Case Conference August 8th 2012

08-Aug-2012, Divisi Ginekologi Onkologi RSCM

Cervical  Carcinoma IIIB  Residif, Complete Radiation (May 2012) and  Post Chemoterapy (1 seri)

 

Identity

Mrs. I, 43 yo 3536943,JAMKESMAS

 

Patient had been staging and diagnosed as IIIB cervical cancer since 23/2/2012

Had already completed radiation (ER: 14/3-2012 until 23/4/2012 and IR: 2, 9, 14/5/2012 with dose 71 gy )notes from radiotherapy: partial clinicaly response with residu in portio. Patient had chemotherapy  only 1 series (Cisplatin,Ifosfamide).

At July 30 th  2012 patient  controled with physical examination was complete response, US result : enlargement inguinal LN. Performed biopsy , result : postif squamous carcinoma cell

 

Previous illness:

Hipertension since 15 y,

History of CVD at March 2012

P4

Married 1 time, 22 yo

 

Physical examination (3/8/12):

Gen state: wnl

Gyn State:

I : V/U wnl

IO: smooth portio no fluor nor fluxus

VT: Ut wnl, no mass

 

LAB RESULTS

BNO 22/2: wnl

RO Thorax 14/2: pleural fibritic no metastases

US examination

16/2/2012

 cervical enlargement due  to maligna, no metastasis, no enlargement of LN, no hydronefrosis, no effusion, no ascites

31 july 2012

left inguinal LN enlargement

normal cervix

 

PA12000683

unkeratinizingsquamos cell carcinoma, bad differentiation, no invasion limfovaskuler

 

FNAB 121910 1/8/2012

Postif squamous carcinoma cell

 

Assessment :

Cervical cancer IIIB  residive post complete radiation  (May 2012)

 

 CC:

Therapeutic plan for this patient, lokal radiotherapy

Discission in CC

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