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CAIMS Cancer Hospital & Research Institute

Chalmeda Anand Rao Institute Of Medical Sciences


Bommakal, Karimnagar -505001, T.S.
Tel: 0878-2000369,2285133

DISCHARGE SUMMARY
NAME: KADARI KISHAN Date of admission: 18/07/2016

MR NO: CC001229 RT started: 21/07/2016

AGE: 35/M RT ended: 08/09/2016

Date of discharge: 08/09/2016

Type: AAROGYASHRI

ADDRESS: S/O: BALAMALLU

2-95, Rangampalle, Mdl: Peddapalle, & Dist: Karimnagar

PHN NO: 9701616903

CHIEF CONSULTANT: DR.EZHILARASI.R

DIAGNOSIS: CA RT PYRIFORM FOSSA T3N0M0

HISTORY OF PRESENT ILLNESS: Swelling on the neck region on left side Difficult in swallowing
since one month change in voice since one month.

PAST HISTORY: NO H/O, HTN, DM, Asthama, Cardic diseases

Physical Examination

TEMP: 98.6 f PR: 72 BPM

BP: 120/80 mm hg RR: 15/min

RS: bilateral air entry + CVS: S1 +, S2+

P/A: Soft, BS+

L/E: Proliferative growth in right PF/AE fold and arytenoids with fixation of right hemilarynx.

COURSE IN THE HOSPITAL


After explaining the nature, stage, prognosis, outcomes with treatment & without treatment,
complications of RT, an informed consent was taken and RT was started.

Patient was planned for Radical Radiotherapy + Concurrent Chemotherapy.

INVESTIGATIONS

H/P/R: Feature are suggestive of Invasive Squamous Cell Carcinoma, Moderately


Differentiated- Excision biopsy from left arytenoids and ary epiglottic folds.

BLOOD COUNTS
18/07/2016 08/08/2016 01/09/2016

HB 12.3mg/dl 9.7mg/dl 9.9mg/dl

WBC - - -

PLATELET 4.22Lakhs 3.29Lakhs 2.02Lakhs

RBC 3.98mil/cu.mm 3.30mil/cu.mm 3.48mil/cu.mm

Neutrophils 71 73 65

Lymphocytes 17 12 11

Eosinophils 05 09 10

Monocytes 07 06 14

Basophils 0 0 0

RBS 92 mg/dl 79 mg/dl 90 mg/dl

UREA 27 mg/dl 29mg/dl 34 mg/dl

CREATININE 0.8 mg/dl 0.9 mg/dl 1.1 mg/dl

SERUM BILIRUBIN 0.9 mg/dl 0.6 mg/dl 0.7 mg/dl

INDIRECT 0.7 mg/dl 0.5 mg/dl 0.6 mg/dl

DIRECT 0.2 mg/dl 0.1 mg/dl 0.1 mg/dl

CHEST X-RAY: No significant abnormality.

USG ABDOMEN: No sonographic abnormality.

CECT NECK: 1.Malignant hypopharyngeal growth with extensions and infiltrations as


described.

2. Metastatic left mid jugular necrotic nodes.


CHEMOTHERAPY SCHEDULE: 2cycles of chemotherapy given on:

1. Cycle-I on: 21-07-2016 2.Cycle-II on : 11-08-2016

 Inj. Cisplat 100mg for every 21days

RADIOTHERAPY DETAILS: Patient received EBRT using 6MV photons with CONVENTIONAL,
total dose of 7000cGy in 35 fractions at 200cGy from 21/07/2016 to 09/09/2016.Patient
tolerated well.

Patient tolerated treatment well at the time of discharge is condition was stable and he is being
discharged with following advice.

S.NO DESCRIPION DOSE ROUTE TIMING DURATION REMARKS

1 Tab Pan 40mg PO 7am 15days Before breakfast

2 Tab. Zofer 8mg PO 7am 5days SOS If

CONDITION AT DISCHARGE:

Partial response.

No reactions.

REVIEW:

Review to radiation oncology OPD further follow up after 10 days

In case of fever, persistent loose motions, vomiting, neutropenia, hypotension report to


emergency room in ground floor of this hospital or call Emergency room Telephone No: 0878-
2285160, 2285133

DMO /CONSULTANT

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