Selasa, 21 November 2017 BEDAH ONKOLOGI JRM/DBI/DAN/HNF/JNA/SSY

KM NAMA / TGL LHR Umur NO RM MRS DIAGNOSA STATUS PLAN DPJP PEMERIKSAAN PENUNJANG

ICU
19/11 Alb 3.8 Cr 0.5 Ur 22 Na 142 K 3.8 Ca 1.18 17/11 Hb 11,2 AL 7 AT 43211/11 Hb 7.9 AL 5.5 AT 482 Gol.darah A+ PT 12.6 APTT 28.8 GDS
Suginem Post eksisi (total tiroidektomi + RND S) ai Ca Papiler Op
10 53 01056479 16/11 Perawatan Post Op JKP 102 SGOT 19 SGPT 11 Cr 0.8 Ur 22 Na 137 K 3.8 Ca 0.81 TSH 2.47 Free T4 9.28 11/11 Thoraks PA: pulmonal metastase (+) pneumonic type,
22/2/1952 thyroid residif 20/11
efusi pleura minimal D / USG: Massa residif tiroid S dengan limfadenopati R. Colli S Multiple 5/3/14 PA: Tiroid carcinoma papilar
MELATI 3
Pro isthmolobektomi 15/11 Hba1c 7,3 GDP 118 GD2PP 174 AU 5,4 khols total 216 LDL 133 HDL 38 TAG 330 14/11 Hb 13.5 AL 7.4 AT 311 GDS 137Alb 3.8 Cr 0.5 Ur
13/11
Damini Tumor thyroid D T2N0M0 susp struma Op +FZ jika ganas protiroidektomi 19 Na 141 K 3.3 Cl 108 Ca 1.21 HbsAg NR 13/3 MRI Cervical: gambaran massa di medula spindalis (-)29/11/2016MRI Cervical: degenerative
12 A 57 01354622 neuro WY
28/09/1960 HNP Cervical DD MBD 21/11 Neuro: acc op toleransi sedang disc disease of the spine (+) bone metastase (+) 22/12/2016 Thorax PA: COR dan pulmo t.a.k 19/11/2016 Cervical AP/Lat: spondylosis
interna
Interna: acc op GDS <200 cervicalis (+) 27/9/2016 Thoraks AP: pulmonal metastase (-) 26/9/2016 Lumbosacral AP: Susp bone metastase
Paru
19/11 Alb 2,0 18/11 Alb 1.9 Na 128 K 3.6 Cl 100 17/11 Alb 2,9 Na 122 K 3,2 Cl 100 15/11 Hb 11.7 AL 7.9 AT 477 Alb 2.6 10/11 Na 127 K 3.4 Cl
Dedik P. Gastro Efusi pleura maligna D Tunggu jadwal CT Scan dari TS Paru
12 B 31 01394611 WO 99 17/11 Thorax PA: efusi pleura bilateral 13/10 USG Abd: massa suprapubik (+) susp. Omentum DD/ Limfadenopati, pulmonal metastase (+)
09/04/1986 Nefro Adeno Ca Paru (masih evaluasi)
subpleural type 10/10 Sitologi cairan pleura: tidak didapat sel ganas 31/10 FNAB Pleura D: susp. Adenocarcinoma DD/ Carcinoma
16/11
MAWAR 1
17/11 Cr1,8 Ur 73 16/11 Ca 125 108 15/11 Hb 10.9 AL 7.5 AT 162 14/11 GDS 97 SGOT 31 SGPT 12 Alb 3.4 Cr 1.5 Ur 60 Na 132 K 4.6 Cl 101
HbsAg NR 18/11 MSCT Abd: lesi semi solid di cavum pelvis, sebagian lesi menginfiltrasi dinding uterus dan rectum, disertai gambaran mysti
Siti Romelah Obgyn Kista ovarium susp. Malignancy dengan massa R. Axilla appearance di regio mesenterium sangat mungkin berasal dari ovarium (T3c). Lymphadenopati inguinal bilateral (N1). Pulmonal metastase (+)
7B 50 01398672 WO Tunggu jawaban FNAB
16/02/1967 16/11 bilateral dan mammae bilateral subpleura type, bone metastase (M1) 20/11 Tho PA: Pneumonic type pulmonal metast,bone metast, ascites 20/11 USG Abd: hydronefrosis
sedang bil,ascites 20/11 USG mammae: lesi heteroechoic batas tdk tegas di retroareolar mamae bil+komp kalsifikasi pd CDFI
sebagianvascularisasi+ & susp limfadenopati axilla bil suspmalignancy (Bi-Rads C4 C)
15/11 Hb 13.6 AL 20.8 AT 423 Gol.darah A SGOT 20 SGPT 19 Cr 0.5 Ur 20 Na 139 K 3.5 Cl 108 HbsAg NR 15/11 Thorax PA: Pulmonal metastase
(+) pneumonic dan subpleural type 20/11 USG mammae: lesi residif post MRM pada dinding dada S, susp limfadenopati axilla D& supraclavic
Suratmi Ca mammae post MRM T4bN1M1 (paru) post kemoterapi KU Perbaikan KU
8B 40 01292205 16/11 HK D,mamae D tak, limfadenopati axilla(-) 20/11 USG Abd: nodul hepar metast, eff pleura bil 10/4/15 PA: Mammae S 2 Limfonodi axilla dengan
05/01/1977 VI Cyclofosfamid 800 Epirubicin 50 Doxorubicin 50 WO
metastasis invasive carcinoma 17/2/15 PA: Karsinoma ductal infiltratif NST grd 3 29/5/15 Immunohistokimia: ER (-) PR (-) HER-2 (negatif, skor
1)
Ca mammae infiltratif T4cN3cM1 (paru&tulang) post 20/11 Hb 5,8 AL 5,2 AT 257 Alb 2,6 19/11 Hb 3,7 AL 11,3 AT 408 GDS 122 OT 22 PT 4 Alb 2,1 Cr 0,7 Ur 60 Na 134 K 4,4 Cl 111 HbsAg NR 20/5
Nur Indah Yullianti
8E 39 01295914 19/11 kemoterapi 12x Paxus 210mg, Carboplatin 300mg, KU Perbaikan KU WY Thorax PA: Bone metastasis (+) / USG Abd: hepar metastase (-) limfadenopati paraaorta (-) / Thoracolumbal AP Lat: bone metastase (+) / USG
29/7/1978
Zometa 4mg+ anemia+ hipoalbumin Mammae: mammae S normal, mammae D tidak dapat diperiksa, limfadenopati axilla D (+) 24/4/15 PA: Ca mammae infiltratif
MAWAR 2
18/11 Anti Hbc total (-) Anti-HCV NR 17/11 Hb 9,2 AL 11,5 AT 301 Gol drh O Rh + PT 12,7 APTT 30,9 GDS 99 OT 25 PT 16 Cr 7,8 Ur 133 Na 135
Suyono 16/11 Tumor lidah susp. Maligna Pro biopsi Eksisi
4E 39 01395928 Pre Op HK K 5,3 Cl 103 HbsAg NR 19/11 Thorax PA: pneumonic type pulmonal metast, bone metast (+) 20/10 Hb 9 AL 7.7 AT 192 GDS 84 SGOT 16 SGPT
19/05/1978 Interna CKD st V Pro HD senin& jumat
14 Cr 7.8 Ur 103 Na 134 K 5 Cl 102 HbsAg NR 21/10 Throax PA: Pulmonal metastase (+) subpleural & pneumonic type
ANGGREK 3
Naifah Amir Ca Mammae S TxNxMo post MRM post kemoterapi Perbaikan KU 19/11 Alb 2.1 Na 131 K 4.2 Cl 105 18/11 Hb 12.3 AL 26.1 AT 151 Gol.darah O GDS 125 SGOT 48 SGPT 20 Alb 2.1 Cr 0.9 Ur 56 Na 121 K 5 Cl 94
31 54 01354351 19/11 KU WY
29/09/1963 epirubicin 6x dalam kemoterapi carboplatin dan plaxus 4x Rawat ulkus dengan metro tabur HbsAg NR
FLAMBOYAN 6
Ca mammae S TxNxM1 paru pro kemoterapi V 20/11 Na 136 K 2,8 Cl 109 Ca 1,16 16/11 Hb 11.7 AL 7.2 AT 212 Na 129 K 3.1 Cl 101 14/11 Hb 8,9 AL 8,4 AT 257 Gol drh O PT 15,2 APTT 26,3
Tumiyati
603 A 43 01177664 15/11 cyclophospamid 80 epirubicin 60 xeloda 2-0-2 KU Perbaikan KU HK GDS 91 OT 48 PT 13 Cr 0,7 Ur 21 Na 124 K 2,9 Cl 91 HbsAg NR 16/11 MSCT brainkontras: brainmetast (-) 19/9 Thorax PA:metastasis tipe milier
11/4/1974
Anoreksia, anemia, hiponatremia, hipokalemia 4/5 PA: ca epitel ductus mammae infiltratif grade II/III
20/11 Hb 11.8 AL 9.1 AT 244 PT 13.6 APTT 28.3 GDS 119 Cr 0.5 Ur 21 HbsAg NR 17/11 Hb 11.6 AL 9.1 AT 488 SGOT 35 SGPT 30 Cr 0.6 Ur 19
Ca Mammae D Residif post kemoterapi VI brexel 100
Wiwik R 11/10 USG Mammae post MRM: lesi kistik susp massa residif mammae D post MRM 10/6 USG Mammae: hemithorax D massa residif (-),
606 C 34 01358825 20/11 doxorubicin 60 cyclofosfamid 800 post kemoterapi VII Pre Op Pro eksisi JKP
18/05/1982 mammae S t.a.k, limfadenopati axilla bilateral (-) / USG Abd: intraabdominal metastase (-) / Thorax PA: Pulmonal metastase (-) 14/11/16 PA:
tamofen 20 mg
Carcinoma Mammae infiltratif grd I 8/12/16 Immunohistokimia: ER (+) PR (+) HER-2 (positif, skor 3)
Camammae TxNxM1 (paru,brain,bone) Perbaikan KU 18/11 Hb 14,7 AL 8,7 AT 285 GDS 95 OT 34 PT 18 Alb 4,0 Cr 0,4 Ur 26 Na 123 K 3,6 Cl 87 HbsAg NR 18/11 Thorax PA: Pneumonia type+nodular
Sulayem
607 A 52 01398623 18/11 Cancer pain KU Staging ulang: USG Abd + USG WY type pulmonal metast, fr patologis costa 3,4,5 posterior D, lesi litik os scapula (bone metast) 18/11 Pelvis AP/Lat: Bone metast (-) 30/9 CT
10/2/1965
Post MRM Post radioterapi Post kemoterapi Mammae (20/11) Scan Kepala Kontras: Brain metast(+) bone metast(+) 25/9 metas paru(coarse nodular type) 15/6 Imunohistokimia: PR (-) ER (-)
14/11 Hb 11.3 AL 7.5 AT 295 Gol.Darah O+ GDS 65 SGOT 61 SGPT 17 Alb 3.8 Cr 1.2 Ur 44 Na 136 K 4.6 Cl 106 Ca 1.18 HbsAg NR 19/10 FT4
Sademi Ca Papillary thyroid post istmolobektomi pro kemoterapi
609 A 57 01364856 13/11 Pre Op Pro total thyroidectomy HK 14.45 TSH 1.32 10/2017 USG thyroid:massa solid lobus S tiroid disertai limfadenopati perijuguler Ssusp maligna, massa kistik isthmus thyroid
21/04/1960 VI cisplatin 100 Epirubicin 50 Noveltin 40
16/10 Thorax PA: pulmonal metastase (+) coarse nodular type 24/12/16 PA: colli papillary carcinoma
18/11 Hb 13,1 AL 11,8 AT 225 Alb 4 Na 138 K 4,1 Ca 1,16 17/11 Alb 4,2 Na 137 K 4,2 Ca 1,30 14/11 Hb 12.9 AL 6.3 AT 227 Gol.darah O+ GDS
Sudarni Post Op 88 SGOT 17 SGPT 29 Cr 0.6 Ur 21 HbsAg NR TSH 0.14 Free T4 19.09 12/9 Thorax PA: Sost tissue mass ground glass opacity R. ColliBilateral
608 D 55 01391839 13/11 Struma koloides post subtotal thyroidektomi Perawatan post Op HK
22/09/1962 17/11 22/9 USG tiroid: struma nodusa bilateral terutama S11/9 FNAB: Strauma koloides 12/9 TSH 0.67 Free T4 16.47 1/10 USG thyroid: massa solid
thyroid lobus S+limfadenopati perijuguler sugestif maligna,massa kistik isthmus thyroid
18/11 Hb 10.9 AL 13.4 AT 523 11/11 Hb 8,3 AL 12,9 AT 587 GDS 130 OT 42 PT 11 Cr 0,9 Ur 17 HbsAg NR 11/11 USG mamae: mamae S tak,
Tuty Mawarni Camamae D T4bN1M1 (paru) Perbaikan KU
609 C 63 01164130 17/11 KU limfadenopati kedua axilla(-) Thorax PA: Pneumonic dan subpleural typepulmonalmetast USG Abd: metas intraabd(-) 31/10 FNAB: Ca
9/10/1954 anemia Rawat Luka
epitelductus mamae Thoracolumbal: compresi VC T9 cenderung spondilitis TB
18/11 Hb 12.5 AL 20.4 AT 284 Na 137 K 4.1 Cl 108 Ca 1.12 12/11 Hb 13.6 AL 6.1 AT 250 PT 11.7 APTT 32.8 GDS 192 Alb 3.8 Cr 0.8 Ur 35 Na 139
K 3.8 Cl 104 23/9 MSCT Thyroid: massa tiroid D susp malignancy meluas ke kartilago tiroid, cricoid, hyoid, dan sebagian epiglotis, sebagian
Sri Ustin M Tumor thyroid T4AN1BM1susp malignanancy post total Post Op meluas ke esofagus. Limfadenopati multiple r. Submandibula bilateral, sublingual, coli bilateral, supraclavicula S, metastase (-) 7/8 Thorax PA:
610 E 57 01385797 11/11 Perawatan post OP WY
29/06/1960 thyroidektomi 17/11 pulmonal metastase (+) nodular type/ usg abd: intraabdominal metastase (-) / usg colli: massa cenderung dari thyroid S susp maligna DD
massa di luar thyroid yang menginfiltrasi thyroid, Limfadenopati colli S (+) 11/7 FNAB: Colli S cystic lesion 16/10 TSH 0.82 Free T4 15.97 5/9
PA: KGB Colli S jar. Limfonodi dengan arsitektur dalam batas normal, metastase (-).
18/11Hb 10.9 AL 7,1 AT 323 GDS 104 OT 45 PT 5 Alb 3,3 Cr 0,3 Ur 12 Na 137 K 3,5 Cl 101 HbsAg NR 19/9 Thorax PA:pneumonia (+) susp.
Pulmonal metastase pneumonic type 18/2 USG Mammae: susp massa residif hemithorax D 22/9/2016 USG Abd: intraabdmetast (-) / USG
Ca mammae D TxNxM1 (brain,pulmo,bone) post MRM
Martini mamae: metastase limfonodi axilla D, lesi kistik multipel mamae S 28/7 MSCT Brain kontras: multiple nodul kedua hemisfer cerebri &cerebelli
613 C 42 01332279 18/11 post kemoterapi 1 siklus xelloda paxus zometa post KU Perbaikan KU WY
19/9/1975 menyokong gambaran metastasis 15/3/2016 PA: Invasive ductal Ca mammae D gr 2-3 dengan metastase 30/11/16 PA: Mammae D residif
radioterapi daerah kepala III Xelloda
invasive carcinoma 4/10/16 Bone survey: lesi blastik di ramus inf os pubis kiri suspbone island DD bonemetastase28/03 Immunohistokimia:
ER (-) PR (-) HER-2 (Negatif, skor 1)
FLAMBOYAN 7

Marsi Pro eksisi frozen section k/p 20/11 Hb 10,4 AL 8,7 AT 384 PT 13 APTT 30 GDS 270 Ur 32 Alb 3,5 Cr 0,5 Ur 32 Na 135 K 4 Cl 103 17/10 Hb 10,7 AL 8,9 AT 551 PT 15,9 APTT
702 A 43 01395593 20/11 Tumor mammae D T2N1M0 susp maligna Pre Op
12/4/1974 mastektomi 34,3 GDS 284 OT 13 PT 12 Cr 0,9 Ur 43 Na 130 K 5 Cl 103 HbsAg NR 23/10 USG Abd: Intraabdmetast (-)

Ca mammae TxN3cM1 (kontralateral) postMRM D/S post

kemoterapi VI Paxus 210 Carboplatin 300 post 19/11 Alb 2,3 Na 132 K 3,9 Cl 106 17/11 Hb 10 AL 25,5 AT 597 GDS 93 OT 39 PT 11 Alb 2,3 Cr 0,1 Ur 12 Na 123 K 4,3 Cl 93 Ca 1,32 HbsAg NR
Komariyah kemoterapi VI Docetaxel 100 Epirubicin 100post Perbaikan KU 31/8 USG abd: intraabdominal metastase (-) / USG Mammae: hemithorax bilateral, massa residif (-), limfadenopati axila D (+) / Thorax PA:
703 A 53 01316784 17/11 KU JKP
20/02/1964 kemoterapi oral VIII Xelloda 3-0-3 post kemoterapi oral VI Rawat luka dekubitus Metastase pulmonal (-) 4/1 Immunohistokimia: ER (+) PR (+) HER-2 (negatif, skor 0) 3/2 PA: Mammae D Invasive carcinoma grd 3 metastasis
Letax 1x1 post kemoterapi oral II Rast 2x1 post ke 1 limfonodi regional
kemoterapi oral I Tamofen 100 1x2
14/11 Hb 11 AL 12.6 AT 222 GDS 179 Alb 3.1 Cr 0.7 Ur 31 8/11 Hb 12 AL 9,1 AT 295 PT 14 APTT 31,2 GDS 107SGOT 13 PT 7 Cr 0,9 Ur 26 Na
Marijatun Post wide eksisi ai Basal cell carcinoma R. Maxilla D + Post OP Perawatan post op 147 K 3,7 Cl 110 HbsAg NR 25/10 MSCT brain kontras: soft tissue massR.anterior os nasal, destruksi tulang (-),limfadenopatisubmandibula
704 A 63 01395470 6/11 WY
31/12/1953 nasal 14/11 lepas rawat ke B. Plastik bilateral+multipelimfadenopati colli bilateral 17/10 Ro kepala AP Lat: soft tissue mass R.nasal, rhinitis D 17/10 PA FNAB: AJH Nasal ke arah
carcinoma selbasal
18/11 Hb 9,9 AL 16,6 AT 445 17/11 Hb 9,4 AL 15,9 AT 550 14/11 Hb 8 AL 21, AT 712 PT 17,7 APTT 26,3 GDS 79 Alb 2,5 Cr 0,8 Ur 5 Na 129 K 3,7
Nanik R Op
704 B 36 01398114 15/11 Tumor mamae S T4cN3M1 paru Pro Biopsi insisi WY Ca 1,08 HbsAg NR 25/9 AJH: ca ductal 11/11 USG Abd: intra abd metast (-) Thorax PA: pneumonic type pulmonal metast USG mamae: lesi
5/5/1981 21/11
heteroechoic batas tdk tegas+ komponen kalsifikasi mamae S cenderung maligna, limfadenopati axilla S (+)
Suparni Ca mammae D T4bN1M1 (paru) 15/11 Hb 13,2 AL 6 AT 331 GDS 87 Alb 3 Cr 0,6 Ur 15 Na 134 K 3,8 Ca 1,19 HbsAg NR 11/11 FNAB: AJH mamae D: invasive ca metast ke LN
704 C 58 01398351 15/11 Pre op Pro biopsi WY
13/4/1959 Efusi pleura dextra axilla 14/11 USG abd: intra abd metast (-) 15/11 Thorax PA: pneumonic dan subpleural metast
13/11 Hb 12.6 AL 15.2 AT 495 PT 12.8 APTT 24.6 2/11 Hb 13.8 AL 18 AT 341 PT 14.3 APTT 24.9 INR 1.130 GDS 103 OT 22 PT 29 Cr 0.7 Ur 21 Na
130 K 4.1 Ca 1.16 HbsAg NR 6/11 Thorax: Efusi pleura bilateral (+) edema pulmo (+)19/10 Thoraks: Pneumonia (+) efusi pleuara bilateral (+),
1/11
Jihasto Susilo Multiple lymphadneopati R. Colli, aksila D/S, Inguinal D/S limfadenopati di paratrakheal, hilus, dan r.colli bilateral 11/11 AJH: Tidak didapat sel ganas 12/10 Thoraks: susp. Pelebaran limfonodi hilus
705 C 48 01394765 Paru Pre Op Pro biopsi 2 tempat (menyilang) HK
13/11/1968 Efusi pleura bilateral post Pasang WSD bilateral bilateral, efusi pleura (+) / USG: Multiple limfadenopati di lingual, submandibula bilateral, colli dextra. Susp NHL. Efusi pleura bilateral,
BTKV
limfadenopati multiple di paraaorta 23/10 Sitologi: malignancy (-) 26/9 FNAB: Limfadenitis kronis non spesifik 26/9 PA: Limfadenitis kronis
non spesifik
NHL R colli D post kemo II Mabthera 500mg, 20/11 Hb 13,7 AL 8,5 AT 267 PT 14,2 APTT 32,6 Gds 92 Ur 18 Alb 4 Cr 0,8 Ur 18 Na 138 K 3,2 Cl 105 25/10 Hb 13,9 AL 9,7 AT 351 OT 23 PT 21
Mardi
707 A 39 01285838 20/11 Cyclophosamid 800mg, doxorubicin 60mg, vincristin, KU Pro eksisi JKP Cr 0,7 Ur 15 25/10 AJH limfamulti dextra: mencurigakan large B-cell/NHL 24/10 USG abd: intraabd metast (-) 24/10 Tho PA: pulmonal metast
1/9/1965
prednison 7-7-6 (-) 23/2/2015 Imunohistokimia; CD20 (+) 5/1/15 PA: NHL
Mikun
707 B 78 01397282 20/11 Limfadenopati R. Axilla S Pre Op Pro diseksi axilla S WY 20/11 Hb 11,4 AL 6,8 AT 281 PT 12,7 APTT 31,7 Gol darah A GDS 108 Ur 45 Cr 1,6 Alb 3,7 Na 135 K 4,2 Cl 100 30/10 AJH: KGB Axilla S NHL
01/07/1939
NHL Ann Arbor I
Hiponatremia 20/11 Hb 11.8 AL 14.9 AT 284 SGOT 36 SGPT 72 GDS 115 Alb 3.3 Cr 0.8 Ur 25 Na 128 K 3.8 Cl 97 HbsAg NR 2/9 USG Abd: multiple nodul
Sarmoko
707 D 53 01389253 20/11 Cancer pain KU Perbaikan KU KY metastase hepar di lobus D, limfadenopati (-) / Thorax PA: Pulmonal metastase (-) 20/7 PA: Jar. Limfonodi axilla S sesuai dengan diffuse NHL,
24/04/1964
Post kemoterapi III Cyclofosfamid 300 epirubicin 70 Large cell type.
Vincristin 2 Prednison 7-7-7
17/11 Hb 14,6 AL 6,6 AT 142 PT 13,9 APTT 30,5 30/9 Hb 13.9 AL 7.9 AT 142 Gol darah B+ GDS 115 SGOT 57 SGPT 34 Cr 1 Ur 23 HbsAg (+) 29/9
Khadits Post eksisi ai Rhabdomyosarcoma R. Axilla S Op
707 E 55 01326649 16/11 Perawatan Post Op JKP USG Abd: intraabdominal metastase (-) / Thorax PA: Pulmonal metastase (-) bone metastase (-) 27/2/16 PA: R. Axilla S dan hemithorax
04/06/1962 (HbsAg +) 20/11
posterior S Residif embryonal rhabdomyosarcoma 9/9/14 PA: Thorax kiri rhabdomyosarcoma high grade
20/11 Hb 14,8 AL 8,3 AT 428 Gol drh O GDS 89 OT 17 PT 11 Alb 4,6 Cr 0,6 Ur 25 Na 138 K 3,9 Cl 102 Ca 1,27 HbsAg NR 25/3 Hb 12.2 AL 10 AT
Suwartini Praplegi inferior UMN type lesi VT I dan VT 3 DD MBC Ca 249 PT 12 APTT 22.99/11 Na 133 K 4.1 Ca 1.24 TSH 1.61 Free T4 9.709/11 USG Thyroid: massa thyroid S, Limfadenopati supraclavicula S (+)
708 A 41 01372449 20/11 Pre Op Pro total tiroidektomi KY
13/10/1976 Thyroid 29/3 MRI Vertebra Cervico Thoracal: susp bone metastasis (+) fraktur patologis, struma nodusa thyroid (+) susp limfadenopati peritumoral
cenderung malignancy primer 30/3 USG Abd: t.a.k 2/11 FNAB: R. Colli S maligna karsinoma papiler (thyroid) metastase ke limfonodi colli S
19/11 Hb 10.1 AL 9.5 AT 8418/11 Hb 10,7 AL 13 AT 100 17/11 Hb 10,6 AL 9,7 AT 76 15/11 Hb 10 AL 10 AT 61 14/11 Hb 10 AL 8.5 AT 74 3/11
Ca mammae invasive lobual Ca D T4N3bM1 (bone,paru,
Partini Pro MRM HB 6,8 AL 16,8 AT 48 OT 103 PT 39 Cr 0,7 Ur 19 Na 135 K 3,1 Cl 109 HbsAg NR 3/11 tho PA: pneumonia type pulmonal metast 3/11 Foto abd:
708 D 42 01382322 6/11 hepar)+ anemia+ cancer pain Pre OP KY
03/11/17 Kemoterapi bone metast di os coxae+os femur S 12/8 PA: biopsi massa mammae D: invasive lobular ca 8/8 USG Mammae: massa solid mammae bil,
Post kemoterapi IV xelloda 2-0-2,ke-III Zometa 4mg
kmgkinan malignancy, limfadenopathy axilla D 8/8 USG ABD: Nodulliver metast 11/7 Lumbosacral AP/Lat: spondilosis lumbalis
17/11 Hb 12,1 AL 5,7 AT 222 Gol drh AB Rh (+) PT 13,1 ATT 30,2 GDS 104 Alb 3,6 Cr 0,8 Ur 31 Na 139 K 3,9 Ca 1,14 HbsAg NR 24/10 Hb 11.9
Pariyem Op AL 6.4 AT 186 GDS 85 SGOT 33 SGPT 33 Alb 3.9 Cr 0.7 Ur 28 Na 137 K 3.8 Cl 107 Ca 1.19 HbsAg NR 23/10 Thorax pa: edema pulmonal (+)
709 A 61 01395812 16/11 Ca Mammae S T3N0M0 Pro MRM HK
02/12/1955 21/11 cardiomegaly (+) aortosclerosis (+) / USG Abd: intraabdominal metastase (-) 5/9 USG Mammae S: highly susp. Malignancy (BIRADS V), Breast
cyst S, Limfadenopati axilla S (-) 9/10 PA: Mammae S Carcinoma lobuler grd II
17/11 Hb 11,5 AL 6,9 AT 311 Goldrh B Rh(+) PT 12,9 APTT 26,8 GDS 147 Alb 3,7 Cr 0,8 Ur 17 Na 135 K 3,3 Ca 1,14 HbsAg NR 23/10 Hb 12.3 AL
Supriyani
709 B 49 01381244 16/11 Ca folikuler thyroid Pre op Pro completion Ca HK 8.6 AT 341 PT 13.2 APTT 28.1 GDS 99 SGOT 24 SGPT 21 Cr 0.7 Ur 17 Na 136 K 3.3 Cl 107 Ca 1.14 HbsAg NR 8/8 Thorax PA: Pulmonal metastase
15/03/1968
(-) / USG Abd: intraabdominal metastase (-) 19/5 PA: Thyroid karsinoma follikuler
17/11 Hb 13,8 AL 5,3 AT 244 Goldrh A Rh (+) PT 12,9 APTT 31 GDS 145 Ur 3,9 Cr 1 Ur 28 Na 135 K 3,2 Ca 1,13 hbsAg NR18/10 Hb 14 AL 6.6 AT
Giyem 279 PT 15.2 APTT 34.2 GDS 102 SGOT 19 SGPT 12 Cr 0.8 Ur 30 Na 133 K 3.2 Cl 100 HbsAg NR 18/10 Thorax PA: pulmonal metastase (-) /
709 C 63 01395705 16/11 Ca Parotis T4N0M0 D residif Pre Op Pro Parotidektomi HK
02/03/1954 Kepala AP/Lat: susp malignancy r. Parotis D, bone metastase (+) corpus mandibula bilateral 24/10 FNAB Parotis D: neoplasma maligna salivary
gland carcinoma
17/11 Hb 13,3 AL 10,4 AT 360 Gol drh A Rh (+) PT 12,2 APTT 27,5 GDS 109 Alb 4,2 Cr 0,6 Ur 32 Na 136 K 4 Ca 1,01 Hbsag NR 19/10 Hb 12.2 AL
Sri Sumarni
709 D 53 01395747 16/11 SNNT D/S Pre Op Pro subtotal tiroidektomi HK 8.9 AT 407 PT 15.9 APTT 31.5 GDS 115 SGOT 22 SGPT 30 Cr 0.8 Ur 25 HbsAg NR 20/10 Free T4 14.21 TSH <0.05 19/10 Thorax PA: Pulmonal
01/01/1964
metastase (-) 17/10 USG Thyroid: Struma nodusa bilateral, malignancy (-) 24/10 FNAB: Struma koloides
18/11 Hb 6.3 AL 28.7 AT 288 SGOT 44 SGPT 15 Cr 1.3 Ur 5112/10 MSCT Abd: susp malignant peripheral nerve sheath tumor DD Soft tissue
Fibrosarcoma T4BN1M1 post I kemoterapi Haloxan 6000
Eka Yulianti KU Perbaikan KU sarcoma, susp pulmonal metastase (+) pneuomic type, neurofibromatosis 4/10 Thorax PA: pulmonal & bone metastase (-)14/6 MRI
710 B 40 01381262 20/11 Mesna 7500 Epirubicin 85 KY
10/12/1976 Kemo Pro kemoterapi II Lumbosacral: spondylosis lumbalis dan paralumbal muscle spasme, degeneratif disease of the spine lv L 4-5 23/10 PA: Gluteus D
Anemia
Fibrosarcoma grd 3
17/11 Hb 13.7 AL 5 AT 402 PT 13 APTT 23.5 GDS 199 SGOT 48 SGPT 333 Alb 3.7 Cr 0.5 Ur 47 Na 132 K 5 Cl 98 HbsAg NR 17/11 Trorax PA: susp.
Ca Mammae S T4Bn2M1 (Paru)
Upriyati Perbaikan KU Pulmonal metastase (+) pneumonic type& subpleural type, efusi pleural 20/10 Bronchoscopy: percabangan tracheobronchial norml 31/10 PA:
710 D 35 01390884 17/11 Efusi pleura post pasang WSD KU WY
22/07/1982 Awasi WSD Pleural S:SCC FNAB: tidakdidapat sel ganas 4/9 Sitologi: tidak didapatkan sel ganas 5/9USG Mamae D: tak, multipel limfadenopati kedua
Post kemo I Brexel 100, Carboplatin 300
axilla / USG abd: metast intra abd(-) / Thorax PA: pulmonal metastase (+) subpleural type
Ca Mammae S pro kemoterapi III Paxus 210 Carboplatin
Amini 19/11 Hb 11.4 AL 5.5 AT 136 PT 13.9 APTT 20.8 GDS 147 Alb 3.5 Cr 0.4 Ur 23 Na 143 K 3.3 Cl 105 Ca 1.23 15/11 Hb 8.5 AL 4.2 AT 104 GDS 112
712 D 37 01225946 16/11 350 post kemoterapi III SFU 750 Doxorubicin 60 Endoxan Kemo Pro kemoterapi HK
10/01/1980 SGOT 43 SGPT 32 Cr 0.7 Ur 21 27/6 Immunohistokimia: ER (-) PR (-) HER-2 (positif, score 3)
800, Anemia