Liphoma case report

Name : Renny Anggraini

identity

Name: Ny.Z Age: 36 years Gender: ♀ Occupation: Housewife Status: Married

The main complaint:

Lump in the back that getting bigger since 5 years before admitted to hospital

History of present illness:Since 5 years before admission the patient complained of a lump in the back,(-) Pain, (-) fever.

Family history:There is no family who has the same complaint.

History of other diseases;(-)

physical examination

Status generalist; General conditions: good Awareness: composmentis Nutritional status: good

Vital sign: Blood pressure: 100/70 mmHg Pulse rate: 73x / min Breath: 21x/menit Temperature: 36.8 C

Physical examination

Head: Normal Neck: Normal Thoracic (mammary Region): Normal Abdomen: Normal Urogenital: Normal Extremities: Normal Lymfe node: Status localist

Status localist

The examination;

inspection: visible lump in the right back localist

status

Breathing movements symmetrical left and right

palpation: solitary tumor with a size 15 x 10x 4 cm, diffuse, soft consistency, tenderness (-),

Pemeriksaan penunjang

Routine blood tests: Hb: 14.3 gr / dl Ht: 40.0% Leukocytes: 10.300/ul Trobosit: 409.000/ul

working diagnosis

Liphoma

Plan supporting examination

Thorax Photos incisional biopsy Mamografy installation WSD

Thank’s