susp malignant process with invasion more than ½ uterus thickness

 

22/5/2012

Slide Review PA 1203960

Adenosquamous carcinoma, moderater differentiated

Notes possible of endometrioid  adenocarcinoma with poor diferentiated

Tumour location?

 

7/6/2012

Examined by dr Gatot

Porsio wnl, uterus slightly enlarged

Susp endometrial cancer stage IB

 

19/7/2012

Performed :Laparotomy surgical staging : Total Abdominal Hysterectomy, BSO, pelvic and para aortic lymphadenectomy

Pre-op dx: Endometrial Ca IB

Post op dx : Endometrial Ca IB

Operation findings :uterus within normal limit, both adnexa were atrophic

 

23/7/2012

Histopathology Examination

Endometrioid adenocarcinoma of endometrium, well deiferentiated, made invasion more than half of uterus thickness

Infitration to fat tissue of paraaortic LN

One of periglandular paraaortic LN consist of group of malignant cell

 

Discuss with Dr.dr.Laila, obgyn(C) :

 How far/deep  the area that invade by the malignant cell?  à CPC