Case Conference February 113th 2013
13-Feb-2013, Divisi Ginekologi Onkologi RSCMClinical conference
February 13 th 2013
Mrs C ,61 yo, 331-40-56
Pap Smear : Squamous Cell Ca
PA: Moderate-Severe Dysplasia (CIN 2-3) With Focus of Carcinoma In Situ
Conization PA: CIN 3 with edge of incision still contain dysplastic cell
2-11-2012
CC : Vaginal bleeding since 2 mo BA.
Hist : Spotting since 2 mo ago. Not taking any medication to stop the bleeding. Pain (-), Mass (-), leukorhea (-). Post coital bleeding since 3 mo ago. No weight loss, good intake. Voiding and defecating wnl. Still having sex regularly with her husband Pap Smear 2x, first at 50 yo, with normal result. Second at September 2012, Result: HSIL, Moderate dysplasia
Married 1x at 20 yo, huspand 25 yo
Menopouse since 4 years ago
No significant past illnes history
Not taking any spesific medication
Physical exam:
St gen: wnl
St ginekologis : I : wnl
Io : Portio smooth, ost closed
Vt: CUT smaller susp atrophic, adnexal mass -/-, parametrium soft
Lab : 4-1-2013
CBC : 14,6 / 43,3 / 9440 / 231.000
OT/PT : 32/42 Albumin : 5.13 Ur/Cr : 27/0,8
GDP / 2JPP : 114 / 131 Na/K/Cl : 145 / 4,04 / 100,2
A : Post menopousal bleeding with HSIL
P : Repeat Pap Smear
5-11-2012
Pap smear : not adequate to asses due to suboptimal fixation
Suggesting squamous cell Carcinoma
Repeat PAP Smear and guided biopsy with colposcopy àSatisfactory, High grade lession
20-11-2012
Pap Smear : Adequate to asses, Sugesting Squamous cell Carcinoma
26-11-2012
Biopsy: Moderate-DevereDysplasia (CIN 2-3) With FocusCarcinoma In Situ
11-1-2013
Did cold knife conization (diagnostic)
18-1-2013
PA result: Dysplasia grade 3 with edge of incision still contain dysplastc cell
11-2-2013
Plan for total hysterectomy and bilateral salphingoophorectomy
Berita Lainnya
13-Mar-2013,Divisi Ginekologi Onkologi RSCMCase Conference March 13th 2013
13-Mar-2013,Divisi Ginekologi Onkologi RSCM
Case Conference March 13th 2013
06-Mar-2013,Divisi Ginekologi Onkologi RSCM
Case Conference March 6th 2013
06-Mar-2013,Divisi Ginekologi Onkologi RSCM
Case Conference March 6th 2013
20-Feb-2013,Divisi Ginekologi Onkologi RSCM
Case Conference February 20th 2013
06-Feb-2013,Divisi Ginekologi Onkologi RSCM
Case Conference February 6th 2013
06-Feb-2013,Divisi Ginekologi Onkologi RSCM
Case Conference February 6th 2013
06-Feb-2013,Divisi Ginekologi Onkologi RSCM
Case Conference February 6th 2013
06-Feb-2013,Divisi Ginekologi Onkologi RSCM
Case Conference February 6th 2013
06-Feb-2013,Divisi Ginekologi Onkologi RSCM
Case Conference February 6th 2013
Index News