Case Conference August 8th 2012
08-Aug-2012, Divisi Ginekologi Onkologi RSCMCervical 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)
Therapeutic plan for this patient, lokal radiotherapy
Discission in CC
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