Sensus Onkologi 2 Oktober

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Transcript of Sensus Onkologi 2 Oktober

6 mei 2013 SENSUS ONKOLOGISabtu,4 Mei 2013

Pasien BaruNoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11575499MurtinahP25th4/9/13B2Ca recti ekstensi simp gluteus21627961JumrotunP34th4/9/13B2Ca Mamae D3157396TarminiP50th4/9/13WJYCa mamae S41606153Siti WP32 th4/9/13A2Ca maxilla51620177RobihahP34th4/9/13B2Ca mamae S61629737JundallahP54 th4/9/13CW2Ca mammae1161560NinditowatiP63 th4/5/13AYDca Mamae D pro kemoterapidr HJ4120783 Sri HardjantiP67 thCW2dr HJ51449927ErmawatiP45 th4/4/23A2Ca mame bil post MRM bil post kemoterapi, Anemia03/04/2013 Al 10,5 Hb 8 AT 305 Alb 2,02 BUN 14 Cr 0,90 OT/PT 28/29 Na 124 K 2,1 Cl 81 GDS 122dr HJ116267suryaniP42 th4/2/13B2Tumor parotis D21490138SutarnoL43 th4/2/13A2CA Recti Pro kemoterapi31582219pariman L 71 th4/2/13B2411589298Sri BerbudiP49 th4/6/13CW2post op tumor mamae2162804Febi FP16 th4/6/13A3FAM bilateral31992360RukilahP52 th4/6/13A2Ca mamae S post MRM, tumor mamae Dpindah CW11627776WaginemP63th4/10/13B2Ca Mamae D T4dN1Mxdr HJ21628178SaripahP43 th4/10/13A2Ca Palatumdr HJ31461750TursyiahP49 th4/10/13A2STY dd sarcoma pro biopsidr HJ41595866Muhammad Arifin IlyasL19th4/10/13B2Ca Palatum durumdr HJ51627073ButiyahP53 th4/10/13B2Ca Mammae Sdr HJ61467751Dwi BudiyahwatiP44th4/10/13B2Ca Mammae Sdr HJ11595866M.Arifin IlyasL19 th5/3/13A2Ca palatum durum 11/4/13 AL 6,89 Hb 12,1 AT 319 Alb 4,29 BUN 6,9 Crea 0,69 OT 14 PT 8 Na 137 K 3,84 Cl 99,6 GDS 82

Jadwal OperasiNoCMNamaL/PUmurMRSBangsalDiagnosisTindakanOKJamKonsulenTeamKet11132369Dwiyatnip53 thCW1Ca Mammae SMastektomi sinistra + diseksi Axila1.0108.00dr KS21625644Sri suyatiP51 thKSMCa MammaePro kemoterapi Pasang VAP1.0109.00dr HJ31620310Hartini lestariP35 thA3fibrikostik mammae bilateralEksisi Tumor1.0110.00dr HJ11550804SuradimahP58 thCND2Ca Mammae SMRM1019.00dr.KS21628611Tunsiyahp50 thCND2Tumor Colli D DD/ Parotis Dextra AnaplastikInsisi Biopsi10110.30dr.HJ11623855TuminemP71 thDH 1SNNTTyroidektomi50308.00dr HJ2169521Sohibul AL38DH3lymfadenopati submandibula bilateralbiopsi eksisi50309.00dr HJ31626091TukinahP49 thBGV4limfadenopati multiplebiopsi eksisi50310.00dr HJ41375899SudarwatiP81 thAMT1Ca mamae sincore biopsi10111.00KS

A2NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11581479SupiniP40th12/2/13A2/8Ca mamma (D) T4dN1M022/03 Al 8,4 Hb 9,9 AT 258 Alb 3,25 18/03 Al 13,2 Hb 11,6 AT 351 Alb 3,98 BUN 7,5 Creat 0,56 Na 143 K 3,7 Cl 105 GDS 76 12/03 Al 8,12 Hb 10,8 AT 318 Alb 3,17 Na 147 K 4,02 Cl 10518/02 USG Upper Abd: Peningkatan echostruktur hepar curiga hepatopathy, tak tampak kelainan pd vesica velea,lien,pancreas,keuda ren, tak tampak lympadenopathy paraaorticiMastektomi paliatif (25/02/13)/H21 tutup defect dgn flap (21/3/13)dr.HJcek Dl,Alb21622276NurrohmahP37th14/3/13A2/9Ca Mammae (S)22/03 Al 8,75 Hb 11,3 AT 310 Alb 4,77 BUN 13,5 Creat 0,77 OT/PT 17/14 Na 139 K 4,1 Cl 99 GDS 97 15/03 Al 5,75 Hb 10,8 AT 316 PPT 13,5/13,2 APTT 30,4/29,8 Alb 4,17 BUN 5,4 Creat 0,74 OT/PT 17/17 Na 139 K 4,3 Cl 106 GDS 96pro BCT(26/3/13)dr.KScek Hb post op11618735MuhtoL46th20/02/2013A2/10Tumor Rongga mulut post maksilektomi bilateral dan eksisi19/03 Al 3,47 Hb 10 AT 328 Alb 2,82 15/03 Al 9,59 Hb 10,2 AT 343 11/03 Al 5,25 Hb 11 AT 413 Alb 2,88 Na 137 K 3,6 Cl 107 GDS 12015/3/13 maxilla : Melanoma maligna spindle cell type 22/2/13 foto thorax: dbn 1/2/13 MSCT: masa di mucosal regio maxilla dextra meluas ke palatum menyebabkan destruksi os maxilla dextra aspek anterior masuk ke cavum nasi dan sinus maxillaris bilateralmaksilektomi bilateral dan eksisidr.HJdr Hendicek lab, BLPL21625644Sri suyatiP51 thKSMCa MammaePro kemoterapi Pasang VAP1.0109.00dr HJ11261708Daimatu SalamahP40th4/3/13A2/8Basalioma regio angulus mandibula8/04/13 Al 8,41Hb 11,9AT 577Alb 4,48BUN 14,8 Cr 0,63OT 26 PT37 Na 140 K 3,7 Cl 104 GdS 90 21/03 Al 10,57 Hb 11,5 AT 433 Alb 3,9 BUN 10,6 Creat 0,63 Na 143 K 3,8 Cl 105 GDS 77 08/03 Al 7,9 Hb 12,1 AT 352 PPT 15,9/13,8 APTT 29,9/30,6 Alb 4,07 BUN 11 Creat 0,8 OT/PT 12/30 Na 146 K 3,2 Cl 104 GDS 76 25/03 hasil histopatologi PA basal cell carcinoma 21/03 thorax PA pleural reaction, besar cor normal11/03. USG Leher: Massa solid dgn central necrotic (S) regio infra auriculer disertai tumor vessel, megarah ke malignancy, Limfanodenopati sunmentale, submandibula bilateral dan posterior coroid (S) 1/04/13 submandibula : Basal cell Carcinomapost debulking tumor dan eksisi luas (22/3/13)dr.HJdr rusmawan, dr RidoGV41622280Sarjilahp 47 th4/1/13A2Ca Mammae ro kemoterapidr HJ31628825Ari KustitikP 54 th4/1/13A2Ca Mammae S 1/4: Al 8,9 Hb13.3AT 174Alb 3.33 BUN 6 Cr 0.81 AU 3,5 SGOT/PT 18/25 Na 139 K 3,3 Cl 98 GDS 144 HBsAg (-)04/4/13 AJH : ditemukan sel ganasdr HJ41490138SutarnoL43 th4/2/13A2CA Recti Pro kemoterapi3/04 PPT 12,6/13,8 APTT 26,7/32,5 Al 5,82 Hb 16 AT 229 Alb 4,2 BUN 15,2 Cr 0,84 AU 4,5OT 21, PT17 Na 139 K 4,1 Cl 104 7/09/2010 histologiPA : jar. Colon :nadenokarsinoma tipe musinosum differensiasi sedang metastase ked dua limfonodi (Dukes C). Jar apendix : apendicitis et periapendicitis akut, tanpa tumor 25/08/2010 USG lower abd : tak tampak tanda-tanda metastase pada organ hepar, VF, lien pancreas, kedua ren, VU, prostatdr HJ11484861SurepL42th14/3/13A2/7STT regio Colli (S), multiple papiloma24/4/13 PPT 15,8/14,7 APTT 32,1/34,6 AL 9,53 Hb 4,1 Ht 13,1 AT 268 Na 133 K 3,4 Cl 109 23/4/13 : Al 15.73 Hb 5,4 HCT 16.6 AT 310 11/4/13 Al 19,71 Hb 10,3 AT 374 8/4/13 Al 14,1 Hb 9,1 AT 406 5/04 Al 13,47 Hb 8,2 AT 310 22/03 Al 11,3 Hb 9,0 AT 343 PPT 14,7/13,5 APTT 29,6/31,6 Alb 2,67 BUN 8,3 Creat 0,87 OT/PT 35/13 Na 142 K 3,9 Cl 108 26/4/13 histopatologi : hasil biopsi sesuai dengan condiloma akuminata 9/4/13 MSCT kesan : massa dari glandula parotis S yang meluas ke paralaringeal S, sinusitis maksilaris bilateral, tak tampak destruksi tulang 9/08/2010 histopatologi : jar tumor sinonasal : keratinizing squamos cell carcinoma 15/03 cervical: Curiga masa tiroid dng pemyempitan airway,Thorax: dbn tak tampak metastasepro debulking + tunggu pelacakan TS DV ( biopsi Poliklinik)dr.HJperbaikan KU71591472MariyamP47th17/3/2013A2/9Undifferiented Metastase carcinoma reg Colli (D)17/03 Al 11,1 Hb 12,3 AT 437 Alb 3,91 BUN 14,8 Creat 0,77 OT/PT 144/39 Na 137 K 4,1 Cl 101 GDS 73 pro kemoterapidr.HJcek DL71628757TumiyemP60 th3/28/13A2/Ca Mammae (S)1/4: Al 7.8 Hb 9,2 AT320Alb 3.05 Bun 13,3 Cr 0,51 SGOT/PT14/8 Na 142 K 4,0 Cl104 GDS 128cek lab lengkap21449927ErmawatiP45 th4/3/13A2/9Ca mamae bilateral post MRM bil post kemoterapi dan radiasi23/4/13 Na 114 K 2,1 Cl 75 19/4/13 Al 7.93 HB 7.6 HCT 22,8 AT 267 Na 117 K 2,4 Cl 81 17/4/13 : Al 7.54 HB 7.4 HCT 22.4 AT 293 ALb 2,32 BUN 9,4 Cr 0,41 Na 126 K 2,81 Cl 8216/4/13 Na 130 K 3.0 GDS 101 12/4/13 Al 8,37 HB 10,5 AT 212 Alb 2,21 9/4/13 Alb 1,78 Na 125 K 2,8 Cl 89 GDS 98 8/4/13 Al 14 Hb 9,1 AT 406 03/04/2013 Al 10,5 Hb 8 AT 305 Alb 2,02 BUN 14 Cr 0,90 OT/PT 28/29 Na 124 K 2,1 Cl 81 GDS 12203/04/13 thorax foto : pleural reaction dextra, diafragma sinistra letak tinggi, cor dbn, tak tampak skeletal metastases 21/06/11 karsinoma duktal infiltrasi NOS, grade III, dengan metastase di limfonudi, dasar tumor tidak bebas tumorGV, perbaikan KUdr. HJtransfusi darah, Raber UPD 41606153Siti WP32 th4/9/13A2Ca maxilla9/4/13 Al 6,27 Hb 13,4 AT 186 Alb 4,11 BUN 9,6 Cr 0,85 OT/PT 15/9 Na 139 K 3,4 Cl 108 GDS 8231624474Marfuah P 63 th4/5/13A2struma colloides8/4/13 Al 8,7 Hb8,8 AT 523 05/04/13 Al 10,03 Hb 8,5 AT 570 Alb 3,09 BUN 29,4 Cr 0,89 OT/AT 69/20 Na 144 K 3,99 Cl 98,3 GDS 10611/4/13 USG thyroid massa solid inhomogen dg multiple lesi anechoic dg ukuran sangat besar , CFM (+) susp malignant 11/4/13 thoraks : soft tissue mass di regio colli, multiple nodule di kedua pulmo susp metastasis, cardiomegali, bone metastasis (-) 5/03/3 AJH : tidak ditemukan sel ganas 26/2/3 USG thyroid(bacaan tdk ada), foto soft tissue thorax dan leher: massa di regio collidr HJ71992360RumilahP52 th4/6/13A2Ca mamae S post MRM, tumor mamae D31628178SaripahP43 th4/10/13A2Ca Palatum11/4/13 Al 7 Hb 12,3 AT 123 Alb 3,83 BUN 8 Cr 0,56 OT/PT 17/9 Na 135 K 3,45 Cl 94,3 GDS 10011/4/13 thorax dbnbiopsi konsul THT dr KSBLPL, kemo via poli51461750TursyiahP49 th4/10/13A2STT dd sarcoma pro biopsi11/04/2013 Al 5,31 Hb 1 AT 377 Alb 4,16 BUN 10,8 Cr 0,54 OT/PT 30/21 Na 137 K 3,5 Cl 104 GDS 0611/04/2013 foto thorax: pulmonal metastase, nodular type dan subpleral type, cor dbn, metastase bone tak tampak. 06/09/10 PA jaringan payudara dan axilla: karsinoma ductal infiltrat gr 2 dengan bagian tipe komedo, metastase ke limfonudi regionalpro biopsi hari inidr HJ71605515Indah SuwarniP49 th4/17/13A2Ca Mammae Dpost kemoterapi dr HJBLPL61619727RubaengahP53 th4/17/13A2ca mammae Spost kemoterapi dr HJBLPL21629194yadi MiharjoL54 th4/22/13A2BCC periorbita S30/4/13 AL 7,6 Hb 13,9 AT 174 Alb 4,46 BUN 17,5 Crea 0,98 OT 34 PT 35 Na 140 K 3,8 Cl 102 GDS 7330/4/13 Torax : bronkhitis, kardiomegalipro eksisi luas thp I. Rekonstruksidr HJtungggu jadwal, Cek DR.KD31629321`NastanginahP44 th4/25/13A2Ca ammae D post eksisi tumor mammae S30/4/13 AL 6,95 Hb 11,7 AT 251 Alb 4,2 BUN 6,8 Crea 0,56 OT 15 PT 21 Na 138 K 3,5 Cl 106 GDS 16416/4/13 Histopatologi : mammae D:lesi fibrokostik page III dengan papiloma intraduktal dengan karsinoma duktal insitu dan karsinoma lobular insitu, mammae S:lesi fibrokistik page III 9/4/13 torax : pulmo dan besar cor normal, tak tampak tanda pulmonal maupun skeletal metastasepost mastektomi D hr 1dr KSoperasi tanggal 3/5/13 41615164KamilahP64 th4/25/13A2Ca mammae S pro kemo ke IVdr hj51453522Sri SumarniP49 th4/27/13A2Ca mammae S post mastektomi dan kemoterapi, efusi pleura S27/4/13 AL 14,7 Hb 12,6 Ht 38,3 AT 356 Alb 4,33 BUN 8,7 Crea 0,83 AU 4,6Na 135 K 3,15 Cl 91,2 GDS 25428/4/13 Thorax : susp pulmonal metastase mixed type (noduler type dan subpleural type), besar cor tak valid dinilai, tak tampak bone metastase 28/6/12 histopatologi : tumor mammae S : karsinoma duktal infiltratif NOS gr III residif 26/6/12 USG low abdomen : tak tampak kelainan pada hepar, vesika velea, lien,