Sensus Onkologi 31 Oktober Rev

No CM Nama L/P Umur Masuk RS Bangsal Diagnosis
Limfadenopat regio Colli

1 1730989 Reika P 39 thn 9/17/2017 CW 3/9 (D) + post
isthmolobectomy
STT Punggung (S) curiga

1 1824882 Rohat P 56 thn 10/10/2017 CDN2/10 ganas DD sarkoma skapula
GxT4N1M1 paru
2 985938 Sumarlan L 40 thn 12/10/2017 CDN2/9 SNNT Follicular
Sarcoma regio femur

3 1825204 Basroni L 55 thn 10/9/2017 CDN2/7
T4N0M0
Fibromixosarcoma
G1T2n1bM0 post
amputasi, Fournier
4 1650680 Suradi L 55 thn 9/27/2017 CDN2/2 Gangrene Skrotalis post
debridement, post
rekonstruksi skrotum
dengan flap
Squamous cell Carcinoma

Regio Antebrachii D
1 1808072 Maryani P 49 thn 9/26/2017 CDN1/9 T2N2aM0 + Gangguan
Halusinasi
Fibrosarcoma Regio
2 1823323 Ngamarun L 30 thn 10/5/2017 CDN1/8 Mandibula
Ca Mandibula Sinitra
3 1824914 Suhendriyah P 50 thn 12/10/2017 CDN1/7 T3N0M0
4 1824654 Maslikhah P 52 thn 13/10/2017 CDN1/7 Tumor labia mayor
Agnes Ca Mamae T4N1M1 IHC+

1 620535 P 50 thn 10/10/2017 CDN3/1
Musiarsih ER+ PR+
Duktal Carsinoma
1 1824092 Budi Tyas Utami P 51 thn 10/10/2017 BGV4/5 Mammae sinistra
T4bN1M0
Ca ductal invasif mammae

2 1826349 Suparmi P 35 thn 10/9/2017 AGG2/12 bilateral T4dN3Mx post
MRM post kemoterapi

isthmolobectomy
Struma Nodusa Colateral

curiga malignancy dengan
2 1826892 Sutnah P 61 thn 13/10/2017 CW2/9 multple nodule coli
dekstra, DM2NO,
Hipokalemia
Ca Mammae post
3 1442716 Susi Haryat P 47 thn 9/27/2017 CW2/11 Mastektomi Bilateral, Ca
Cervix Grade IIB
Anisah Rhabdomyosarcoma Femur

4 1791594 P 23 thn 9/10/2017 CW2/3
Mubarokatn Sinistra
Struma Nodusa dengan

Hypertroid sub klinis post
5 1110721 Desi Yulinda P 52 thn 10/9/2017 AYD2/9 near total troidektomi post
evakuasi hematom
efusi pleura (D) post

6 1411582 Sri Sulastami P 72 thn 13/10/2017 ICCU/7 mastektomi, UAP angina
progresif
Fadlani Aji Tumor Regio Scapula

1 1822735 L 20 thn 10/10/2017 CW1/108
Zulma Sinistra
Carcinoma Duktal Invasif

1 1822603 Tuni Astutk P 43 thn 10/10/2017 CDN3/8 Sinistra T4CN2M1
Liposarcoma
2 1790099 Poniyat P 47 thn 10/2/2017 CDN 3/7 Retroperitonial G1TxNxM1
Peritoneum Post Kolostomi
SCC et Regio Pedis Dextra
6 1823554 Slamet Riyadi L 73 thn 10/6/2017 CDN 1/3 TxN2M0
Dwi Purnomo
3 1825760 L 45 thn 10/6/2017 CDN 1/8 SNNT Bilateral
Adjie
Ca Mammae Bilateral
5 1778067 Sri Wiyant P 43 thn 12/10/2017 CDN2/6 T3N3cM0, Ca Ovary IIIc,
Ascites
Adeno Cystc Carsinoma

palatum GIII T2N2M1 post
4 1698684 Mujiono L 54 thn 10/4/2017 CDN2/9 hemomaksilektomi +
rekonstruksi mesh plate
Ca Papiler Tiroid T3N1M0

2 1703409 Poniyem P 41 thn 10/9/2017 CDN2/10 post total troidektomi
Ductal Carsinoma
1 1807054 Trubos Al Anifa P 50 thn 10/10/2017 BGV4/12 Mammae T3N2M0 post
Kemoterapi ke 6
Anastasia Anik Ca Mammae Dextra
6 1826544 P 51 thn 10/10/2017 AYD2/202
Sugiart T3N0MO post MRM
Obs tetraparese flacid ec

Ganethia
4 1282028 P 30 tahun 12/10/2017 AGG2/1 susp muscular dystrophy
Relianasa dd HNP Cervical
3 1816006 Sunart P 57 thn 11/10/2017 BGV4/5 Ca Ductal Mammae Sinistra
Widya Trihari Multple tumor mammae

8 1811742 P 26 thn 10/10/2017 CDN2/6
Astut Sinistra
Soft Tissue Tumor regio

5 1228584 Astri Nurani P 32 thn 10/9/2017 AMT1/106 Femur Sinistra
Tumor Parots Sinistra

9 1801028 Novelia Sufian P 24 thn 10/5/2017 CDN2/2 Curiga Jinak post superficial
parotdektomi H-2
Multple limfonodi regio

1 1540680 Yuri P 56 thn 12/10/2017 BGV3 colli et axilla
Kafiyatul Ca Mammae ER - PR - HER

3 1802971 P 62 thn 9/10/2017 CW2/209
Kulasah 2 + KI 67
Melanoma Maligna
4 1718031 Mutrikah P 29 thn 10/2/2017 CDN 3/7 Multpel T3N1M1 +
Gangguan Psikotk
Helmi Tumor Mammae Dekstra

3 1822080 Prihatningsih S. P 37 thn 10/10/2017 CDN3/8 curiga jinak
P.
Carcinoma Mammae
1 1777322 Sri astut P 41thn 10/9/2017 CDN3/9 Dextra T4cN2m1
Struma Nodosa Non Toksik

1824324 RR Caturwat
Antonia Tut
9 P 51 thn 10/6/2017 CDN 2/3 Sinisra post ismolobektomi
H-3
Ca Mandibula Sinistra GIII

2 1798392 Edy Kirwanto L 34 thn 10/4/2017 CDN1/10 T4N0M0
Undifferenciated Ca
1 1822995 Toto Suripto L 60 thn 9/30/2017 CDN1/10 Mandibula T4bN0M0
1 1822200 Suradi L 52 thn 10/6/2017 DHL2/9 Limfadenopat regio Colli
4 1488056 Mursinah P 46 thn 10/4/2017 AYD2/208 Ca Mammae Dextra
Ca Duktal Mammae Dextra

5 1824817 urai najilah P 41 thn 10/2/2017 AYD 2/210 post MRM Dextra H3
Tumor Mammae Bilateral

6 1823482 komidah P 28 thn 10/5/2017 CDN1/7 T3N0M0
Ca Mammae Dextra
6 133673 Maryani P 51 thn 10/3/2017 CW1/102 T3N0M1 post core biopsi
H5
Ca Mammae Bilateral post

2 1794099 muslimah P 62 thn 10/3/2017 IMC2/4 Mastectomy post STSG
tumor mamae sinistra

6 1552434 suyat p 42 thn 10/2/2017 CDN 1 /7 curiga jinak + SNNT
bilateral
papilary carcinoma thyroid
3 1762388 sutarno L 66 thn 9/18/2017 HCU T2N1M1
struma nodusa dextra post

4 1824608 Chrisna anggi P 29 thn 10/3/2017 AMT 1/106 hemitroidectomi H4
Ca Mammae Residif, Post

2 1699535 Rini Herviara P 46 th 9/27/2017 AGG2/6 MRM Bilateral 2015, Post
Eksisi Luas dan STSG

1 1823915 Ari Dewi P 44 thn 10/2/2017 BGV 4 / 2 curiga ganas T2N1M0 post
eksisi tumor H2
ca ductal infiltrat mamae

5 1709983 Jumiyem P 55 thn 10/3/2017 CDN 2/10 dextra T2N1M0 post MRM
dextra H2
ca duktal infasiv mamae
4 1823835 Iswahyuni P 48 thn 10/3/2017 CDN 3/2 dextra T4bN2M1 post core
bio[psi H1
Adenoma pleomorfik
2 1824615 Nurpan Parid L 49 thn 9/27/2017 BGV4/10 parots sinistra post deseksi
axila H2
Malignant solitary fibrous

2 1743192 Sutyem P 52 th 9/26/2017 CDN2/10 tumor Regio colli dextra
post debulking tumor H3
ca mamae dextra T3N0M1

6 133673 Maryani P 51 thn 10/3/2017 CW1/102 post core biopsi H1
1 1819769 Sukemi P 64 thn 9/27/2017 CDN2/10 SNNT curiga ganas
Malignant phyloides dextra

et sinistra post mastektomi
1 1806295 Sukirah P 64 thn 9/27/2017 CDN2/8 simple post kemoterapi VI
H2
Ca Mamae T4bN1Mx Pro

4 1825191 Ria P 39 thn 9/27/2017 AMT1/110 Core biopsi
Ca Thyroid Post Eksisi
Fatchur
3 1824338 P 48 th 9/25/2017 CW1/102 tumor Post Eksisi tumor H
Rochmah 6
Ca Ductal invasive
mammae sinistra TxN1M0
4 1799386 Mariyam P 60 thn 9/27/2017 BGV4/11 Post MRM post Diseksi
aksila H4
Carcinoma ductal invasive

mammae dextra post
6 1763449 Muskhinah P 64 thn 9/27/2017 CDN2/2 mastektomy post
Completon Mastektomy
H4
Liposarcoma dd
5 1819622 Mentarjo L 91 thn 9/25/2017 CDN2/9 rhabdosarcoma post eksisi
luas H5
Ca Mammae S T4N2M1,
2 1825480 Ida Dwiningsih P 48 thn 9/30/2017 CDN2/8 pneumonia
Ca ductal invasive
2 1530247 Sukilah P 45 thn 9/14/2017 BGV4/11 mammae S T2N1M0 post
MRM H6 (biopsi)
SNNT bilateral curiga ganas

3 1819893 Sarinem P 45 thn 9/18/2017 CDN1/10 post Total thyroidektomy
H5
Ca Lobuler mammae
5 1793227 Maryat P 61 thn 9/25/2017 CDN2/8 sinistra G II TxN1M0 Post
MRM H2
Ca Duktal mammae sinistra

2 1822332 Asmiyat P 34 thn 9/18/2017 CDN2/10 GIIT3N0M0 Post MRM H4
Limfadenopaty Multple
reg Inguinal Dextra + DVT V
1 1819206 Nurudin L 60 th 8/28/2017 CDN 2/7 Femoralis Dextra, Post
Biopsi Limfadenectomy
Inguinal D dan Colli S H1
Chondrosarcoma Digit II
2 1818275 Sugiya L 48 th 8/28/2017 CDN 2/3
Manus Dextra
Ca Mammae Dextra Post

3 1787439 Sudarmi P 38 th 8/29/2017 CDN 1/10 Kemoterapi
Bedah Onkologi Rabu, 18 Oktober 2017
Laboratorium Radiologi
Pasien Operasi Rabu, 18 Oktober 2017
(17/10) PPT 15,5(13,5) APTT 37,2(28,7) INR 1,15 FT4 (17/10) USG tiroid:tak tampak residif tumor dan tak tampak kelainan pada
1,44 TSH 0,09 (16/10) AL 7,78 hb 12,6 Hct 36,6 AT 230 sisa glandula thyroid D. Tak tampak kelainan pada thyroid S. Multple
Neu 59,7 APTT 28,8 (28,7) Alb 4,51 OT/PT 17/18 BUN 8 limfonodi dengan morfologi normal di regio cervical bilateral dan
Cr 0,6 GDS 110 HBsAg NR Na 144 K 4,17 Cl 104 submandibula S. (7/9) Thorax: dbn
Pasien Baru
Cendana 2
(17/10) AL 13,03 Hb 8,6 Hct 26,9 AT 325 Neu 83,7 12/10 MSCT THORAKS DENGAN KONTRAS : Destruksi Margo Lateral os
15/10) AL 11,83 Hb 7,5 Hct 23,4 AT 405 Neu 82,2 PPT Scapula Sinistra dengan soft tssue mass di rgio bahu sinistra posterior,
15,7(14.1) APTT 26,7(30) INR 1,17 Alb 2,74 OT/PT 34/27 suspect osteosarcoma, nodular type pulmonal metastasis, nodul kistk di
BUN 13 Cr 0,78 GDS 155 HBsAg NR Na 142 K 3,21 Cl 104 thyroid bilateral dengan kalsifikasi 22/9 FOTO SCAPULA SINISTRA : susp.
(6/10) AL 11,65 AE 4,49 HB 12,5 HCT 38,4 AT 504 PPT Osteogenicsarcoma angulusinferior scapula sinistra dd soft tssue sarcoma
15/14,1 APTT 26,3/29,6 INR 1,1 ALB 3,56 SGOT 17 SGPT meluas ke angulus inferior scapula sinistra
21 BUN 18 CR 0,84 GDS 109 NA 143 K 4,26 CL 104 HBsAg
non reaktf
(17/10) AL 34,57 Hb 14,7 Hct 43,4 AT 466 Neu 92,1 13/10 THORAX PA: Struma regio coli yang tdak menyempitkan dan tdak
(13/10) AL 8.98 AE 4.93 HB 14.8 HT 42.4 AT 339 PPT mendeviasi airway, Pulmo tak tampak kelainan, tak tampak pulmonal
14.0/13.9 APTT 30.5/28.9 ALB 4.41 SGOT 16 SGPT 20 metastase, besar cor normal, tak tampak metastase pada sistema tulang
BUN 11.70 CR 0.85 GDS 163 HBsAg Non Reaktf FT4 1.21 tervisualisasi CERVICAL AP/LAT : Struma di regio colli yang tdak
TSH 0.73 NA 139 K 3.98 CL 100 CA 2.44 menyempitkan dan tdak mendeviasi airway 31/8 USG Thyroid: Struma
nodular Bilateral
(11/10) AL 8.95 AE 4.94 HB 14.1 HT 41.5 AT 271 PPT (16/10) BNO-IVP: batu lusen di ureter D pars terta medial dengan obstruksi
15.5/13.9 APTT 30.7/30.6 INR 1.15 BUN 12.60 CR 1.44 parsial berat yang menyebabkan hidronefrosis ren D grade IV. (28/9)
MG 2.05 PSA 1.40 10/10 AL8,59 AE 4,66 HB 13,2 HCT THORAX PA : tdak tampak kelainan, USG ABD : moderate to severe
39,3 AT 272 PPT 17,1/15,4 APTT 30,3/30,1 ALB 2,98 hidronefrosis ren dextra dengan hidroureter, singel cyst di pole inferior ren
SGOT 21 SGPT 20 BUN 10 CR 1,42 GDS 122, NA 140 K dextra, MSCT Ekstrimitas Bawah : soft tssue mass regio femur dextra
3,11 CL 103 HB sAg reaktf origin muscle yang melibatkan m. vastus medialis dan m. adductor longus
dan adductor brevis dengan felling dari cabang a.femoralis superfisial
(14/10) Alb 2,82 (11/10) Alb 2.76 Na 136 K 3.52 CL 100 13/10 THORAX PA: Malunion fracture os clavicula dexra, pulmo tak tampak
(10/10) AL 13,23 AE 3,63 HB 10 HCT 30,6 AT 654 8/10 AL kelainam besar cor normal 3/10 USG ABDOMEN :Soft tssu edema pada
13,99 AE 3.06 HB 8, HCT 25,2 AT 678 ALB 2,71 BUN 6,6 scrotum bilateral dengan suspect infiltrasi tumor pada scrotum dextra 28/9
CR 0,66 NA 137 K 3,62 CL 1006/10 AL 10,4 AE 3,01 HB 8 Ro thorak Pulmo tak tampak kelainan, besar cor normal, fraktur kompleta
HCT 24,2 AT 586 ALB 2,44 5/10 AL 8,51 AE 3,16 HB 8,3 kominutf di os clavicula dextra pars terta media, aposisi & alignment
HCT 26 AT 539 ALB 2,74 PPT 15,2/15 APTT 32/28,9 INR kurang dengan lesi osteosklerotk di ujung ketga fragmen curiga ec fraktur
1,12 SGOT 28 SGPT 28 BUN 15,9 CR 0,7GDS 142 NA 142 patologis ec osteoblastk type skeletal metastasis 21/8 MSCT ext bawah
K 3,74 CL 106 4/10 AL 12,53 AE 3,31 HB 8,5 HCT 27,2 AT kontras Tumor heterogen solid kistk dengan tanda malignancy di musculus
539ALB 1,8 BUN 11,1 CR 0,79 NA 134 K 3,9 CL 100 29/9 vastus lateral et medial, sartorius dan rectus femoris dextra menyokong
AL 10.26 AE 3.22 Hb 8.4 AT 165 Alb 2.32 Na 139 K 3.34 Cl fibromyxosarcoma dengan feeding vessel dari a. femoralis superfisial dan
104 27/9 Al 8.28 AE 3.26 Hb 8 Hmt 24.9 AT 245 PPT profunda dextra.5/4 MSCT angio ekstremitas dengan kontras Tumor soft
17.6/14.6 INR 1.32 APTT 30.6/30.8 Alb 3.16 SGOT 24 tssue hipervaskuler di kompartemen anterior dengan feeding vessel dari a.
SGPT 13 BUN 5.5 Cr 0.98 HBsAg NR Na 138 K 3.61 Cl 104 femoralis superfisial dan profunda, dominan superfisial.
Cendana 1
(17/10) BUN 17,9 Cr 1,44 Na 141 K 2,77 Cl 100 (13/10) 4/10 MSCT KEPALA KONTRAS : kalsifikasi diglobus pallidus dextr, tak
Na 134 K 3.1 CL 97 (12/10) AL 49.17 AE 2.38 HB 7.5 HT tampak kelainan pada intracereberi dan intracelebelli, tak tampak kelainan
21.7 AT 412 11/10 AL 36.32 AE 3.08 HB 9.5 HT 28.9 AT pada neurocranium dan viscdrocranium, 6/9 MRI ekstremitas atas kontras
379 PPT 17.1/13,9 INR 1.29 APTT 29.4/30.6 ALB 2.83 : Menyokong gambaran karsinoma sel skuamosa regio humerus dextra,
SGOT 14 SGPT 12 BUN 7 CR 0.94 GDS 287 NA 134 K 3.23 nodal metastasis multple axillary dextra dan supraclavicula dextra 28/8
CL 97 8/10 AL 38,59 AE 3,33 HB 10 HCT 29,7 AT 440 ALB Humerus AP/Lat Soft tssue mass distal os humerus dextra thorak AP
3,12 NA 137 K 3,17 CL 100 7/10 AL 28,35 AE 2,81 HB 8,5 Pulmo tak tampak, besar cor normal USG ABdomen tak tampak kelainan
HCT 25,3 AT 343 ALB 3,13 SGOT 13 SGPT 10 BUN 3,6 CR 18/4 bone survey : tak tampak gambaran metastasis
0,48 GDS 229 NA 133 K 2,71 CL 94 HBsAg non reaktf
6/10 ALB 2,4 BUN 6 CR 0,53 NA 134 K 2,88 CL 96 4/2
ALB 2,53 NA 136 K 3,18 Cl 98 2/10 AL 51,67 AE 3,28 HB
10,1 HCT 10,1 AT 262 ALB 2,24 NA 136 K 2,04 CL 96 30/9
Al 60.35 AE 3.45 Hb 10.7 Hmt 31.4 AT 294 Na 138 K 2.5
Cl 10 27/9
(13/10) Al 47.3
bakteri AE 3.11
gram Hb soliter,
(-) basil 9.7 Hmtjarang.
29.1 AT 344 PPT
Bakteri 8/10 Cerivcal AP/L : Soft tsuue swelling di regio mandibula dekstra, defek
16.1/14.6
gram (+): diplococcus, jarang. (9/10) AL 11 AE 3,9417
INR 1.19 APTT 30.4/30.8 Alb 3.08 SGOT HB pada korpus mandibula dekstra et sinisra dengan fiksasi interna berupa satu
SGPT 9 BUN
11,2 HCT 35,116.5 Cr 1.22
AT 192 AS urat
(6/10) 17 GDS
AL 13,75 AE 78 HBsAg
4,47 NR
HB 12,6 buah bridging plate dan 4 buah screw, apositon dan alignment baik,
Na
HCT138 K 2.6
38,3 Cl 91
AT 299 28/8
PPT Al 48.23APTT
15,5/14,1 AE 3.83 Hb 11.2
32,4/29,6 Hmt
INR 1,15 retrolistesis VC 5-6 terhadap VC 7, spasme muskulus interspinalis cervicalis
34.3 AT 480 SGOT 13 SGPT 12 BUN 7 Cr 0.72
ALB 4,1 SGOT 12 SGPT 14 BUN 8,8 CR 0,98 GDS 103 GDS 127NA 3/10 OPG : defect pada corpus mandibula dextra et sinistra dengan fiksasi
140 K 3,96 CL 100 HBsAg non reaktf 3/10 AL 9,54 AE interna berupa 1 buah bridging plate dan 4 buah screw, appopsiton dan
4,34 HB 11,9 HCT 37,7 AT 329 PPT 16,5/15,4 APTT alignment baik, THORAX PA : tak tampak kelainan
(13/10) ALALB
33,6/29,6 13.32 AESGOT
3,58 4.39 HB 12.520
8 SGPT HTBUN
36.911
ATCR404 PPTGDS
1,22 (16/10) MSCT servikal: dbn. MSCT kepala: tumor maligna mandibula S
15.1/13.9 APTT 30./9.28.9 INR
118 NA 143 K 4,09 CL 100 CA 2,22 1.11 ALB 3.63 SGOT 11 dengan osteodestruksi corpus mandibula S. Thorax: dbn (26/9) THORAX
SGPT 12 BUN 6.20 CR 0.89 GDS 158 NA 138 K 2.78 CL 99 PA: Pulmo tak tampak kelainan, tampak pulmonal metastase, besar cor
normal, tak tampak skeletal metastasis. 18/08 OPG : Tampak Impaced M
atas kiri, tampak multple missing, tak tampak kelainan pada struktur tulang
mandibula dan maxillaris pars alveoralis bilateral terutama tak terlihat jelas
adanya fracture/fissure atau disloasi fragmen tulang
(14/10) AL 7,61 Hb 12,4 Hct 37,9 AT 330 Neu 68,4 PPT 26/9 THORAX PA : Tak ada kelainan
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
11/12 BUN 12,3 Cr 0,85 GDS 147 HBsAg NR Na 142 K
3,62 Cl 100
Cendana 5
Cendana 4
Cendana 3
(16/10) AL 2,79 Hb 8,5 Hct 26,1 AT 93 Neu 2,21 Na 127 K (17/10) CT scan kepala : belum tapak tanda-tanda brain maupun skeletal
3,4 Cl 94 (11/10) AL 4.03 AE 3.47 Hb 9.8 HT 29.8 AT 146 metastasis, spenoidits D (17/9) Thorax: pleuropneumonia bilateral ec
PPT 18.5/13.9 APRR 32.5/30.6 SGOT 90 SPT 23 BUN 7 CR suspmixed type (subpleural dan pneumonic) pulmonal metastasis. Cor tdak
0.59 GDS 106 HbSAg Non Reaktf NA 126 K 3.67 CL 92 valid dinilai. Curiga lesi osteolitk di os scapula dan os clavicula bilateral.
5/9 AL 5,66 AE 3,79 HB 11,3 HCT 33,9 AT 178 SGOT 50 saran: bone survey (12/9) USG ABD : pleural reacton dextra, mild
SGPT 18 BUN 9,8 CR 0,65 CA 15-3 182,1 hydronefrosis ren dextra
Anggrek / Bougenville / Kartika / Melati

(14/10) AL 10,32 Hb 0,6 Hct 33,2 AT 323 Neu 87,8 BUN 28/9 THORAX PA : tdak tampak kelainan, MAMOGRAFI DEX et SIN : massa
16,8 Cr 0,8 GDS 120 Na 141 K 4,28 Cl 106 (11/10) AL di mamaesinistra dengan tanda malignancy,limfadenopaty multpel axiila
5.26 AE 4.31 HB 11.3 HT 36.7 AT 287 PPT 14.2/13.9 APTT bilateral.
32.6/30.6 INR 1.03 ALB 4.18 SGOT 22 SGPT 17 BUN 10
CR 0.53 HBsAg
(17/10) GDS 103 NRHBsAg Non
(16/10) ALReakif NA 16,4
17,14 Hb 139 KHct
3.73 CL AT
46,6 103 (16/10) USG mammae: residif mass pada dinding thorax D dengan nodul
28/9 AL 5,09 AE 4,25 HB 11,5 HCT 34,8 AT 262 PPT 15/14
450 Neu 86,4 Alb 3,82 OT/PT 31/44 BUN1214 Cr 9,1
0,8 CR
GDS metastasis di axilla tail D, axilla bilateral, supraclavicula D. Massa mammae
APTT 31,8/30,2 INRCl1,1
98SGOT 16PPT
SGPT BUN
158 Na 139 K 3,79 (15/10) 13,8(14,1) APTT S dengan tanda malignancy. Bone survey: tak tampak gambaran metastasis.
0,72 GDSINR
26,1(30) 88 HBsAg
1 non reaktf MRI brain: mucocele di sinus maxillaris dekstra. Thorax: dbn.
ICU-IGD - PACU-HCU-IMC-AYD-AMT-CW-DHL
(17/10) FT4 1,57 TSH 0,12 Na 148 K 3,3 Cl 102 (16/10) 13/10 THORAX PA : Soft tssue mass egio colli dextra yang mendeviasi traka
Na 143 K 2,3 Cl 65(15/10) FT4 1,4 TSH 0,17 Na 144 K 2,3 pars cervicalis ke arah sinistra CERVICAL AP/L : Soft tssue mass regio colli
Cl 92 (13/10) AL 19.58 AE 4.31 HB 12.7 HT 38.0 AT 327 dextra yang mendeviasi trake pars cervicalis ke arah sinistra disertai dengan
PPT 22.6/14.6 APTT 28.4/28.9 INR 1.81 ALB 3.17 SGOT penyempitan aitway setnggi corpus vertebra cervical 4, Hipolordotk
19 SGPT 26 BUN 28 CR 0.83 GDS 220 HBsAg Non Reaktf corpus V. Cervialis
NA 149 2.41 CL 104
(15/10) PPT 16,8(14,1) APTT 35,1(30) INR 1,27 9/10 USG : Partal Trombus vena femoralis komunis sinisyta dengan patensi
Fibrinogen 302 D-dimer 4930 Alb 2,87 (13/10) AL 9.04 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena
AE 3.93 HB 10.3 HT 33.2 AT 347 ALB 2.01 PPT 15.8/13.9 poplitea sinistra. Tak tampak trombu dan insufisensi katup pada sistema
APTT 30.3/28.9 INR 1.18 12/10 AL 9.48, 4.13 HB 10.9, ht vena tbialis anterior dan posterior sinistra 4/10 CIL : ascites, indentasi
34.6 AT 400 11/10 PPT 18.1/13.9 APTT 42.5/30.6 INR rectum proximal hingga colon sigmoid distal ke arah posterior oleh massa di
1.39 6/10 AL 8,59 AE 4,19 HB 11,1 HCT 35,5 AT 233 PPT cavum pelvis 28/9 thorax PA : multple lesi noduler pulmo bilateral susp.
17,1/14,1 APTT/29,6 INR 1,29 ALB 2,86 SGOT 22 SGPT 10 noduler type pulmonal metastasis 21/6 MSCT Abd dengan kontras :
(17/10)
BUN 8,9Urin: glukosa
CR 0,68 2+ NA
GDS 83 Bacteria
136 K25,1
3,27Protein 1+ non
CL 98 HBsAg Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
(12/10) KED AL
reaktf 1/10 67 7,52
Coombs - Feritn
AE 3,9 HB 101544,94
HCT 32,8 Iron
AT 92
271TIBC
PPT04 sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
saturasi
19,9/14,488APTT
UBC 29/29
12 (10/10)
HBsAgAEnon2.44 HB 7.029/9
reaktf, HT 19.7 AT
CEA 0,2 beningn kalsifikasi dinding rectum aspek sinsitra USG Abdomen :
149
27/9 AL 8.03 AE
Al 7.48 ALB3.9
2.65
HbSGOT 42 SGPT
10.4 Hmt 33.340ATBUN
266 44
AlbCR
3.41.42 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga
GDS
SGOT 105
(12/10) NA11.61
26AL
SGPT133
14KAE4.61
BUN CLHB
13
4.23 107
Cr MGAS
1.08
11.3 HT1.5 PPT
urat 19.7/14.9
6.4
35.09/10 GDS
AL 96
7,04Na obstruksi 1/3 distal
(28/9) THORAX PA : ureter fibroid subserosa
tdak tampak kelainan aspek posterior uterus
APTT
139 K 40.1/28.7
3.82 Cl HBsAg
104 Non Reaktf
AE 5 HB 13,9 HCT 42,1 AT 228 PPT 14,4/14,9 APTT 28,5/ 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
28,7 INR 1,05 ALB 4,26 SGOT 22 SGPT 31 BUN 9,7 CR 0,8 tak ada kelaianan, cor dalam batas normal USG payudara post mastek tomi
GDS 88 TSH 3,4 NA 139 K 3,72 CL 106 MG 2,11 T4 TOTAL mammae bilateral, tak tampak residif massa pada dinding dada bilateral
5,2 HBsAg non reaktf
(16/10) Rivalta test -. APTT 29,9(30) AU 12,8 (15/10) (14/10) Thorax: efusi pleura masif S yang mendorong struktur mediastnum
rivalta test -. Kadara glukosa cairan 143. kadar protein ke arah D dengan kolaps pulmo S.
cairan 4,92 APTT 49,4(30) (14/4) Urin: blood 3+ lekosit
esterase 1+ Eritrosit 62329 Leukosit 32 bacteria 5 Protein
1+. GDP 114 (13/4) AL 6,66 hb 14,6 Hct 43,7 AT 186 Neu
71,6 Alb 3,94 OT/PT 20/21 BUN 5 Cr 2,22 CK 87 CKMB 42
Na 139 K 4,91 Cl 99 hs-Troponin I 83,4
Pasien Pulang
(12/10) AL 20.50 AE 4.12 HB 11.6 HT 33.9 AT 423 9/10 (26/9) Thorax: dbn
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9
APTT 26.7/28.7 INR 1.41 ALB 3.68 SGOT 15 SGPT 27 BUN
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
(13/10) AL 16.4 AE 4.33 HB 13.0 HT 38.7 AT 237 10/10 10/10 USG : Tak tampak kelainan pada hepar, vesica felea, lien, pancreas,
AL 7,45 AE 5,03 HB 14,8 HCT 46,1 AT 298 PPT 13,6/15,4 kedua ren. Tak tampak metastasis pada organ-organ tersebut. Tak tampak
APTT 26,9/30,1 INR 0,98 BUN 9 CR 0,63 GDS 96 limfadenpat paraaorta 6/9 thorax PA : tidak ada kelainan
(16/10) PPT 1,4(14) APTT 31,6(30) INR 0,97 BUN 35 Cr 10/10 THORAX PA : tak tampak kelainan 6/10 MSCT ABDOMEN : massa
5,30 Na 142 K 4,87 Cl 108 AL 13,04 Hb 10,3 Hct 32,1 AT retroperitoneal yang meluas ke antero sinistra dan mendorong ren dextra
193Neu 64,7 (15/10) AL 14,75 Hb 10,5 Hct 30,6 AT 205 ke antero medial DD teratoma DD liposarcoma 5/10 USG ABD : massa di
Neu 68,1 (13/10) AL 10.53 AE 3.58 HB 10.1 HT 29.8 AT retroperitoneal yang mendorong ren dextra ke arah anteromedial susp.
190 BUN 45.40 CR 7.33 NA 142 K 2.67 CL 108 11/10 BUN omental mass, 3/10 THORAX PA : tidak tampak kelainan8/2 USG
27 CR 4.09 NA 143 K 1.89 CL 106 10/10 AL 9,52 AE 3,54 abdomen : massa solid di posteromedial yang mendorong ren dextra ke
HB 10 HCT 30 AT 387 PPT 14/15,4 APTT 28,3/30,1 INR antro medial, penebalan omentum dan mesenterium suspek peritoneal
(15/10) AL 8,71 Hb 10,4 Hct 31,7 AT 267 Neu 61,8 9/10 PEDIS AP/L : tak tampak fraktur maupun dislokasi pedis, senile
(12/10) AL 8.57 AE 3.09 HT 26.9 AT 289 11/10 AL 9.10 AE osteoporosis, THORAX PA : tak tampak kelainan paru jantung, old fraktur
3.12 HB 8.9 HT 28.5 AT 337 PPT 15.3/13.9 APTT costae III-IV posterior dextra dan os clavicula dextra pars terta media , USG
32.0/30.6 INR 1.13 SGOT 15 SGPT 9 BUN 22 CR 1.58 GDS ABD: tak tampak kelainan abdomen 12/9 THORAX PA : tak tampak kelainan
122 HBsAg Non Reaktf NA 142 K 4.01 CL 108 9/10
HBsAg
(14/10)non reaktf
Na 143 NA 142
K 4,41 K 4,41
Cl 104 CL 105
Ca 2,15 7/10 FT4
(13/10) AL 11,9
1.54AE 9/10 CERVICAL AP/L : struma regio colli anterior sinistra yang sedikit
3,34 HB 9,8 HCT 30,5 AT 357 ALB 3,45 SGOT 15 SGPT
TSH 0.06 NA 141 K 4.08 CL 103 MG 2.20 CA 2.25 12/10 10 menyempitkan dan mendeviasi tracea ke arah dextra, kompresi ringan VC 6,
BUN 16,9 CR 1,52 GDS 119
AL 16.57 AE 5.00 HB 13.5 HT 41.1 11/10 FT3 3.11 FT4 THORAX PA : tak tampak kelainan 3/10 THORAX PA : tak tampak kelainan,
1.23 TSH 0.08 7/10 AL 8,72 AE 5,11 HB 13,7 HCT 42,8 AT USG THYROID : mengarah gambaran struma nodusa thyroid bilateral
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83
SGOT 16 SGPT 18 BUN 13,1 CR 1,48 GDS 132 FT4 1,17
TSH 0,21 NA 143 K 4,15 CL 104 HBsAg non reaktf 4/10
(13/10)
AL 10,62AL
AE13.1
5,28AEHB3.43
13,8HB 8.343,1
HCT HT 27.5 AT PPT
AT 321 609 14,8/15
PPT 13/10 USG ABD : Ascites, lesi solid kistk intraperitoneal mengarah massa
15.1/13.9
APTT 27,3/28,9 INR 1,08 ALB 4,44 SGOT 15 SGPT 19BUN ovarial malignant dengan kecurigaan infiltrasi ke uterus, mild hidronefrosis
APTT 31.5/28.9 GDS 99
13,6 CR 1,45 GDS 143 FT4 1,35 TSH 0,45 NA 143 K 4,53 sinistra, rectum dan sigmoid tak tervisualisasi karean tertutup massam, tak
CL 101 T3 TOTAL 1,47 T4 TOTAL 8,4 tampak limfadenopat paraaortci. BONE SURVEY : Tak tampak gambaran
skeletal metastasis, terpasang DJ stent dengan ujung proximal melingkar
baik di priyeksi renal outline sinistra dan ujung distal melingkar baik di
proyeksi cavum pelvis
(12/10) AL 6.99 AE 3.88 HT 32.8 AT 328 (9/10) AL 6,47 9/10 THORAX PA : efusi pleura dextra, mixed type (subpleural dan nodular
AE 3,63 HB 10,3 HCT 31,8 AT 384 ALB 3,21 SGOT 21 SGPT type) pulmonal metastase 6/10 MSCT KEPALA KONTRAS : massa di
12 BUN 4 CR 0,65 GDS 134 NA 139 K 3,41 CL 102 5/10 suprapalatum durum sinistra yang meluas ke septum nasi dan sinus
AL 8,23 AE 3,29 HB 9,4 HCT 29,1 AT 396 PPT 17,9/13,9 maxilaris bilateral terutama sinistra terutama mendestruksi palatum durum
APTT 31,2/ 29,4ALB 3,22 SGOT 19 SGPT 13 BUN 7 Cr dextra 5/10 Thorax PA : efusi pleura masif dextra dengan pleural reacton
0,73 GDS 176 HBsAg Non Reakt na 140 k 3,95 cl 100 sinistra, mixed type ( subpleural dan nodular pleural ) pulmonal metastase,
4/10 AL 5,12 AE 4,18 HB 12,3 HCT 35,9 AT 191 7/9 OPG : defect os macsilaris sinistra et dextra dengan multpel missing
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 teeth,
10/10 THORAX
THORAX PA PA :: tdak
efusi tampak
pleura bilateral,
kelainan USG
29/8THYROID
CERVICAL: limfadenopat
AP/L : spasme
colli bilateral dengan tanda malignan
AL 13.84 AE 4.12 HB 12.3 AT 275 10/10 AL 6,99 AE 4,04 muskulus interspinalis cervicalis
HB 11,7 HCT 35,3 AT 289 PPT 15,1/15,4 APTT 29,8/30,1
ALB 4,24 SGOT 16 SGPT 15 BUN 9,3 CR 0,75 GDS 89
HBsAg non reaktf FT4 1,06 TSH 1,79 NA 137 K 3,74 CL
101 18/9 FT3 2,83 FT4 1,17 TSH 1,27, CA 2,16 10/9 ALB
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
(13/10) AL 6.01 AE 2.71 Hb 8.4 HT 26.1 AT 132 NA 136 K (11/10) Thorax: dbn (10/9)USG ABD : cystts, USG PAYUDARA : ca mamae
3.70 CL 98 sinistra disertai dengan disertai oedemacendrung malignadengan nodal
metastase di axila sinistra, simple cyst mamae dextra
(12/10) AL 14.17 AE 3.69 HB 11.9 HT 31.9 AT 242 11/10 (11/10) Bone survey: tak tampak gambaran metastasis. Thorax: dbn. USG
AL 4.33 AE 4.11 HB 12.0 HT 36.3 AT 247 ALB 4.59 SGOT abdomen: tak tampak kelainan. USG Tumor Mammae Dextra, Susp Ca
17 SGPT 21 BUN 14 CR 0.75 GDS 108 HBsAg NR NA 146 K Mamae Sinistra
3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/
30.6 INR 1.17
(12/10) PTT 12.7/14.6 APTT 28.3/28.9 HBsAg Non reaktf 12/10 RO THORAX PA : Pulmo tak tanpak kelainan, Besar cor normal
CKMB 30 CK/CPK 164 (11/10) AL 11.6 AE 4.09 HB 12,6
HT 38.3 AT 285 ALB 3.83 SGOT 13 SGPT 19 BUN 2.50 CR
0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34
(13/10) AL 7.18 AE 3.78 HB 11.6 HT 34.9 AT 248 12/10 (20/9) Thorax: dbn (28/7) TACI: telah dilakukan lokal regional chemo
AL 6.35 AE 3.91 HB 11.9 HT 37.0 AT 277 PPT 13.9/14.6 infusion carboplatn 150 mg dan doxorubicin 10 mg pada tumor mammae
APTT 35.8/28.9 ALB 4.2 SGOT 16 SGPT 21 BUN 20 CR S residif
1.19 GDS 105 HBsAg Non Reaktf NA 146 K 3.83 CL 104
CA 2.15
(13/10) AL 8.06 AE 4.72 HB 13.0 AT 204 (10/10) AL 6,96 12/10 Cervical AP/Lat Spasme M.Intersopinalis Cervicis 5/6 USG
AE 4,62 HB 12,7 HCT 37,2 AT 227 PPT 15,5/15,4 APTT PAYUDARA :susp multpel fibroadenoma mamae sinistra,
29,6/30,1 SGOT 12 SGPT 14 BUN 6 CR 0,78 GDS 110
HBsAg non reaktf FT4 1,18 TSH 7,85 CA 2,14
11/10 AL 9.20 AE 4.30 HB 10.9 HT 33.5 AT 146 9/10 AL 4/10 THORAX PA : tidak tampak kelainan
6,47 AE 4,59 HB 11,4 HCT 37,4 AT 396 PPT 14,8/15 APTT
30,9/28,9 ALB 4,4 SGOT 9 SGPT 17 BUN 7 CR O,72 GDS
95 NA 139 K4,43 CL 97
12/10 AL 11.66 AE 4.97 HT 34.9 AT 357 7/10 ALB 4,21 6/10 USG PAROTIS : complex cyst glandula parots sinistra dan simpel cyst
NA 141 K 4,93 CL 106 5/10 AL 10,34 AE 5,12 HB 11,6 HCT glandula parots dextra 28/8 THORAX PA : tdak ada kelainan 6/3 usg
36,4 AT 390 PPT 15,1/13,9 APTT 36,3/29,4 SGOT 13 SGPT parotis/leher/thyroid : simple cyst glandula parots sinistra
10 BUN 10,9 CR 0,7 GDS 111 HBsAG non reaktf
13/10 AL 215 2.86 HB 7.9 HT 24.8 AT 30 PPT 18.3/13.9 13/10 THORAX PA : Edema pulmonum intersttal, pelebaran mediastnum
AOTT 28.3/28.9 INT 1.39 ALB 3.09 SGOT 28 SGPT 23 BUN proyeksi paravertebra dextra setnggi Th 1 s/d 9 ec massa mediastnum
16.70 CR 1.46 GDS 175 NA 139 K 3.68 CL 102 (konfirmasi MSCT Thorax 04/0/17) disertai deviasi trakea ke arah
PROCALCITONIN 0.52 laterodextra
10/10 HB 13.4 HT 40.3 AL 4.25 AT 167 19/09 TB lama, tdak tampak persebaran skeletal
10/10 AL 7,33 AE 4,69 HB 10,3 HCT 34,9 AT 192 10/10 3/10 THORAX PA : tidak tampak kelainan 25/8 MSCT Cervical nodul intra
AL 6,82 AE 4,28 HB 9,7 HCT 32 AT 30,3 8/10 AL 7,07 AE glandular thyroid dextra dengan nodal metastase (t2n1Bm1) 25/8 msct
4,03 HB 8,7 HCT 27,6 AT 257 ALB 2,52 6/10 AL 9,47 AE kepal : brai metastase di lobus occipital dextra, pons, dan lobus temporalis
3,93 HB 8,4 HCT 28,3 AT 223 ALB 2,68 5/10 AL 8,7 AE sinistra
3,74 HB 8,1 HCT 26,7 AT 238 ALB 2,65 GDS 105 FT3 2,06
FT4 1,06
12/10 ALTSH
8.643,053/10 AL 8,01
AE 3.87 HB AE29.0
9.9 HT 3,3711/10
HB 6,6ALHCT 23,7
4.81 AE 29/08 USG Gambaran mengarah fibroscystc Mammae Bilateral, Tak
AT
4.47 HB 11.4 AT 227 PPT 13.9/13.9 APTT30.0/30.6 INR13 tampak limfadenopat axilla dan supraclavicula dextra et sinistra
284 PPT 16,1/15,4 APTT 37,2/29,6 ALB 2,62 SGOT
SGPT 6 BUN
1.00 ALB 4.499,6 Cr 0,59
SGOT GDS 65
16 SGPT 13 HBsAg nonCR
BUN 11.6 reaktf Na 98
0.75GDS
137 K 4,26 CL 1004/02/2017
HBsAg NR NA 138 K 4.10 CL 105 AL 7,32 AE 4,28 HB 10,9
HET 32,8 AT 378 PPT 13,3/12,8 APTT 22/31,1SGOT 13
SGPT 15 BUN 10 CR 0,62 GDS 78 HBsAg NON REAKTIF NA
138 K 3,82 CL 103
10/10 NA 140 K 3,18 CL 105 9/10 AL 8,81 AE 4,32 HB 10/10 MSCT KEPALA : Multcistk dengan perilesion enhancement dan
12,8 HCT 38,5 AT 2,91 PPT 15,3/14,9 APTT 23,9/28,7 ALB kalsifikasi ec dd brain metastase, oligodendroglioma, USG ABD : tak tampak
3,46 SGOT 23 SGPT 28 BUN 4 CR 0,47 NA 140 K 2,51 CL kelainan pada organ abdomen 9/10 THORAX PA : tdak tampak kelainan
103
11/10 AL 14.07 AE 4.16 HB 11.9 HT 35.2 AT 248 7/10 al 18/6 USG THYROID : gambaran tumor troid sinistra, THORAX PA : rigiditas
7,28 ae 4,18 hb 11,8 hct 35,7 at 271 ppt 13,2/14,6 aptt cervical karena musculospasme spondylosis cervical
28,5/27,9 FT4 1 tsh 0,27 na 145 k 3,99 cl 107 ca 2,29 inr
0,95 LB 4,13 SGOT 16 SGPT 19 ALB 4,13 BUN 11,6 CR
0,62 GDS 107 HBsAg non reaktf 18/6 AL 9,7 AE 4,53 HB
12,8
11/10HCT
AL 37,9
15.70ATAE268 GDS
4.16 HB177
11.0FT4
HT16,1
33.3TSHs 0,0789/10
ALB 2.63 2/10 Ro kepala 3 posisi : soft tssu tumor yang menyempitkan airway
AL 17,41 AE 3,25 HB 8,2 HCT 26,1 AT 427 ALB 2,29 NA susp.tumor residif mandibula, Thorax PA : tdak tampak kelainan pada
143 K 4,35 CL 104 4/10 AL 13,25 AE 3,77 HB 9,7 HCT thorax, Cervical AP/L : soft tssue tumor yang menyempitkan airway susp.
30,2 AT 591 PPT 17,5/15 30,7/28,9 INR 1,33 ALB 2,75 Tumor mandibula residif, 2/10 MSCT kepala : residu soft tsue sarcom di
SGOT 39 SGPT 54 BUN 8 CR 0,86 GDS 121 HBsAg non mandibula sinistra yang mendestruksi margo angulus hingga corpus os
reaktf NA 139 K 4,51 CL 99 mandibula sinistra, sinusits maksilaris sinistra, terpasang plat dan screw
dari margo angulus mandibula dextra hingga regio mandibula sinistra
10/10 AL 19,42 AE 3,55 HB 9,6 HCT 30,1 AT 304 ALB 15/9 Ro thorak : Pulmo tak tampak kelainan, tak tampak pulmonal
2,02 10/10 A8/10 AL 23,12 AE 4,09 HB 10,4 HCT 33,6 AT metastasis, besar cor normal 12/9 Cervical AP/Lat mengarah gambaran
289 7/10 AL 19,35 AE 3,44 HB 9,3 HCT 28,7 AT 214 PPT tumor mandibula sinistra dengan tanda tanda malignancy yang meluas
21,8/14,6 APTT 30,2/27,9 INR 1,74 ALB 1,93 SGOT 10 terutama ke inferior dengan destruksi tulang dan soft tssue sekitarnya
SGPT 16 BUN 8,8 CR 0,4 GDS 76 NA 138 K 3,75 CL 105 dengan area nekrotk dan fragmen gigi, sponylosis cervicalis, kompresi VC
5/10 AL 21,09 AE 3,62 HB 9,8 HCT 30,5 AT 218 PPT 4,5,6, penyempitan DIV cervical 6-7, MSCT kepala kontras massa di corpus
22,1/13,9 APTT 38/29,4 INR 1,76ALB 2,31 BUN 8 CR 0,64 mandibula sinistra yang meluas ke glots, subglots, melibatkan gigi,
GDS 142 NA 143 K 3,67 CL 106 3/10 AL 18,21 AE 3,37 mendestruksi corpus mandubla sinistra, menyempitkan airway (suspek
HB9,2 HCT 28,6 AT 221 ALB 1,730/9 Al 58 AE 1.78 Hb 4.4 amelobalstk carcinoma)
Hmt 15 AT 489 PPT 16.7/14.5 INR 1.26 APTT 28.7/28.8
Alb 1.96 SGOT 22 SGPT 27 BUN 32 Cr 1.81 GDS 167
HBsAg NR Na 132 K 5.01 Cl 96 retculosit 2.293 feritn
64.08 Iron 8 TIBC 129 Saturasi 5 UIBC 121 PCT 4.63
10/10 AL 13,22 AE 3,63 HB 10 HCT 30,6 AT 654 7/10 AL 4/10 USG Thyroid : Simple cyst intraglandular parots bilateral, nodal
10.91 AE 3.7 HB 10.4 HCT 32.2 226 PPT 17.2/15.4 APTT metastasis supraklavikula sinistra, multple limfonodi inguinal dekstra et
36.2/29.6 INR 1.3 ALB 2.8 SGOT 70 SGPT 31 BUN 16.0 CR sinistra dan aksilla sinistra dengan morfologi normal
1.08 GDS 108 NA 129 K 4.11 CL 93 HBsAg REAKTIF
6/10 AL 9,75 AE 3,96 HB 10,9 HCT 32,5 AT 235 4/10 AL 25/9 THORAX PA : tdak tampak kelainan
9,20 AE 4,4 HB 12 HCT 35,8 AT 276 PPT 15,5/15 APTT
31,4/28,9 INR 1,15 ALB 4,57 SGOT 24 SGPT 14 BUN 9 CR
0,6 GDS 135 HBsAg non reaktf NA 141 K 3,84 CL 100
4/10 AL 11,14 AE 4,21 HB 12,8 HCT 39,3 AT 232 2/10 AL 2/10 USG ABD : tak tampak kelainan 2/10 usg payudara : massa ireguler
7,28 AE 4,35 HB 13,9 HET 41,1 AT 273 PPT 14,3/15,1 mamae dextra disertai nodal metastasis di axilary tail dextra sesuai
APTT 28,8/ 28,4 ALB 4,53 SGOT 11 SGPT 8 BUN 5,20 CR klasifikasi BIRADS V
0,73 GDS 73 NA 140 K 4,27 CL 103
9/10 AL 15,66 AE 4,39 HB 12,8 HCT 37,3 AT 341 7/10 FT3 20/9 THORAX PA : tidak tampak kelainan, USG ABDOMEN : tdak tampak
2,38 FT4 1,54 TSH 0,9 T3 TOTAL 0,46 T4 TOTAL 8,5 20/9 kelaianan, USG PAYUDARA : massa di arah jam 9 mamae sinistra dengan
AL 8,67 AE 3,96 HB 11,9 HCT 35,7 AT 243 PPT 15,9/13,4 suspicious malignancy, multpel FAM mamae dextra et sinistra
APTT 28,9/30,1 ALB 4,5 SGOT 13 SGPT 14 BUN 3,9 CR
0,58 GDS 97 NA 151 K 4,24 CL 111
3/10 AL 5,97 AE 4,56 HB 13,8 HCT 40,3 AT 281 SGOT 32 2/10 bone survey : tak tampak kelainan skletal metastase, USG Abdomen :
SGPT 42 BUN 9,6 CR 0,6 GDS 113 HBsAg Non reaktf tdak tampak kelainan , Thorax PA : tak tampak pulmonal metastase
7/10 AL 8,15 AE 3,63 HB 10,7 HCT 31,8 AT 122 3/10 AL 3/10 cervikal AP/L Fraktur kompres vertebre cervicalis III,IV,V susp bone
8,29 AE 2,19 HB 6,6 HCT 28,7 AT 191 PPT 18,6/15 APTT metastase ,Thorax PA : pneumonia bilateral dengan efusi pleura sinistra
31,9/28,9 INR 1,43 susp pleural type pulmonal metastase
6/10 AL 14,43 AE 4,21 HB 10,5 HCT 32,6 AT 354 CA 1,81 3/10 VERVICAL AP/L : soft tssu mass regio colli anterior sinistra , spasme
3/10 AL 6,87 AE 4,74 HB 11,8 HCT 37,2 AT 349 PPT musculus interspinalis cervicalis, THORAX PA : cardiomegali, pulmo tak
15/15,4 INR 1,11 APTT 29,1/29,6 ALB 4,56 SGOT 21 SGPT tampak kelainan, tak tampak skletal metastase, 5/9 thorax PA : tak tampak
20 BUN 9,1 Cr 0,67 GDS 138 HBsAg non reaktf FT3 3,1 kelainan
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
06/10 AL 12,95 AE 2,23 HB 6,9 HCT 22,4 AT 44 ALB 2,25 18/9 CERVICAL AP/L : susp spasme musculus interspinalis cervicalis, soft
BUN 197,2 CR 12,72 NA 146 K 7,72 CL 110 tsuue mass di regio colli bilateral terutama dextra aspek inferior yang
mendiviasi trachea ke arah sinistra dan menyempitkan di setnggi VC 3-6,
THORAX PA : edema pulmonum dengan efusi pleura bilateral minimal,
cardiomegali, penebalan mediastnummsuperior susp.thyroid retrosternal
28/9 AL 10,58 AE 5,12 HB 13,7 HCT 44,4 AT 302 PPT 4/10 THOrax PA : tak tampak kelainan
14,6/14 APTT 30/30,2 ALB 5,44 SGOT 10 SGPT 23 BUN 7
CR 0,69 GDS 116 HBsAg non reaktf FT4 1,58 TSH 1,58 Na
140 K 4,36 Cl 98
3/10 AL 8,01 AE 3,45 HB 12,5 HCT 35,6 AT 261 GDS 141 28/9 Ro thorak Traping effusion dextra, cor normal 19/9 ct scan kepala
NA 141 K 3,51 CL 104 29/9 Alb 3.72 Na 138 K 3.84 Cl 103 Multple lesi di lobus frontalis kiri, temporooccipital kanan dan hemisfer
Prot total 7.2 28/9 Al 7.41 AE 4.38 Hb 15.6 Hmt 45.6 AT cerebelum bilateral dengan perifokal edem sesuai dengan gambaran brain
218 30/8 AL 12,3 AE 3,24 Hb 11,7 HCT 36 AT 208 29/8 AL metastasis, sphenoidits 6/7 Ro Thorax : Pulmo tak tampak kelainan, Cor
4,29 AE 3,47 Hb 12,4 HCT 36,9 AT 236 Alb 3,74 OT/PT normal.
21/18 BUN/crea 11/0,73 GDS 92 HbsAg (-) Cl 103 Na 138
K 3,68
5/10 AL 14,31 AE 4,49 HB 10,8 HCT 33,3AT 371 3/10 AL 22/9 thorax PA : tdak tampak kelainan
7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4
APTT 28,4/29,6 SGOT11 SGPT 15 BUN 8,6 Cr 0,92 GDS
145 HBsAg non reaktf NA 140 K 3,81 CL 104
5/10 AL 7,85 AE 3,66 HB 11,2 HCT 35,5 AT 135 4/10 AL 4/10 Thorax PA : tak tampak kelainan 28/8 USG PAYUDARA : lesi solid
8,21 AE 3,86 HB 12,6 HCT AT 179 PPT 13,5/15 APTT hiperekoik soliter pada subkuts mamae dextra
23,6/28,9 INR 0,97 ALB 4,3 SGOT 34 SGPT 19 BUN 7 Cr
0,76 GDS 110 HBsAg non reaktf NA 142 K 3,88 Cl 102
5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186
4/10 AL 8,52 AE 4,77 HB 9,7 HCT 33,3 AT 419 PPT 18/09 Thorax PA : efusi pleura blateral dd subpleural ype pulmonal
15,6/15 APTT 35,5/28,9 INR 1,16 ALB 2,81 SGOT 27 SGPT metastase
13 BUN 6 CR 0,7 GDS 115 HBsAg non reaktf NA 141 K
4,56 CL 103 18/9 AL 9,74 AE 4,72 HB 9,4 HCT 32,5 AT 532
PPT 15,3/14,2 APTT 34,1/33,8 SGOT 24 SGPT 16 BUN 4,5
CR 0,47 GDS 154 NA 137 K 4,44 CL 102
2/10 AL 16,66 AE 4,54 HB 14,4 HCT 41 AT 242 1/10 GDS R22/9 Ro thorak Pulmo tak tampak kelainan, besar cor normal USG
139 28/9 Al 6.44 AE 4.74 Hb 14. Hmt 42.6 AT 237 PPT thyroid massa di parots sinistra dengan gambaran benign sesuai gambaran
14.4/1.05 INR 1.05 APTT 33.4/30.2 Alb 4.42 SGOT 34 adenoma, limfadenopathy regio colli sinistra
SGPT 62 BUN 10 Cr 1.07 GDS 211 HBsAg NR Na 136 K
3.94 Cl 99 Ca 2.09
2/10 AL 10,47 AE 4,3 HB 12,6 HCT 38,4 AT 205, 1/10 PPT 29/8 Cervical AP/Lat Soft tssue mass di regio inferior colli dextra, spasme
14.4/14.8 INR 1.05 APTT 30.7/29 27/9 Al 5.9 AE 4.63 Hb musculus interspinalis cervical, spondilosis cervicalis, penyempitan DIV VC
13.5 AT 225 Alb 4.15 SGOT 15 SGPT 13 BUN 11.8 Cr 0.82 5-6 USG thyroid Multple lesi hipodens di thyroid dextra sesuai klasifikasi
GDS 117 HBsAg NR Na 142 K 3.9 Cl 105 07/04 Al 12.66 TIRADS 4, multple limfadenopat di supraklavicula dextram submentum,
AE 4.45 Hb 12.8 Hmt 41 AT 281 submandibula dexra dan cervicalis bilateral sesuai gambaran nodal
3/10 AL 5,97 AE 4,56 HB 13,8 HCT 40,3 AT 281 SGOT 32 metastase
2/10 bone 3/8 USG: tak
survey Abdomen
tampak Tak tampak
kelainan kelainan
skletal Ro thorak
metastase, USGpulmo
Abdomentak :
SGPT 42 BUN 9,6 CR 0,6 GDS 113 HBsAg Non reaktf tampak kelainan, besar cor normal
tdak tampak kelainan , Thorax PA : tak tampak pulmonal metastase
3/10 GDS 142 NA 138 K 4,34 CL 100 MG 2,2 CA 2,51 PPT 29/9 cervikal AP/L massa soft toissu di coli anterior dextra yang mendorong
16,7/15,4 INR 1,26 APTT 31,9/29,6 HBsAg non reaktf sedikit menyempitkan airway, tak tampak tanda keganasan pada sistema
CK/CPK 32 CKMB 15 FT4 0,49 TSH 2,88 HS-TROPONIN I tulang yang tervisualisasi 9/8 Ro thorak susp mass thyroid USG Thyroid
106,5 , 28/9 Al 9.96 AE 4.04 Hb 11.7 Hmt 35.8 AT 329 struma nodusa throid bilateral cenderung bening
PPT 14.9/14 INR 1.09 APTT 32.3/30.2 Alb 3.77 SGOT 14
SGPT
30/9 Al6 BN 6.9AE
29.26 Cr 4.08
0.64 Hb
GDS11.7
248Hmt
HBsAg NR336
35 AT Free27/9
T4 0.41
Al 17/5 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal
TSH
2.29 AE 3.86 HB 10.9 Hmt 33.2 AT 314 SGOT 31 SGPT AE
2.76 Na 141 K 3.72 CL 101 Ca 2.34 10/8 Al 13.14 49 metastasis 30/3 Bone survey tak tampak gambaran metastasis USG
4.25
BUN Hb7 Cr12.4
0.54Hmt 37.81.9
AS urat AT GDS
359 PPT
98 15.5/13.5 INR 1.15 abdomen : Fatty liver USG payudara tak tampak residua mass pada mmae
APTT 31.3/28.6 SGOT 13 SGPT 10 dextra
30/9 Al 17,43 AE 3,68 HB 9,9 HT 28,6 AT 300 SGOT 250 28/9 USG ABDOMEN UPPER LOWER multpel nodul di hepar lobus dextra
SGPT 61 GDS 155 K 3,7 CL 81 NA 113 28/9 Bil tot 0.53 Bil et sinistra mengarah pada hepatal metastasis, fettal intra uteri, tak tampak
direct 0.34 Gamma GT 79 Fosfatase alkali 94 HBsAg NR metastasis pada vesika velea, lien, pancreas, kedua ren, vesica urinaria,
Ant HCV total 0.007 AFP 21.74 27/9 Al 10.68 AE 4.08 Hb mapun uterus
11.5 Hmt 31.8 AT 288 PPT 15.1/14.6 INR 1.11 APTT
26.3/30.8 Prot total 6.4 Alb 3.45 SGOT 1280 SGPT 64
BUN 6.00 Cr 0.67 GDS 127 HBsAg NR Na 135 K 3.77 Cl
102
30/1 Ca 2,04 27/9 Al 12.78 AE 4.61 Hb 11.6 Hmt 36.3 AT 20/9 Thoral : Pulmo tak tampak kelainan
303 25/9 Al 8.49 AE 4.83 Hb 12.2 Hmt 38.3 AT 329 PPT
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18
SGPT 20 BUN 8.4 Cr 0.82 GDS 128 HBsAg NR Free T4
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
29/9 Al 12.7 AE 4.33 Hb 10.8 Hmt 33.1 AT 205 28/9 Al 18/9 Ro thorak Pulmo tak tampak kelainan, besar cor normal
6.26 AE 3.9 HB 9.3 Hmt 29.3 AT 224 PPT 15.8/14 INR
1.17 APTT 32.1/30.2 Alb 4.14 SGOT 39 SGPT 42 BUN 12
Cr 0.62 HBsAg NR Na 143 K 3.88 Cl 107 20/9 Al 6.97 AE
4.26 HB 10 Hmt 33.1 AT 217 PPT 14.6/13.4 INR 1.07
APTT 29.1/30.1
29/9 Al Alb HB
9.9 AE 3.69 4.2811.5
SGOTHMT37 33.7
SGPTAT
48182
BUN 10 Cr
28/9 Al 7/6 Ro thorak tak tampak kelainan 7/3 USG abdomen Hepatomegali USG
0.57 GDS 104 Na 144 K 4.02 Cl 106
5.13 AE 3.8 Hb 11.8 Hmt 34.8 AT 196 PPT 14/14 INR 1.02 payudara nodal metastasis di axilla dextra, limfadenopat pada regio axilla
APTT 28.2/30.2 Alb 4.7 SGOT 21 SGPT 24 BUN 9 Cr 0.56 sinistra 28/9/2016 bone survey utak tampak gambaran skeletal metastasis,
GDS 110 HBsAg NR Na 142 Cl 104 K 3.48 7/6 Al 4.43 Ae spondilosis lumbalis
3.76 Hb 11.5 Hmt 35.7 AT 229 SGOT 16 SGPT 29 BUN 9
Cr 0.61 GDS 124
28/9 Al 14.63 AE 4.36 Hb 10.9 AT 403 26/9 Al 6.59 AE 14/8 MSCT Ext bawah kontras : Menyongkong gambaran liposarcoma di
4.57 Hb 11.5 Hmt 36.5 AT 414 PPT 13.9/14.2 INR 1.01 cruris sinsitra aspek inferolateraoposterior yang menginfiltrasi <. Soleus dan
APT 29.3/29.5 Alb 4.31 SGOT 15 SGPT 17 BUN 13 Cr 1.03 cutan regio cruris 8/8 Ro thorak pulmo tak tampak kelainan, besar cor
HBsAg NR Na 140 K 4.18 Cl 104 8/8 Al 6.06 AE 4.76 Hb normal USG Abdomen tak tampak kelainan
12.1 Hmt 37.5 AT 444 PPT 13.9/15.4 iNR 1.01 APTT
27.4/28.3 Alb 4.05
1/10 AL 23,34 SGOT
AE 5,31 HB199,5SGPT
HMT1532,7
BUNAT10 Cr PTT
322 1.01 GDS 1/10 Thorac PA Dewasa Efusi pleura bilateral terutama sinsitra disertai
102 HBsAg NR Cl 104 Na 140 K 3.6
20,3/14,8 INR 1,59 APTT 29,4/29 ALB 3,13 SGOT 24 SGPT atelektasis pulmo sinistra lobus superior, pneumoperitoniu, pneumonia
32 BUN 12 CR 0,46 NA 142 K 4,05 CL 100 FI02 90 pH 7,34 dextra
pCO2 82,3 pO2 188,7 BEecf 18,5 Beb 15,8 HCO3 44,5
PO2FIO2 210,8 30/9 Al 13.56 AE 5.23 Hb 9.7 Hmt 33.5
AT 353 PPT 16/15.7 INR 1.27 APTT 28.3/29.2 Alb 3.32
SGOT 16 SGPT 40 BUN 9 Cr 0.35 GDS 131 HBsAg NR Na
141
29/9KAl3.56 Cl 99
11.05 AEFIO2
3.87 30
HbpH9.77.5
AT pCO2 50 pO2
272 26/9 FIO2686.6
70 pH 21/8 MSCT kontras : Destroyed lung TB pulmo dextra yang menyebabkan
Beecf 15.8 Beb 14.7 HCO3 39.5 PO2FIO2 244.6
7.45 pCO2 45.3 pO2 93.6 BEecf 7.9 BEb 7.4 HCO3 32.1 penarikan struktur mediastnum ke arah dextra disertai emphysema
PO2/FIO2 135.4 Al 9.75 AE 4.37 Hb 10.9 HMT 35.1 AT compensator sinistra dengan herniasis pulmo sinistra ke dextra, TB pulmo
315 GDS 110 Na 140 K 3.82 Cl 101 19/9 BTA I (-) BTA II (-) sinistra lama aktf di apex, pulmo sinistra 10/8 ro thorak : Tb PAru dextra
18/9 FIO2 21 pH 7.48 pCO2 47.2 pO2 77.4 SO2% 96.1 chronik fibrotk type dengan emfisema compensatoir sinistra, nodul pulmo
BEecf 11.3 BEb 10.8 HCO3 35.2 PO2/FIO2 378.6 15/9 Al sinistra susp nodular type pulmonal metastasis
6.46 AE4.28 Hb 10.9 Hmt 34.8 AT 312 PPT 15.4/13.9 INR
1.13 APTT 35.4/31.2 Alb 3.9 SGOT 19 SGPT 13 BUN 9.5
Cr 0.76 GDS 80 HBsAg NR Na 149 K 3.65 Cl 109 18/8 Bun
6 Cr 0.48
30/9 Ca 2.03 28/9 Al 19.12 AE 5.27 HB 14 Hmt 42.3 AT 19/9 USG Thyroid Nodul thyroid bilateral TIRADS 3 9/8 Cervical AP/lat Soft
220 NA 138 K 4.06 Cl 105 26/9 Free T4 1.83 TSH 1.86 tssue mass regio colli dextra ro thorax: Pulmo dan cor tak tampak
24/9 Free T4 1.4 TSH 4.91 19/9 Al 6.85 AE 5.14 Hb 14 kelainan.
Hmt 42.7 AT 254 PPT 14.3/34.1 INR 1.04 APTT 34.1/30.6
Alb 3.85 BUN 8.5 Cr 0.64 Free T4 0.63 TSH 8.98 T3 total
0.8 T4 Total 3.99/8 Al 7.75 AE 5.51 Hb 14.3 Hmt 45.7 AT
352 SGOT 7 SGPT 22 BUN 6 CR 0.71 GDS 152 Free T3
@35 Free T4 1.08 TSH 1.56
28/9 Al 16.28 AE 3.8 Hb 10.2 Hmt 31.2 AT 222 26/9 Al 26/9 Thorak : tak tampak kelainan pada paru, besar cor normal
4.37 AE 4.17 Hb 11.5 Hmt 35.3 AT 203 PPT 14.4/14.2 INR
1.05 APTT 29.6/29.5 ALB 4.09 SGOT 21 SGPT 30 BUN 10
CR 0.71 HBsAg NR Na 140 K 3.45 Cl 103 Ca 15-3 4.7 22/5
Al 4.222 AE 4.19 Hb 10.8 Hmt 25.4 AT 232 SGOT 22 SGPT
27 BUN
1/10 AL 12 CrAE
5,72 0.93 GDS
3,31 HB83
8,9 HT 27,8 AT 176 28/9 AAl 19/9 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal
6.4 Hb 7.9 Hmt 24.6 AT 160 26/9 Al 15.33 AE 3.43 Hb 9.6 metastasis, besar cor normal USG abdomen Polip vesica fellea pembesaran
Hmt 28.9 AT 190 GDS 140 Na 142 K 3.68 Cl 107 25/9 Al uterus dengan terpasan IUD intracavuk uteri USG Payudara Susp
5.47 AE 4.25 Hb 11.7 Hmt 36.1 AT 220 GDS 85 19/9 Al malignancy mamae sinistra, kuadran lateral atas dan susp FAM jam 11.30,
4.71 AE 4.41 Hb 12 Hmt 37.5 AT 205 PP 14.6/14.1 INR spesifikasi BIRADS 5-6
1.07 APTT 32/30.6 Alb 4.28 SGOT 12 SGPT 11 BUN 6.10
Cr 0.78 GDS 99 HbSAg NR Na 141 K 3.36 Cl 105
29/8 AL 6,99 AE 4,56 Hb 12,6 HCT 39,3 AT 228 PPT 15 9/8 MSCT Abd : Multple Limphadenopat para aorta bilateral, para illiaca
(13,3) APTT 30,4 (31,7) INR 1,1 Alb 3,64 OT/PT 38/20 bilateral, mesenterica dextra, inguinal bilateral terutama dextra, sesuai
BUN/crea 13/1,43 GDS 157 HbsAg (-) Cl 105 Na 139 K gambaran Limfoma Maligna Stage II. Hepatomegali disertai massa kistk
4,21 11/8 AL 7,7 AE 5,15 Hb 14,1 HCT 44,8 AT 366 PPT 15 hepar. Simple Cyst Ren sin. Aortosklerosis. 11/8 Ro Thorax : Pulmo tak
(13,9) APTT 29,1 (28,9) INR 1,10 Alb 4,24 OT/PT 25/33 tampak kelainan, cor normal.
BUN/crea 11/1,45 GDS 120 Cl 104 Ca 2,38 Na 138 K 4,39
30/8 AL 10,68 AE 5,54 Hb 15,5 HCT 45,5 AT 239 28/8 AL 8/8 Ro Manus : Soft tssue swelling digit II manus dextra, tak tampak
10,62 AE 5,61 Hb 15,7 HCT 45,9 AT 139 PPT 15,2 (13,9) gambaran chondrosarcoma. 7/8 Ro Thorax : Pulmo tak tampak kelainan, cor
APTT 35,9 (32,2) INR 1,12 Alb 4,62 OT/PT 21/28 normal.
BUN/crea 13/1,24 GDS 128 Cl 104 Na 140 K 4,02
1/9 Al 6.43 AE 4.32 Hb 11.8 Hmt 35.8 AT 222 30/8 AL 6/7 USG Mammae : Massa di Mammae dextra sesuai BIRADS 6. USG Abd :
6,34 AE 4,39 Hb 12,4 HCT 36,5 AT 251 PPT 14,2 (14) Tak tampak kelainan. 6/7 Ro Thorax : Pulmo tak tampak kelainan, Cor
APTT 30,7 (28,5) INR 1,03 Alb 4,66 OT/PT 33/24 normal
BUN/crea 19/0,94 GDS (-) Cl 100 Na 137 K 4,46
PA Tindakan DPJP OK Jam
(7/9) FNAB: sitologi AJH dengan panduan USG r

colli D: tidak didapatkan sel ganas Pro Eksisi biopsi
limfadenopat (18/9/2017) Prof. TA
post insisi biopsi dr. HJ

(17/9/2017)
5/9 AJH : Hisotologi AJH dan cell block regio

thyroid dextra (A) dan regio thyroid sinistra (B).
Suspicious for follicular neoplasm
Post Near Total dr. KS
Tiroidektomi (17/9/2017)
(7/6) AJH FEMUR DEXTRA : didapatkan sel ganas,

pendapat : tumor ganas mesenkimal
kemungkinan synovial sarcoma
Post insisi biopsi dr.KS
(17/9/2017)
(6/10) Histopatologi: skrotum: radang supuratf
dengan area nekrotk, menyokong diagnosis
fournier gangrene 25/8 PA : Low grade
myxofibrosarcoma residif dengan radang
granulomatosa 26/5 PA : Low grde
myxofibrosarcoma dd de differentated
liposarcoma dengan radang granulomatosa
21/11/2016 IHC : sesuai untuk fibroma Post amputasi
(29/09/2017) post
debridement (7/10/2017) dr. HJ
post pemasangan flap
(17/9/2017)
(5/6) pemeriksaan histopatologi jaringan besar :

jaringan tumor regio lengan bawah : karsinoma
sel skuamosa diferensiasi baik dengan dasar
oprasi dan tepi pertengahan superior dan lateral
(A2) tdak bebas tumor 18/8 PA Regio lengan
bawah karsinoma sel skuamosa diferensiasi baik
dengan dasar operasi dan tepi pertengahan Post Eksisi Luas + Skin Graft dr. HJ
superior dan lateral (A2) tdak bebas tumor, invasi
perivaskuler (+)
(13/10) Imunohistokimia: sesuai untuk

fibrosarcoma (29/9) HISTOPATOLOGI JARINGAN
SEDANG : tumor ganas mesenkimal, pendapat : Post rekonstruksi
fibrosarcoma dd leimyosarcom pemasangan plate dr. WJ
(9/10/2017)
(26/8) AJH : Karsinoma Skuamosa Karnifikans

Mandibula
Pro Operasi dr. KS
Post debridement dan dr.HJ
rehectng (17/9/2017)
(31/1) Histopatologi: jaringan payudara post

mastektomi atas indikasi Ca mammae D T4N2M1
post neoadjuvant dan post radioterapi: jaringan
fibrosis dengan ulserasi dan radang supuratf perbaikan KU dr.KS
tanpa tumor. (13/4) AJH MAMAE DEXTRA :
karsinoma ductal invasif IHC+ ER+ PR+
2/10 AJH REGIO MAMAE SINISTRA : didapatkan

sel ganas, pendapat ductal carsinoma nuclear Post modified radikal
grade III dr.KS
mastectomy (13/10/2017)
Post core biopsi mammae dr. TW 1.01 12.00

(17/9/2017)

colli D: tidak didapatkan sel ganas Pro Eksisi biopsi Prof. TA
limfadenopat (18/9/2017)
Perbaikan KU dr.HJ
(2/10) Histopatologi biopsi: kolon sigmoid:
kolits kronis non spesifik. Rectum: prokits konis
non spesifik (23/6) Pap smear : Papaniculaou
klas II : radang tdak khas dengan sel skuamous perbaikan KU dr. KS
atpi
Perbaikan KU dr.HJ
Post near total

throidektomy, post
dr.WJ
evakuasi hematom
(12/10/2017)
(19/6/2016) Histopatologi: biopsi kulit secra

histologis masih mungkin suatu vaskulitis
perbaikan KU dr.HJ
(6/9) AJH scapula: radang granulomatosa dengan

supurasi. Tidak didapatkan sel ganas
Post Insisi Abses, Kultur dr.WJ
Biopsi (12/10/2017)
21/8 AJH MAMAE SINISTRA : karsinoma duktal

infiltrat
post completon dr.WJ
4/1 PA jaringan sedang : jaringan tumor

retroperitoneal : well diferentated liposarcoma
perbaikan KU. pro DJ stent dr.WJ
(urologi)
16/6 PA : Squamous cell carsinoma well
diferetiated dengan dasar oprasi bebas tumor Post Amputasi Pedis
Dektsra Lisfranc + Diseksi dr. HJ
Inguinal (12/10/2017)
(9/10) FNAB : troid (D): bethesda system class 2:

benign folicular node. Tiroid (S): Bethesda system
class II:benign colloid nodule Post near total
thyroidektomi dr. HJ
(13/10/2017)
(21/9) Sitopatologi: sitologi cairan ascites I dan

cairan kista II: didapatkan sel ganas
Histopatologi: kapsul kista ovarium: kistadenoma
serosum, jaringan peritoneum nodule: metastasis Pro core biopsi dr. TW
adenokarsinoma
19/4 HISTOPATOLOGI JARINGAN KECIL : jaringan

mukosa palatum : adenoid cystc carsinoma high
grade post hemomaksilektomi +
rekonstruksi mesh plate dr. HJ
(12/10/2017)
(10/10) Thorax: dbn (11/9) HISTOPATOLOGI

JARINGAN TIROID : papilary carcinoma dengan
invasi ke kapsul, invasi kepembuluh darah, ukuran
terbesar tumor 2cm dan metastase ke dua buah Post total troidektomi dr.HJ
limfonodi yang diterima, 18/5 AJH KELENJAR (12/10/2017)
TYROID : susp. Folicular neoplasma
11/4 AJH MAMAE SIN : Carsinoma ductal nuclear

grade III meluas ke regio axila sinistra
post MRM (11/10/2017) dr.HJ
AJH massa mammae dekstra jam 12 : Sijumpai sel
ganas. Kesan Keganasan Epithelial
Post MRM (12/10/2017) dr.KS
Post muscle biopsy dr.TW

(13/10/2017)
MRM dr.WJ
(13/10) AJH : Lesi fibrokistk

post eksisi biopsi dr.TW
(13/10/2017)
7/2 AJH NODUL PANGKAL PAHA KIRI : sarkoma

dengan radang kronik eksaserbasi akut Post Eksisi Luas + Diseksi dr. WJ
Inguinal (11/10/2017)
pro parotdektomi dr.KS
Eksisi biopsi regio axilla et dr.HJ

coli
IHC : ER - PR - HER 2 + KI 67
Perbaikan KU prof. TA
25/8 imunohistokimia : sesuai untuk tumor
diferensiasi neural, masih mungkin suatu
melanoma maligna Post debulking tumor dr. HJ
(10/10/2017)
Eksisi Tumor dr.HJ
21/7/16 AJH MAMAE DEXTRA : didapatkan sel

ganas, pendapat ductal carcinoma, nuclear grade
III Perbaikan KU dr.HJ
hemitroidectomy prof. TA
10/3 PA : jaringan tumor regio mandibula

anterior : undifferentated pleomorfic sarcoma,
angionivasi (+), jaringan limfonodi sub
mandibula : 3 buah jaringan limfonodi dengan perbaikan KU + dr. HJ
sinus histositosis, tanpa tumor radiotherapy
23/8 histopatologi mandibula : Undifferentated

Carcinoma
Perbaikan ku +
dr. WJ
radiotherapy
22/9 AJH Hepar Lobus Dekstra : didapatkan sel
ganas, pendapat : karsinoma hepatoseluler
post biopsi (9/10/2017) dr.WJ
26/9 AJH : AJH mamae dextra didapatkan sel

ganas , pendapat ductal carsinoma nuclear grade
II pro breast conserving dr. KS
treatment
pro MRM (4/10/2017) dr. WJ
18/9 IMUNOHISTOKIMIA : Non Hodkin Lymfoma

type sel B
post eksisi biopsi dr.WJ
(9/10/2017)
Pro Core Biopsi dr. TA

(4/10/2017)
15/8 AJH jaringan mamae dextra : invasif ductal

carcinoma of NST grade III metastase ke 8 dari
limfonodi regional, infiltrasi ke jaringan ikat dan
lemak sekitar, invasi pembuluh darah dan limfe
(+), Er-Pr Crb B@/ Her Topo P53 : ER terpulas +,
PR : terpulas -, Her2 : terpulas negatf- 1+, Ki67 : perbaikan KU dr.TW
index proliferasi 20%
6/9 FNAB / AJH DEEP : tdak didapatkan sel

ganas, pendapat : lesi proliferatf jinak
Post eksisi luas (5/10/2017) dr. HJ
perbaikan KU dr.HJ
pro hemitroidektomi dr.KS

(5/10/2017)
31/8 eksisi kulit : Karsinoma lobular invasif type

pleomorfik dengan "pagets diseae" dan bagian
karsinoma duktal invasif disertai "comedo
neckrosis", invasi ke epidermis, invasi
angiolimfatk, jarak terdekat batas operasi +/- 0.5
cm dengan tumor 17/7 PA : Radang
granulomatosa, tdak didapatkan sel tumor. 2/5
PA : ekspresi ER, PR Negatf. Her-2 Positf (3+). Ki- Perbaikan KU dr. TW
67 : Positf, +/- 50%. 12/4 PA jar kulit dinding
dada kiri : Invasif Lobular carcinoma, residif dan
limfangioinvasi.
20/9 FNAB/AJH DEEP : didapatkan sel atpi ,

masih mungkin papiloma intra duktal dengan sel
atpi pro eksisi tumor dr. WJ
(5/10/2017)
25/4 imunologi antibodi : ekspresi ER, PR(-),

ekspresi HER 2 (-)
pro MRM dextra dr.HJ
(5/10/2017)
11/9 AJH : FNA nodul berulkus payudara dextra
infiltratng carsinoma mamae 4/1 sitologi cairan
pleura kanan : didapatkan sel ganas, sitologi
cairan pleura kiri : tdak diadapatkan sel ganas
25/9 HISTOPATOLOGI : sitologi efusi pleura
didapatkan sel ganas, pendapat : metastasis pro core biopsi(5/10/2017) dr.TW
adenocarsinoma sangat mungkin dari payudara
22/9 AJH : adenoma pleomorfik

Post total parotdectomy + dr. WJ
diseksi colli (2/10/2017)
17/11/2016 PA tumor colli sinistra : malignant

solitary fibrous tumour dd MPNST, malignant
fibrous histocytoma/ undiffeentated Post debulking tumor
dr.KS
pleomorphic sarcoma ( 2/10/ 2017)

(4/10/2017)
21/8 AJH throid dextra betesda system clas V :

suspicious for malignancy
pro Near total troidektomy dr.KS 1.02 09.00
(3/10/2017)
8/6 Konsultasi Blok parafin : jaringan mamae

dextra malignant phylodes tumor
Post kemoterapi ke VI dr TW
( 2/10/2017 )
Pro Core biopsi dr. KS 1.02 08.00

post Eksisi tumor (27/9) dr. WJ
10/2 IHC ER,PR Negatf HER2 Positf (3) Ki-67 : +/-

75% PA jaringan mamae sinistra: invasive ductal
carcinoma os NST grade III Post diseksi aksila S dr WJ
(29/9/2017)
8/3 AJH axila dextra : tdak didapatkan

keganasan 17/3/2016 PR HER 2 terpulas negatf
Ki 67 <1% Post completon dr. HJ
mastektomy (29/9)
1/4 PA Kruris sinistra : Keganasan mesenimal

condong suatu DD liposarcoma jenis pleomorfik
liposarcoma dd pleomorfik rhabdomyosarcoma Post eksisi luas (28/9) dr. HJ
core biopsi (3/10/2017) dr. TW
11/7 imunohistopatologi : ER,PR : positf HER 2:

positf12/5 PA : mamae sinistra : invasive (ductal)
carcinoma of NST, Grade III, invasif pembuluh
limfatk
Pro MRM dr. KS
Total throidektomy (28/9) dr. KS

Post MRM (28/9) dr KS
15/8 jaringan histopatologi mamae sinistra :

fibroadenoma perikanalikular dengan bagian
transformasi maligna jenis ductal carcinoma
(invasive dan insitu) grade II, meluas ke
lemak.9/8 AJH : tdak didapatkan sel ganas, Post MRM 26/7 dr. HJ
pendapat fibroadenoma
Post Biopsi
Limfadenectomy Inguinal D dr WJ
dan Colli S (30/8)
26/7 Immunohistokimia : CK 7 : Tidak didapatkan

pulasan positf. S100 : Didapatkan pulasan positf
kuat. Kes : Chondrosarcoma Post Wide Eksisi, Flap dan dr WJ
Rekonstruksi (30/8)
Pro Mastectomy (31/8) dr HJ

Ca colon metastasis hepar

1 1771079 Rngt Rika P 35 thn 10/18/2017 CDN2/8 pro kemoterapi
Abses regio colli S

2 1629205 M. Anshary L 37 thn 10/13/2017 DHL 3/6 posterior, B20, TB paru,
susp HAP
ca mammae pro rehectng,

3 1455490 Lilis S P 50 thn 10/13/2017 BGV5/1
DRESS, DM2NO

GxT4N1M1 paru

Fibromixosarcoma
G1T2n1bM0 post
amputasi, Fournier
debridement, post
dengan flap

Regio Antebrachii D
Halusinasi
Fibrosarcoma Regio
Ca Mandibula Sinitra
3 1824914 Suhendriyah P 50 thn 12/10/2017 CDN1/7 T3N0M0

1 620535 P 50 thn 10/10/2017 CDN3/1
Musiarsih ER+ PR+
Duktal Carsinoma
T4bN1M0

2 1455490 Lilis S P 50 thn 10/13/2017 BGV5/1 DRESS, DM2NO
Abses regio colli S
susp HAP

isthmolobectomy

dekstra, DM2NO,
Hipokalemia
Ca Mammae post
Cervix Grade IIB

5 1791594 P 23 thn 9/10/2017 CW2/3
Mubarokatn Sinistra

progresif

evakuasi hematom
MRM post kemoterapi
Sarcoma regio femur

3 1825204 Basroni L 55 thn 10/9/2017 CDN2/7 T4N0M0

1 1822735 L 20 thn 10/10/2017 CW1/108
Zulma Sinistra

Liposarcoma

Dwi Purnomo
Adjie
Ca Mammae Bilateral
Ascites


Ductal Carsinoma
Kemoterapi ke 6

6 1826544 P 51 thn 10/10/2017 AYD2/202

Ganethia

8 1811742 P 26 thn 10/10/2017 CDN2/6
Astut Sinistra


parotdektomi H-2


3 1802971 P 62 thn 9/10/2017 CW2/209
Kulasah 2 + KI 67
Melanoma Maligna
Gangguan Psikotk

P.
Carcinoma Mammae

1824324 RR Caturwat
Antonia Tut
H-3

Undifferenciated Ca

Ca Mammae Dextra
H5

2 1794099 muslimah P 62 thn 10/3/2017 IMC2/4
Mastectomy post STSG

bilateral



eksisi tumor H2

dextra H2

bio[psi H1
Adenoma pleomorfik
axila H2


H2


Fatchur
Rochmah 6
Ca Ductal invasive
aksila H4

mammae dextra post
H4
Liposarcoma dd
luas H5
Ca Mammae S T4N2M1,
Ca ductal invasive
MRM H6 (biopsi)

H5
Ca Lobuler mammae
MRM H2

2 1818275 Sugiya L 48 th 8/28/2017 CDN 2/3 Manus Dextra

Bedah Onkologi Kamis, 19 Oktober 2017
Pasien Operasi Kamis, 19 Oktober 2017
Pasien Baru
(19/10) AL 3,73 Hb 10,7 Hct 34 AT 331 Neu 10,2 PPT (6/9) USG abdomen: multple hiperechoic nodule lobus hepar D curiga
14,4(12,6) APTT 31,4(31,3) INR 1,06 Bil tot 0,34 Bil dir metastasis.
0,13 Alb 4,09 OT/PT 34/27 BUN 7 Cr 0,8 GDS 117 Na 145
K 3,45 Cl 104 (3/10) AL 11,09 Hb 13,2 Hct 43,4 AT 289
Neu 77,5
(18/10) AL 9,97 Hb 8,5 Hct 25,3 AT 221 Neu 75,9 BUN (17/10) Thorax : pneumonia (S). MSCT scan kepala dengan kontras: dbn
4,9 Cr 0,57
(18/10) AL 12,95 Hb 9,7 Hct 27,6 AT 34 Neu 78,9 Alb (16/10) Thorax: dbn
2,59 Bil tot 17,85 Bil dir 15,1 Ant HCV 0,125 URIN:
glukosa 4 blood 3+ lekosit esterase - bacteria 4396,6
Protein +- bilirubin 2+
Cendana 2
non reaktf
(17/10) AL 34,57 Hb 14,7 Hct 43,4 AT 466 Neu 92,1 13/10 THORAX PA: Struma regio coli yang tdak menyempitkan dan tdak
(13/10) AL 8.98 AE 4.93 HB 14.8 HT 42.4 AT 339 PPT mendeviasi airway, Pulmo tak tampak kelainan, tak tampak pulmonal
14.0/13.9 APTT 30.5/28.9 ALB 4.41 SGOT 16 SGPT 20 metastase, besar cor normal, tak tampak metastase pada sistema tulang
BUN 11.70 CR 0.85 GDS 163 HBsAg Non Reaktf FT4 1.21 tervisualisasi CERVICAL AP/LAT : Struma di regio colli yang tdak
TSH 0.73 NA 139 K 3.98 CL 100 CA 2.44 menyempitkan dan tdak mendeviasi airway 31/8 USG Thyroid: Struma
nodular Bilateral
K 3,45 Cl 104 (3/10) AL 11,09 Hb 13,2 Hct 43,4 AT 289
Neu 77,5
Cendana 1
(18/10) AL 48,23 Hb 12,7 hct 37,3 AT 163 Neu 80 PPT 4/10 MSCT KEPALA KONTRAS : kalsifikasi diglobus pallidus dextr, tak
15,6(11,9) APTT 37,3(29,2) INR 1,16 Alb 2,48 OT/PT tampak kelainan pada intracereberi dan intracelebelli, tak tampak kelainan
14/11 BUN 7,3 Cr 1,46 GDS 76 na 135 K 2,9 Cl 95(17/10) pada neurocranium dan viscdrocranium, 6/9 MRI ekstremitas atas kontras
BUN 17,9 Cr 1,44 Na 141 K 2,77 Cl 100 (13/10) Na 134 K : Menyokong gambaran karsinoma sel skuamosa regio humerus dextra,
3.1 CL 97 (12/10) AL 49.17 AE 2.38 HB 7.5 HT 21.7 AT nodal metastasis multple axillary dextra dan supraclavicula dextra 28/8
412 11/10 AL 36.32 AE 3.08 HB 9.5 HT 28.9 AT 379 PPT Humerus AP/Lat Soft tssue mass distal os humerus dextra thorak AP
17.1/13,9 INR 1.29 APTT 29.4/30.6 ALB 2.83 SGOT 14 Pulmo tak tampak, besar cor normal USG ABdomen tak tampak kelainan
SGPT 12 BUN 7 CR 0.94 GDS 287 NA 134 K 3.23 CL 97 18/4 bone survey : tak tampak gambaran metastasis
8/10 AL 38,59 AE 3,33 HB 10 HCT 29,7 AT 440 ALB 3,12
NA 137 K 3,17 CL 100 7/10 AL 28,35 AE 2,81 HB 8,5 HCT
25,3 AT 343 ALB 3,13 SGOT 13 SGPT 10 BUN 3,6 CR 0,48
GDS 229 NA 133 K 2,71 CL 94 HBsAg non reaktf 6/10
ALB 2,4 BUN 6 CR 0,53 NA 134 K 2,88 CL 96 4/2 ALB
2,53 NA 136 K 3,18 Cl 98 2/10 AL 51,67 AE 3,28 HB 10,1
HCT 10,1 AT 262 ALB 2,24 NA 136 K 2,04 CL 96 30/9 Al
60.35 AE 3.45 Hb 10.7 Hmt 31.4 AT 294 Na 138 K 2.5 Cl
10 27/9 Al 47.3 AE 3.11 Hb 9.7 Hmt 29.1 AT 344 PPT
(18/10) AL 8,23 Hb 11 Hct 33,7 AT 253 Neu 59 PPT (8/10) Cerivcal AP/L : Soft tsuue swelling di regio mandibula dekstra, defek
18,1(11,9) APTT 35,7(29,2) INR 1,39 Alb 3,29 OT/PT pada korpus mandibula dekstra et sinisra dengan fiksasi interna berupa satu
15/17 BUN 14,5 Cr 0,96 GDS 107 Na 136 K 4,56 Cl 98 buah bridging plate dan 4 buah screw, apositon dan alignment baik,
(13/10) bakteri gram (-) basil soliter, jarang. Bakteri retrolistesis VC 5-6 terhadap VC 7, spasme muskulus interspinalis cervicalis
gram (+): diplococcus, jarang. (9/10) AL 11 AE 3,94 HB 3/10 OPG : defect pada corpus mandibula dextra et sinistra dengan fiksasi
11,2 HCT 35,1 AT 192 (6/10) AL 13,75 AE 4,47 HB 12,6 interna berupa 1 buah bridging plate dan 4 buah screw, appopsiton dan
HCT 38,3 AT 299 PPT 15,5/14,1 APTT 32,4/29,6 INR 1,15 alignment baik, THORAX PA : tak tampak kelainan
(13/10) AL 13.32
ALB 4,1 SGOT AE 4.39
12 SGPT 14 HB
BUN12.5
8,8HTCR36.9
0,98AT 404
GDS PPT
103 NA (16/10) MSCT servikal: dbn. MSCT kepala: tumor maligna mandibula S
15.1/13.9 APTT 30./9.28.9 INR 1.11 ALB 3.63 SGOT
140 K 3,96 CL 100 HBsAg non reaktf 3/10 AL 9,54 AE 11 dengan osteodestruksi corpus mandibula S. Thorax: dbn (26/9) THORAX
SGPT 12 11,9
4,34 HB BUNHCT
6.2037,7
CR 0.89 GDSPPT
AT 329 15816,5/15,4
NA 138 KAPTT2.78 CL 99 PA: Pulmo tak tampak kelainan, tampak pulmonal metastase, besar cor
33,6/29,6 ALB 3,58 SGOT 8 SGPT 20 BUN 11 CR 1,22 GDS normal, tak tampak skeletal metastasis. 18/08 OPG : Tampak Impaced M
118 NA 143 K 4,09 CL 100 CA 2,22 atas kiri, tampak multple missing, tak tampak kelainan pada struktur tulang
(14/10) AL 7,61 Hb 12,4 Hct 37,9 AT 330 Neu 68,4 PPT 26/9
adanyaTHORAX PA : Tak ada
fracture/fissure ataukelainan
disloasi fragmen tulang
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
3,62 Cl 100
Cendana 5
Cendana 4
Cendana 3
SGPT 18 BUN 9,8 CR 0,65 CA 15-3 182,1 hydronefrosis ren dextra. Bone survey: osteoblastc type skeletal metastatc

(18/10) AL 6,53 Hb 8,8 Hct 28,6 AT 293 Neu 69 (14/10) 28/9 THORAX PA : tdak tampak kelainan, MAMOGRAFI DEX et SIN : massa
AL 10,32 Hb 0,6 Hct 33,2 AT 323 Neu 87,8 BUN 16,8 Cr di mamaesinistra dengan tanda malignancy,limfadenopaty multpel axiila
0,8 GDS 120 Na 141 K 4,28 Cl 106 (11/10) AL 5.26 AE bilateral.
4.31 HB 11.3 HT 36.7 AT 287 PPT 14.2/13.9 APTT
32.6/30.6
(18/10) ALINR 1.03
12,95 HbALB
9,74.18 SGOTAT2234SGPT
Hct 27,6 Neu17 BUN
78,9 Alb10 (16/10) Thorax: dbn
CR
2,59 Bil tot 17,85 Bil dir 15,1 Ant HCV 0,125 URIN:CL 103
0.53 GDS 103 HBsAg Non Reakif NA 139 K 3.73
28/9 AL 45,09
glukosa AE 3+
blood 4,25 HB 11,5
lekosit HCT 34,8
esterase AT 2624396,6
- bacteria PPT 15/14
APTT 31,8/30,2 INR 1,1 SGOT 16 SGPT 12 BUN 9,1 CR
0,72 GDS 88 HBsAg non reaktf
4,9 Cr 0,57
NA 149 2.41 CL 104
(15/10) PPT 16,8(14,1) APTT 35,1(30) INR 1,27 9/10 USG : Partal Trombus vena femoralis komunis sinisyta dengan patensi
Fibrinogen 302 D-dimer 4930 Alb 2,87 (13/10) AL 9.04 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena
AE 3.93 HB 10.3 HT 33.2 AT 347 ALB 2.01 PPT 15.8/13.9 poplitea sinistra. Tak tampak trombu dan insufisensi katup pada sistema
APTT 30.3/28.9 INR 1.18 12/10 AL 9.48, 4.13 HB 10.9, ht vena tbialis anterior dan posterior sinistra 4/10 CIL : ascites, indentasi
34.6 AT 400 11/10 PPT 18.1/13.9 APTT 42.5/30.6 INR rectum proximal hingga colon sigmoid distal ke arah posterior oleh massa di
1.39 6/10 AL 8,59 AE 4,19 HB 11,1 HCT 35,5 AT 233 PPT cavum pelvis 28/9 thorax PA : multple lesi noduler pulmo bilateral susp.
17,1/14,1 APTT/29,6 INR 1,29 ALB 2,86 SGOT 22 SGPT 10 noduler type pulmonal metastasis 21/6 MSCT Abd dengan kontras :
(17/10)
BUN 8,9Urin: glukosa
CR 0,68 2+ NA
GDS 83 Bacteria
136 K25,1
3,27Protein 1+ non
CL 98 HBsAg Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
(12/10)
reaktf 1/10 AL 7,52 AE 3,9 HB 10 HCT 32,8 AT 271TIBC
KED 67 Coombs - Feritn 1544,94 Iron 92 PPT04 sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
saturasi 88 UBC 12 (10/10) AE 2.44 HB 7.0 HT 19.7
19,9/14,4 APTT 29/29 HBsAg non reaktf, 29/9 CEA 0,2 AT beningn kalsifikasi dinding rectum aspek sinsitra USG Abdomen :
149
27/9 Al 7.48 AE 3.9 Hb 10.4 Hmt 33.3 AT 266 Alb 3.41.42
AL 8.03 ALB 2.65 SGOT 42 SGPT 40 BUN 44 CR Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga
GDS
SGOT105 NA 13314KBUN
4.6113
CLCr
107 MGAS1.5 PPT 19.7/14.9
Pasien Pulang
26 SGPT 1.08 urat 6.4 GDS 96 Na obstruksi 1/3 distal ureter fibroid subserosa aspek posterior uterus
APTT 40.1/28.7
139 K 3.82 Cl 104HBsAg Non Reaktf 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
tak ada kelaianan, cor dalam batas normal USG payudara post mastek tomi
mammae bilateral, tak tampak residif massa pada dinding dada bilateral
(12/10) AL 11.61 AE 4.23 HB 11.3 HT 35.09/10 AL 7,04 (28/9) THORAX PA : tdak tampak kelainan
AE 5 HB 13,9 HCT 42,1 AT 228 PPT 14,4/14,9 APTT 28,5/
28,7 INR 1,05 ALB 4,26 SGOT 22 SGPT 31 BUN 9,7 CR 0,8
GDS 88 TSH 3,4 NA 139 K 3,72 CL 106 MG 2,11 T4 TOTAL
(17/10) HBsAg NR (16/10) AL 17,14 Hb 16,4 Hct 46,6 AT (16/10) USG mammae: residif mass pada dinding thorax D dengan nodul
450 Neu 86,4 Alb 3,82 OT/PT 31/44 BUN 14 Cr 0,8 GDS metastasis di axilla tail D, axilla bilateral, supraclavicula D. Massa mammae
158 Na 139 K 3,79 Cl 98 (15/10) PPT 13,8(14,1) APTT S dengan tanda malignancy. Bone survey: tak tampak gambaran metastasis.
26,1(30) INR 1 MRI brain: mucocele di sinus maxillaris dekstra. Thorax: dbn.
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
27 CR 4.09
(15/10) NA 143
AL 8,71 Hb K10,4
1.89Hct
CL31,7
106 10/10
AT 267ALNeu9,52 AE 3,54 abdomen
61,8 9/10 PEDIS : massa
AP/L :solid di posteromedial
tak tampak yang mendorong
fraktur maupun ren dextra
dislokasi pedis, senile ke
HB 10 HCT 30 AT 387 PPT 14/15,4 APTT 28,3/30,1 INR antro medial, penebalan omentum dan mesenterium suspek
(12/10) AL 8.57 AE 3.09 HT 26.9 AT 289 11/10 AL 9.10 AE osteoporosis, THORAX PA : tak tampak kelainan paru jantung, old fraktur peritoneal
1,02 8/10
3.12 HB 8.9ALHT
11.28
28.5AEAT2.4
337HB 6.815.3/13.9
PPT HCT 21 AT 394 6/10
APTT spread metastasis
costae III-IV posterior dextra dan os clavicula dextra pars terta media , USG
BUN 72 CR 9,19 NA 142 K 3,65 CL 109 CA 1,84 4/10 AL
13,47 AE 1,41
122 HBsAg NonHBReaktf
4,0 HCTNA13,1
142 AT 472 CL
K 4.01 3/10
108AL9/10
13,35 AE
1,40
HBsAgHB 4,0
non HCT
reaktf13,0 AT
NA 142 470 PPT
K 4,41 13,4/15,4
CL 105 INRAL0,97
7/10 FT4 11,9 AE 9/10 CERVICAL AP/L : struma regio colli anterior sinistra yang sedikit
(14/10)
APTT Na 143
29,2/29,6 KALB
4,41 Cl 104
3,26 SGOTCa142,15
SGPT(13/10)
14 BUN 1.54Cr
63,8
3,34
TSH HB
0.069,8
NA HCT 30,5
141 K 4.08AT 357 ALB
CL 103Na
MG 3,45 SGOT
2.20 15
CA 2.25 SGPT 10
12/10 menyempitkan dan mendeviasi tracea ke arah dextra, kompresi ringan VC 6,
8,89
BUN GDS 84
16,9AE HBsAg
CR5.00
1,52HB no reaktf
GDS 119HT 41.1 138 K 4,03 Cl 10930/8
AL 16.57 13.5
AL 60,01 AE 3,76 Hb 10 HET 30,1 AT 1281 11/10 FT3 3.11 FT4 THORAX PA : tak tampak kelainan 3/10 THORAX PA : tak tampak kelainan,
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83
AL 10,62 AE 5,28 HB 13,8 HCT 43,1 AT 321 PPT 14,8/15
APTT 27,3/28,9 INR 1,08 ALB 4,44 SGOT 15 SGPT 19BUN
(13/10) AL 13.1 AE 3.43 HB 8.3 HT 27.5 AT 609 PPT 13/10 USG ABD : Ascites, lesi solid kistk intraperitoneal mengarah massa
15.1/13.9 APTT 31.5/28.9 GDS 99 ovarial malignant dengan kecurigaan infiltrasi ke uterus, mild hidronefrosis
sinistra, rectum dan sigmoid tak tervisualisasi karean tertutup massam, tak
tampak limfadenopat paraaortci. BONE SURVEY : Tak tampak gambaran
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 teeth,
10/10 THORAX
efusi tampak
pleura bilateral,
kelainan USG
29/8THYROID
AP/L : spasme
HB 11,7 HCT 35,3 AT 289 PPT 15,1/15,4 APTT 29,8/30,1
101 18/9 FT3 2,83 FT4 1,17 TSH 1,27, CA 2,16 10/9 ALB
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/
30.6 INR 1.17
0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34
CA 2.15
95 NA 139 K4,43 CL 97
FT4 1,06
12/10 ALTSH
8.643,053/10 AL 8,01
AE 3.87 HB AE29.0
9.9 HT 3,3711/10
HB 6,6ALHCT 23,7
AT
284 PPT 16,1/15,4 APTT 37,2/29,6 ALB 2,62 SGOT
SGPT 6 BUN
1.00 ALB 4.499,6 Cr 0,59
SGOT GDS 65
0.75GDS
137 K 4,26 CL 1004/02/2017
138 K 3,82 CL 103
103
12,8
11/10HCT
AL 37,9
15.70ATAE268 GDS
4.16 HB177
11.0FT4
HT16,1
33.3TSHs 0,0789/10
64.08
10/10 Iron 8 TIBCAE129
AL 13,22 Saturasi
3,63 HB 10 5HCT
UIBC 121
30,6 ATPCT
6544.63
7/10 AL 4/10 USG Thyroid : Simple cyst intraglandular parots bilateral, nodal
0,73 GDS 73 NA 140 K 4,27 CL 103
0,58 GDS 97 NA 151 K 4,24 CL 111
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
140 K 4,36 Cl 98
K 3,68
7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4
5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186
4,56 CL 103 18/9 AL 9,74 AE 4,72 HB 9,4 HCT 32,5 AT 532
CR 0,47 GDS 154 NA 137 K 4,44 CL 102
3.94 Cl 99 Ca 2.09
survey Abdomen
tampak Tak tampak
kelainan kelainan
skletal Ro thorak
metastase, USGpulmo
Abdomentak :
SGPT
30/9 Al6 BN 6.9AE
29.26 Cr 4.08
0.64 Hb
GDS11.7
248Hmt
HBsAg NR336
35 AT Free27/9
T4 0.41
TSH
4.25
BUN Hb7 Cr12.4
0.54Hmt 37.81.9
AS urat AT GDS
359 PPT
26.3/30.8 Prot27/9
30/1 Ca 2,04 totalAl6.4 Alb AE
12.78 3.45 SGOT
4.61 Hb 1280 SGPT36.3
11.6 Hmt 64 AT 20/9 Thoral : Pulmo tak tampak kelainan
BUN 6.00 Cr 0.67 GDS 127 HBsAg NR Na 135 K
303 25/9 Al 8.49 AE 4.83 Hb 12.2 Hmt 38.3 AT 329 PPT3.77 Cl
102
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
4.26 HB 10 Hmt 33.1 AT 217 PPT 14.6/13.4 INR 1.07
APTT 29.1/30.1
29/9 Al Alb HB
9.9 AE 3.69 4.2811.5
SGOTHMT37 33.7
SGPTAT48182
BUN 10 Cr
0.57 GDS 104 Na 144 K 4.02 Cl 106
Cr 0.61 GDS 124
27.4/28.3 Alb 4.05
1/10 AL 23,34 SGOT
AE 5,31 HB199,5SGPT
HMT1532,7
BUNAT10 Cr PTT
102 HBsAg NR Cl 104 Na 140 K 3.6
PO2FIO2 210,8 30/9 Al 13.56 AE 5.23 Hb 9.7 Hmt 33.5
141 KAl3.56
29/9 Cl 99
11.05 AEFIO2
3.87 30
HbpH9.77.5
AT pCO2 50 pO2
272 26/9 FIO2686.6
BeecfpCO2
7.45 15.8 45.3
Beb 14.7
pO2 HCO3 39.5 7.9
93.6 BEecf PO2FIO2 244.6
BEb 7.4 HCO3 32.1 penarikan struktur mediastnum ke arah dextra disertai emphysema
6 Cr 0.48
28/9
@35 Al 16.28
Free AE 3.8
T4 1.08 TSHHb1.56
10.2 Hmt 31.2 AT 222 26/9 Al 26/9 Thorak : tak tampak kelainan pada paru, besar cor normal
27 BUN
1/10 AL 12 CrAE
5,72 0.93 GDS
3,31 HB83 8,9 HT 27,8 AT 176 28/9 AAl 19/9 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal
(14/6/2016) Histopatologi: makroskopik: tumor

sigmoid. Adenokarsinoma diferensiasi sedang
menginfiltrasi jaringan ikat, jaringan lemak, dan 4
buah limfonodi dari 9 buah limfonodi di sekitar Pro kemoterapi dr. TW
usus serta metastasis ke jaringan hepar. Kedua
ujung bebas tumor.
post insisi drainase abses dr. WJ

(17/10/2017)
post pemasangan VAC dr. TW

(18/10/2017)
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

(17/10/2017)

ujung bebas tumor.

(29/09/2017) post
(17/10/2017)

perivaskuler (+)
(13/10) Sensitvitas: sensitf Tobramycin,
Imipenem, Kanamycin, Colistn, Polymyxin B
(13/10) Imunohistokimia: sesuai untuk Post rekonstruksi
fibrosarcoma (29/9) HISTOPATOLOGI JARINGAN pemasangan plate dr. WJ
SEDANG : tumor ganas mesenkimal, pendapat : (9/10/2017)
fibrosarcoma dd leimyosarcom
Mandibula
Pro eksisi biopsi + dr. KS
rekonstruksi mandibula

rehectng (17/10/2017)


grade III dr.KS
(18/8) ER: + PR: - HER-2: - Ki-67: >14%
post pemasangan VAC

dr. TW
(18/10/2017)
post insisi drainase abses
dr. WJ
(17/10/2017)

colli D: tidak didapatkan sel ganas Post Eksisi biopsi
limfadenopat Prof. TA
(18/10/2017)
Perbaikan KU dr.HJ

atpi
Perbaikan KU dr.HJ

perbaikan KU dr.HJ
Post near total

throidektomy, post dr.WJ
evakuasi hematom
(12/10/2017)
Post core biopsi mammae dr. TW
(17/9/2017)

(17/10/2017)

Biopsi (12/10/2017)

infiltrat
post completon
dr.WJ

(urologi)

Inguinal (12/10/2017)

(13/10/2017)
adenokarsinoma

(12/10/2017)



Post muscle biopsy

dr.TW
(13/10/2017)
MRM dr.WJ

(13/10/2017)

Inguinal (11/10/2017)

coli

(10/10/2017)
Eksisi Tumor dr.HJ



Carcinoma
Perbaikan ku + dr. WJ
radiotherapy


treatment
pro MRM (4/10/2017) dr. WJ

type sel B
(9/10/2017)

(4/10/2017)


perbaikan KU dr.HJ

(5/10/2017)
limfangioinvasi.

atpi pro eksisi tumor
dr. WJ
(5/10/2017)

ekspresi HER 2 (-)
(5/10/2017)


fibrous histocytoma/ undiffeentated Post debulking tumor dr.KS

(4/10/2017)

(3/10/2017)

( 2/10/2017 )

(29/9/2017)

mastektomy (29/9)

limfatk
Pro MRM dr. KS

Post Biopsi
dan Colli S (30/8)

Rekonstruksi (30/8)

Ca ductal mammae D
1 1811555 Sularmi P 44 thn 10/20/2017 CDN2/10
T4bN2M0

GxT4N1M1 paru
Ca ductal mammae D
2 1811555 Sularmi P 44 thn 10/20/2017 CDN2/10 T4bN2M0

4 1771079 Rngt Rika P 35 thn 10/18/2017 CDN2/8
pro kemoterapi
Fibromixosarcoma
G1T2n1bM0 post
amputasi, Fournier
debridement, post
dengan flap

Regio Antebrachii D
Halusinasi
Fibrosarcoma Regio
Ca skuamosa karnifikans
3 1824914 Suhendriyah P 50 thn 12/10/2017 CDN1/7 mandibula sinitra T3N0M0
1 620535 P 50 thn 10/10/2017 CDN3/1
Musiarsih ER+ PR+
Duktal Carsinoma
T4bN1M0

isthmolobectomy
Ca Mammae post
Cervix Grade IIB

3 1791594 P 23 thn 9/10/2017 CW2/3
Mubarokatn Sinistra
dekstra, DM2NO,
Hipokalemia
Abses regio colli S

susp HAP


progresif

evakuasi hematom

MRM post kemoterapi
Sarcoma regio femur

1 1822735 L 20 thn 10/10/2017 CW1/108
Zulma Sinistra

Liposarcoma

Dwi Purnomo
Adjie
Ca Mammae Bilateral
Ascites
4 1698684 Mujiono L 54 thn 10/4/2017 CDN2/9
hemomaksilektomi +

Ductal Carsinoma
Kemoterapi ke 6

6 1826544 P 51 thn 10/10/2017 AYD2/202

Ganethia

8 1811742 P 26 thn 10/10/2017 CDN2/6
Astut Sinistra


parotdektomi H-2


3 1802971 P 62 thn 9/10/2017 CW2/209
Kulasah 2 + KI 67
Melanoma Maligna
Gangguan Psikotk

3 1822080 Prihatningsih S. P 37 thn 10/10/2017 CDN3/8
curiga jinak
P.
Carcinoma Mammae
1824324 RR Caturwat
Antonia Tut
H-3

Undifferenciated Ca
1 1822995 Toto Suripto L 60 thn 9/30/2017 CDN1/10
Mandibula T4bN0M0


6 1823482 komidah P 28 thn 10/5/2017 CDN1/7
T3N0M0
Ca Mammae Dextra
H5


bilateral



eksisi tumor H2

dextra H2

bio[psi H1
Adenoma pleomorfik
axila H2



H2


Fatchur
Rochmah 6
Ca Ductal invasive
aksila H4

mammae dextra post
H4
Liposarcoma dd
luas H5
Ca Mammae S T4N2M1,
Ca ductal invasive
MRM H6 (biopsi)

H5
Ca Lobuler mammae
MRM H2

Bedah Onkologi Jumat, 20 Oktober 2017
Pasien Operasi Jumat, 20 Oktober 2017
Pasien Baru
(12/10) AL 0,97 Hb 9,4 Hct 29,5 AT 129 Neu 15,5 (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts.
Cendana 2
non reaktf
(12/10) AL 0,97 Hb 9,4 Hct 29,5 AT 129 Neu 15,5 (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts.
(19/10) Ca 2,16 (17/10) AL 34,57 Hb 14,7 Hct 43,4 AT 13/10 THORAX PA: Struma regio coli yang tdak menyempitkan dan tdak
466 Neu 92,1 (13/10) AL 8.98 AE 4.93 HB 14.8 HT 42.4 mendeviasi airway, Pulmo tak tampak kelainan, tak tampak pulmonal
AT 339 PPT 14.0/13.9 APTT 30.5/28.9 ALB 4.41 SGOT 16 metastase, besar cor normal, tak tampak metastase pada sistema tulang
SGPT 20 BUN 11.70 CR 0.85 GDS 163 HBsAg Non Reaktf tervisualisasi CERVICAL AP/LAT : Struma di regio colli yang tdak
FT4 1.21 TSH 0.73 NA 139 K 3.98 CL 100 CA 2.44 menyempitkan dan tdak mendeviasi airway 31/8 USG Thyroid: Struma
nodular Bilateral
K 3,45 Cl 104 (3/10) AL 11,09 Hb 13,2 Hct 43,4 AT 289
Neu 77,5
Cendana 1
8/10 AL 38,59 AE 3,33 HB 10 HCT 29,7 AT 440 ALB 3,12
NA 137 K 3,17 CL 100 7/10 AL 28,35 AE 2,81 HB 8,5 HCT
2,53 NAAL
(18/10) 136 K 3,18
8,23 Cl 98
Hb 11 Hct2/10
33,7ALAT51,67 AE 3,28
253 Neu HB 10,1
59 PPT (8/10) Cerivcal AP/L : Soft tsuue swelling di regio mandibula dekstra, defek
HCT
18,1(11,9) APTT 35,7(29,2) INR 1,39 Alb 3,29 OT/PT Al
10,1 AT 262 ALB 2,24 NA 136 K 2,04 CL 96 30/9 pada korpus mandibula dekstra et sinisra dengan fiksasi interna berupa satu
60.35
15/17 AE
BUN3.45 HbCr10.7
14,5 0,96Hmt
GDS31.4
107ATNa294
136Na 138 KCl2.5
K 4,56 98 Cl buah bridging plate dan 4 buah screw, apositon dan alignment baik,
10 27/9 Al 47.3 AE 3.11 Hb 9.7 Hmt 29.1 AT 344
(13/10) bakteri gram (-) basil soliter, jarang. BakteriPPT retrolistesis VC 5-6 terhadap VC 7, spasme muskulus interspinalis cervicalis
16.1/14.6 INR 1.19 APTT
gram (+): diplococcus, 30.4/30.8
jarang. (9/10)Alb
AL3.08
11 AESGOT
3,9417
HB 3/10 OPG : defect pada corpus mandibula dextra et sinistra dengan fiksasi
SGPT 9 BUN 16.5 Cr 1.22 AS urat 17 GDS 78 HBsAg
11,2 HCT 35,1 AT 192 (6/10) AL 13,75 AE 4,47 HB 12,6 NR interna berupa 1 buah bridging plate dan 4 buah screw, appopsiton dan
Na
HCT138 K 2.6
38,3 Cl 91
AT 299 28/8
PPT Al 48.23APTT
15,5/14,1 AE 3.83 Hb 11.2
32,4/29,6 Hmt
INR 1,15 alignment baik, THORAX PA : tak tampak kelainan
(13/10)
34.3 AT AL
480 13.32
SGOT AE
13 4.39
SGPTHB12 12.5
BUN HT7 36.9
Cr AT
0.72
ALB 4,1 SGOT 12 SGPT 14 BUN 8,8 CR 0,98 GDS 103 404
GDS PPT
127NA (16/10) MSCT servikal: dbn. MSCT kepala: tumor maligna mandibula S
15.1/13.9
140 K 3,96APTT
CL 10030./9.28.9
HBsAg non INRreaktf
1.11 ALB 3.63
3/10 ALSGOT 11
9,54 AE dengan osteodestruksi corpus mandibula S. Thorax: dbn (26/9) THORAX
SGPT 12 11,9
4,34 HB BUNHCT 6.2037,7
CR 0.89 GDSPPT
AT 329 15816,5/15,4
NA 138 KAPTT
2.78 CL 99 PA: Pulmo tak tampak kelainan, tampak pulmonal metastase, besar cor
33,6/29,6 ALB 3,58 SGOT 8 SGPT 20 BUN 11 CR 1,22 GDS normal, tak tampak skeletal metastasis. 18/08 OPG : Tampak Impaced M
118 NA 143 K 4,09 CL 100 CA 2,22 atas kiri, tampak multple missing, tak tampak kelainan pada struktur tulang
adanya fracture/fissure atau disloasi fragmen tulang
Cendana 5
Cendana 4
Cendana 3
SGPT 18 BUN 9,8 CR 0,65 CA 15-3 182,1 hydronefrosis ren dextra. Bone survey: osteoblastc type skeletal metastatc

4.31 HB 11.3 HT 36.7 AT 287 PPT 14.2/13.9 APTT
CR 0.53 GDS 103 HBsAg NonICU-IGD
Reakif NA-139
PACU-HCU-IMC-AYD-AMT-CW-DHL
K 3.73 CL 103
28/9 AL AL
(18/10) 5,09 AEHb
7,41 4,25 HBHct
12,9 11,538,7
HCTAT34,8
191AT 26257PPT
Neu 15/14 (17/10) USG tiroid:tak tampak residif tumor dan tak tampak kelainan pada
(17/10)
APTT15,5(13,5)
PPT 31,8/30,2APTT
INR 1,1 SGOT 16INR
37,2(28,7) SGPT 12FT4
1,15 BUN1,44
9,1 TSH
CR sisa glandula thyroid D. Tak tampak kelainan pada thyroid S. Multple
0,72 GDS
0,09 88 HBsAg
(16/10) AL 7,78non
hb reaktf
12,6 Hct 36,6 AT 230 Neu 59,7 limfonodi dengan morfologi normal di regio cervical bilateral dan
APTT 28,8 (28,7) Alb 4,51 OT/PT 17/18 BUN 8 Cr 0,6 GDS submandibula S. (7/9) Thorax: dbn
110 HBsAg NR Na 144 K 4,17 Cl 104
(19/10) AL 21,63 Hb 12,6 Hct 39,3 AT 394 Neu 87,9 9/10 USG : Partal Trombus vena femoralis komunis sinisyta dengan patensi
(15/10) PPT 16,8(14,1) APTT 35,1(30) INR 1,27 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena
Fibrinogen 302 D-dimer 4930 Alb 2,87 (13/10) AL 9.04 poplitea sinistra. Tak tampak trombu dan insufisensi katup pada sistema
AE 3.93 HB 10.3 HT 33.2 AT 347 ALB 2.01 PPT 15.8/13.9 vena tbialis anterior dan posterior sinistra 4/10 CIL : ascites, indentasi
APTT 30.3/28.9 INR 1.18 12/10 AL 9.48, 4.13 HB 10.9, ht rectum proximal hingga colon sigmoid distal ke arah posterior oleh massa di
34.6 AT 400 11/10 PPT 18.1/13.9 APTT 42.5/30.6 INR cavum pelvis 28/9 thorax PA : multple lesi noduler pulmo bilateral susp.
1.39 6/10 AL 8,59 AE 4,19 HB 11,1 HCT 35,5 AT 233 PPT noduler type pulmonal metastasis 21/6 MSCT Abd dengan kontras :
(8/10) AL 2,64
17,1/14,1 Hb 8,2INR
APTT/29,6 Hct1,29
20,2ALB
AT 135
2,86Neu
SGOT8022
(17/10)
SGPT 10 Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
Urin: glukosa
BUN 8,9 2+ GDS
CR 0,68 Bacteria 25,1
83 NA Protein
136 K 3,271+
CL(12/10)
98 HBsAgKED 67 sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
non
Coombs - Feritn
reaktf 1/10 1544,94
AL 7,52 AE 3,9Iron
HB 92
10 TIBC 04 saturasi
HCT 32,8 AT 27188PPT beningn kalsifikasi dinding rectum aspek sinsitra USG Abdomen :
UBC 12 (10/10)
19,9/14,4 AE 2.44
APTT 29/29 HB 7.0
HBsAg nonHTreaktf,
19.7 AT29/9
149CEA
AL 8.03
0,2 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga
ALB
27/92.65 SGOTAE42
3.9SGPT 40 BUN
Hmt44 CRAT
1.42
266GDS
Alb105
3.4 NA obstruksi 1/3 distal ureter fibroid subserosa aspek posterior uterus
Pasien Pulang
Al 7.48 Hb 10.4 33.3
133
SGOTK 26
4.61 CL 107
SGPT MG 1.5
14 BUN PPT
13 Cr 19.7/14.9
1.08 AS uratAPTT 40.1/28.7
6.4 GDS 96 Na 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
HBsAg NonCl
139 K 3.82 Reaktf
104 tak ada kelaianan, cor dalam batas normal USG payudara post mastek tomi
NA 149 2.41 CL 104
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
3,62 Cl 100
4,9 Cr 0,57
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
27 CR 4.09
(15/10) NA 143
AL 8,71 Hb K10,4
1.89Hct
CL31,7
106 10/10
1,02 8/10
3.12 HB 8.9ALHT
11.28
28.5AEAT2.4
337HB 6.815.3/13.9
PPT HCT 21 AT 394 6/10
BUN 72 CR 9,19 NA 142 K 3,65 CL 109 CA 1,84 4/10 AL
13,47 AE 1,41
4,0 HCTNA13,1
142 AT 472 CL
K 4.01 3/10
108AL9/10
13,35 AE
1,40
HBsAgHB 4,0
non HCT
reaktf13,0 AT
NA 142 470 PPT
K 4,41 13,4/15,4
CL 105 INR
AL0,97
(14/10)
APTT Na 143
29,2/29,6 KALB
4,41 Cl 104
3,26 SGOTCa142,15
SGPT(13/10)
14 BUN 1.54Cr
63,8
3,34
TSH HB
0.069,8
NA HCT 30,5
141 K 4.08AT 357 ALB
CL 103NaMG3,45 SGOT
2.20 15
CA 2.25 SGPT 10
8,89
BUN GDS 84
16,9AE HBsAg
CR5.00
1,52HB no reaktf
GDS 119HT 41.1 138 K 4,03 Cl 10930/8
AL 16.57 13.5
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83
(13/10)
AL 10,62ALAE13.1
5,28AEHB3.43
13,8HB 8.343,1
HCT HT 27.5 AT PPT
AT 321 609 14,8/15
15.1/13.9
APTT 31.5/28.9 GDS 99
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 teeth,
10/10 THORAX
efusi tampak
pleura bilateral,
kelainan USG
29/8THYROID
AP/L : spasme
HB 11,7 HCT 35,3 AT 289 PPT 15,1/15,4 APTT 29,8/30,1
101 18/9 FT3 2,83 FT4 1,17 TSH 1,27, CA 2,16 10/9 ALB
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/
30.6 INR 1.17
0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34
CA 2.15
95 NA 139 K4,43 CL 97
FT4 1,06
12/10 ALTSH
8.643,053/10 AL 8,01
AE 3.87 HB AE29.0
9.9 HT 3,3711/10
HB 6,6ALHCT
4.8123,7
AE 29/08 USG Gambaran mengarah fibroscystc Mammae Bilateral, Tak
AT 284
4.47 HBPPT
11.416,1/15,4 APTT
AT 227 PPT 37,2/29,6
13.9/13.9 ALB 2,62 SGOT
APTT30.0/30.6 INR13 tampak limfadenopat axilla dan supraclavicula dextra et sinistra
SGPT 6 BUN
1.00 ALB 4.499,6 Cr 0,59
SGOT GDS 65
0.75GDS
137 K 4,26 CL 1004/02/2017
138 K 3,82 CL 103
103
12,8
11/10HCT
AL 37,9
15.70ATAE268 GDS
4.16 HB177
11.0FT4
HT16,1
33.3TSHs 0,0789/10
64.08
AL 13,22 Saturasi
3,63 HB 10 5HCT
UIBC 121
30,6 ATPCT
6544.63
0,73 GDS 73 NA 140 K 4,27 CL 103
0,58 GDS 97 NA 151 K 4,24 CL 111
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
140 K 4,36 Cl 98
K 3,68
7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4
5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186
4,56 CL 103 18/9 AL 9,74 AE 4,72 HB 9,4 HCT 32,5 AT 532
CR 0,47 GDS 154 NA 137 K 4,44 CL 102
3.94 Cl 99 Ca 2.09
survey Abdomen
tampak Tak tampak
kelainan kelainan
skletal Ro thorak
metastase, USGpulmo
Abdomentak :
SGPT 6 BN 6.9 Cr 0.64 GDS 248 HBsAg NR Free T4 0.41
TSH 2.76 Na 141 K 3.72 CL 101 Ca 2.34 10/8 Al 13.14 AE
4.25 Hb 12.4 Hmt 37.8 AT 359 PPT 15.5/13.5 INR 1.15
30/9 Al 29.26 AE 4.08 Hb 11.7 Hmt 35 AT 336 27/9 Al 17/5 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal
2.29 AE 3.86 HB 10.9 Hmt 33.2 AT 314 SGOT 31 SGPT 49 metastasis 30/3 Bone survey tak tampak gambaran metastasis USG
BUN 7 Cr 0.54 AS urat 1.9 GDS 98 abdomen : Fatty liver USG payudara tak tampak residua mass pada mmae
dextra
26.3/30.8 Prot27/9
12.78 3.45 SGOT
4.61 Hb 1280 SGPT36.3
102
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
4.26 HB 10 Hmt 33.1 AT 217 PPT 14.6/13.4 INR 1.07
APTT 29.1/30.1
29/9 Al Alb HB
9.9 AE 3.69 4.2811.5
SGOTHMT37 33.7
SGPTAT48182
BUN 10 Cr
0.57 GDS 104 Na 144 K 4.02 Cl 106
Cr 0.61 GDS 124
27.4/28.3 Alb 4.05
1/10 AL 23,34 SGOT
AE 5,31 HB19
9,5SGPT
HMT1532,7
BUNAT10 Cr PTT
102 HBsAg NR Cl 104 Na 140 K 3.6
PO2FIO2 210,8 30/9 Al 13.56 AE 5.23 Hb 9.7 Hmt 33.5
141 K 3.56 Cl 99 FIO2 30 pH 7.5 pCO2 50 pO2 686.6
29/9 Al 11.05 AE 3.87 Hb 9.7 AT 272 26/9 FIO2 70 pH 21/8 MSCT kontras : Destroyed lung TB pulmo dextra yang menyebabkan
6 Cr 0.48
28/9
@35 Al 16.28
Free AE 3.8
T4 1.08 TSHHb1.56
27 BUN
1/10 AL 12 CrAE
5,72 0.93 GDS
(28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)

histopatologi core biopsi tumor payudara:
invasive ductal ca of NST, grade 3. angioinvasion pro classical radical
(+). dr. WJ
mastectomy

(17/10/2017)
(28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)

(+). dr. WJ
mastectomy


ujung bebas tumor.
(29/09/2017) post
(17/10/2017)

perivaskuler (+)

Mandibula

grade III dr.KS

colli D: tidak didapatkan sel ganas
Post Eksisi biopsi
(18/10/2017)

atpi
Perbaikan KU dr.HJ
Perbaikan KU dr.HJ

rehectng (17/10/2017)

(17/10/2017)

(18/10/2017)
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

perbaikan KU dr.HJ
Post near total

throidektomy, post
dr.WJ
evakuasi hematom
(12/10/2017)

(17/9/2017)
(17/10/2017)

Biopsi (12/10/2017)

infiltrat

(urologi)

Inguinal (12/10/2017)

(13/10/2017)

adenokarsinoma
(12/10/2017)




(13/10/2017)
MRM dr.WJ
(13/10/2017)

Inguinal (11/10/2017)

coli

(10/10/2017)
Eksisi Tumor dr.HJ


mandibula : 3 buah jaringan limfonodi dengan perbaikan KU +
dr. HJ

Carcinoma
Perbaikan ku + dr. WJ
radiotherapy


treatment
pro MRM (4/10/2017) dr. WJ

type sel B
(9/10/2017)
(4/10/2017)


perbaikan KU dr.HJ

(5/10/2017)

limfangioinvasi.
(5/10/2017)

ekspresi HER 2 (-)
(5/10/2017)




(4/10/2017)

(3/10/2017)
( 2/10/2017 )

(29/9/2017)

mastektomy (29/9)


limfatk
Pro MRM dr. KS

Post Biopsi
dan Colli S (30/8)

Rekonstruksi (30/8)
Soft tssue tumor regio colli

1 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 posterior (B20)
Ca mammae lobular
2 1073477 Natalia P 50 thn 10/21/2017 CDN1/7 invasive S, post kemo,
neutropenia

GxT4N1M1 paru
Ca ductal mammae D
2 1811555 Sularmi P 44 thn 10/20/2017 CDN2/10
T4bN2M0

Fibromixosarcoma
G1T2n1bM0 post
amputasi, Fournier
debridement, post
dengan flap


Regio Antebrachii D
Halusinasi
Fibrosarcoma Regio
Ca mammae lobular
neutropenia

1 620535 P 50 thn 10/10/2017 CDN3/1
Musiarsih ER+ PR+
Duktal Carsinoma
T4bN1M0

isthmolobectomy
Ca Mammae post
Cervix Grade IIB

3 1791594 P 23 thn 9/10/2017 CW2/3
Mubarokatn Sinistra

dekstra, DM2NO,
Hipokalemia
Abses regio colli S

susp HAP

progresif

evakuasi hematom

MRM post kemoterapi
Sarcoma regio femur


1 1822735 L 20 thn 10/10/2017 CW1/108
Zulma Sinistra

Liposarcoma
Dwi Purnomo
Adjie
Ca Mammae Bilateral
Ascites


Ductal Carsinoma
Kemoterapi ke 6
6 1826544 P 51 thn 10/10/2017 AYD2/202

Ganethia

8 1811742 P 26 thn 10/10/2017 CDN2/6
Astut Sinistra


parotdektomi H-2


3 1802971 P 62 thn 9/10/2017 CW2/209
Kulasah 2 + KI 67
Melanoma Maligna
Gangguan Psikotk

P.
Carcinoma Mammae

1824324 RR Caturwat
Antonia Tut
H-3

Undifferenciated Ca


Ca Mammae Dextra
H5


bilateral



eksisi tumor H2

dextra H2
bio[psi H1
Adenoma pleomorfik
axila H2



H2

Fatchur
Rochmah 6
Ca Ductal invasive
aksila H4

mammae dextra post
H4
Liposarcoma dd
luas H5
Ca Mammae S T4N2M1,
Ca ductal invasive
MRM H6 (biopsi)

H5
Ca Lobuler mammae
MRM H2

2 1818275 Sugiya L 48 th 8/28/2017 CDN 2/3
Manus Dextra

Bedah Onkologi Sabtu, 21 Oktober 2017
Pasien Operasi Sabtu, 21 Oktober 2017
Pasien Baru
(11/9) AL 3,72 Hb 11,4 hct 36,1 AT 185 Neu 49,7 PPT (12/9) USG tiroid: lesi litk berisi cairan pekat di colli posterior.
15(14,3) APTT 29,2(29,9) INR 1,1 OT/PT 1/23 BUN 8 Cr
0,69 AU 4,2 GDS 118 HBsAg NR
(20/10) AL 3,58 Hb 9,6 hct 28,2 AT 131 neu 48 PPT (20/10) Thorax: dbn (16/5) Lumbosakral: sacralisasi inkompleta VL 5
17,3(12) APTT 29,2(28,2) INR 1,31 Alb 3,38 OT/PT 46/17
BUN 11,4 Cr 0,85 GDS 113 HBsAg NR Na 133 K 3,5 Cl 94
Cendana 2
non reaktf
(20/10) AL 3,53 Hb 10,2 Hct 31,7 AT 235 Neu 48,8 PPT (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts.
14,6(12) APTT 31(28,2) INR 1,07 Bil tot 0,26 Bil dir 0,11
Alb 3,48 OT/PT 15/19 BUN 5 Cr 0,66 GDS 110 HBsAg NR
Na 146 K 3,93 Cl 103 Ca 15-3 160,20 (12/10) AL 0,97 Hb
9,4 Hct 29,5 AT 129 Neu 15,5
(11/9) AL 3,72 Hb 11,4 hct 36,1 AT 185 Neu 49,7 PPT (12/9) USG tiroid: lesi litk berisi cairan pekat di colli posterior.
15(14,3) APTT 29,2(29,9) INR 1,1 OT/PT 1/23 BUN 8 Cr
0,69 AU 4,2 GDS 118 HBsAg NR
(20/10) AL 10,09 Hb 9,2 Hct 29 AT 322 Neu 76 Prot 6,25 13/10 THORAX PA: Malunion fracture os clavicula dexra, pulmo tak tampak
Alb 3,48 BUN 8,3 Cr 0,63 GDS 162 Na 132 K 3,89 Cl 95 kelainam besar cor normal 3/10 USG ABDOMEN :Soft tssu edema pada
(14/10) Alb 2,82 (11/10) Alb 2.76 Na 136 K 3.52 CL 100 scrotum bilateral dengan suspect infiltrasi tumor pada scrotum dextra 28/9
(10/10) AL 13,23 AE 3,63 HB 10 HCT 30,6 AT 654 8/10 AL Ro thorak Pulmo tak tampak kelainan, besar cor normal, fraktur kompleta
13,99 AE 3.06 HB 8, HCT 25,2 AT 678 ALB 2,71 BUN 6,6 kominutf di os clavicula dextra pars terta media, aposisi & alignment
CR 0,66 NA 137 K 3,62 CL 1006/10 AL 10,4 AE 3,01 HB 8 kurang dengan lesi osteosklerotk di ujung ketga fragmen curiga ec fraktur
HCT 24,2 AT 586 ALB 2,44 5/10 AL 8,51 AE 3,16 HB 8,3 patologis ec osteoblastk type skeletal metastasis 21/8 MSCT ext bawah
HCT 26 AT 539 ALB 2,74 PPT 15,2/15 APTT 32/28,9 INR kontras Tumor heterogen solid kistk dengan tanda malignancy di musculus
1,12 SGOT 28 SGPT 28 BUN 15,9 CR 0,7GDS 142 NA 142 vastus lateral et medial, sartorius dan rectus femoris dextra menyokong
K 3,74 CL 106 4/10 AL 12,53 AE 3,31 HB 8,5 HCT 27,2 AT fibromyxosarcoma dengan feeding vessel dari a. femoralis superfisial dan
539ALB 1,8 BUN 11,1 CR 0,79 NA 134 K 3,9 CL 100 29/9 profunda dextra.5/4 MSCT angio ekstremitas dengan kontras Tumor soft
AL 10.26 AE 3.22 Hb 8.4 AT 165 Alb 2.32 Na 139 K 3.34 Cl tssue hipervaskuler di kompartemen anterior dengan feeding vessel dari a.
104 27/9 Al 8.28 AE 3.26 Hb 8 Hmt 24.9 AT 245 PPT femoralis superfisial dan profunda, dominan superfisial.
17.6/14.6 INR 1.32 APTT 30.6/30.8 Alb 3.16 SGOT 24
SGPT 13 BUN 5.5 Cr 0.98 HBsAg NR Na 138 K 3.61 Cl 104
K 3,45 Cl 104 (3/10) AL 11,09 Hb 13,2 Hct 43,4 AT 289
Neu 77,5
Cendana 1
8/10 AL 38,59 AE 3,33 HB 10 HCT 29,7 AT 440 ALB 3,12
NA 137 K 3,17 CL 100 7/10 AL 28,35 AE 2,81 HB 8,5 HCT
2,53 NA 136 K 3,18 Cl 98 2/10 AL 51,67 AE 3,28 HB 10,1
60.35 AE 3.45 Hb 10.7 Hmt 31.4 AT 294 Na 138 K 2.5 Cl
10 27/9 Al 47.3 AE 3.11 Hb 9.7 Hmt 29.1 AT 344 PPT
(20/10)
ALB 4,1 AL
SGOT11,64 Hb 12,4
12 SGPT 14 Hct
BUN37,7
8,8 AT
CR 417
0,98Neu
GDS67,5
103 APTT
NA (19/10) Sitologi AJH : regio mandibula S. didapatkan sel ganas. pendapat:
31,4(28,2) Alb 3,67 OT/PT 15/26 BUN 5 Cr 0,87
140 K 3,96 CL 100 HBsAg non reaktf 3/10 AL 9,54 AE GDS 108 squamous cell Ca. (16/10) MSCT servikal: dbn. MSCT kepala: tumor
Na 143 K 2,81 Cl 101 Ca 2,19 (13/10) AL 13.32
4,34 HB 11,9 HCT 37,7 AT 329 PPT 16,5/15,4 APTT AE 4.39 maligna mandibula S dengan osteodestruksi corpus mandibula S. Thorax:
HB 12.5 HTALB
33,6/29,6 36.9 AT SGOT
3,58 404 PPT 15.1/13.9
8 SGPT 20 BUN APTT
11 30./9.28.9
CR 1,22 GDS dbn (26/9) THORAX PA: Pulmo tak tampak kelainan, tampak pulmonal
INR 1.11 ALB 3.63 SGOT 11 SGPT
118 NA 143 K 4,09 CL 100 CA 2,22 12 BUN 6.20 CR 0.89 metastase, besar cor normal, tak tampak skeletal metastasis. 18/08 OPG :
GDS 158 NA 138 K 2.78 CL 99 Tampak Impaced M atas kiri, tampak multple missing, tak tampak kelainan
(20/10) AL 3,58 Hb 9,6 hct 28,2 AT 131 neu 48 PPT (20/10) Thorax:
pada struktur dbn (16/5)
tulang Lumbosakral:
mandibula sacralisasi
dan maxillaris inkompleta
pars alveoralis VL 5
bilateral
17,3(12) APTT 29,2(28,2) INR 1,31 Alb 3,38 OT/PT 46/17 terutama tak terlihat jelas adanya fracture/fissure atau disloasi fragmen
BUN 11,4 Cr 0,85 GDS 113 HBsAg NR Na 133 K 3,5 Cl 94 tulang
Cendana 5
Cendana 4
Cendana 3
(20/10) AL 6,69 Hb 12,5 Hct 39 AT 102 Neu 86,8 Na 141 (17/10) CT scan kepala : belum tapak tanda-tanda brain maupun skeletal
K 3,45 Cl 101 (16/10) AL 2,79 Hb 8,5 Hct 26,1 AT 93 Neu metastasis, spenoidits D (17/9) Thorax: pleuropneumonia bilateral ec
79,2 Na 127 K 3,4 Cl 94 (11/10) AL 4.03 AE 3.47 Hb 9.8 suspmixed type (subpleural dan pneumonic) pulmonal metastasis. Cor tdak
HT 29.8 AT 146 PPT 18.5/13.9 APRR 32.5/30.6 SGOT 90 valid dinilai. Curiga lesi osteolitk di os scapula dan os clavicula bilateral.
SPT 23 BUN 7 CR 0.59 GDS 106 HbSAg Non Reaktf NA saran: bone survey (12/9) USG ABD : pleural reacton dextra, mild
126 K 3.67 CL 92 5/9 AL 5,66 AE 3,79 HB 11,3 HCT 33,9 hydronefrosis ren dextra. Bone survey: osteoblastc type skeletal metastatc
AT 178 SGOT 50 SGPT 18 BUN 9,8 CR 0,65 CA 15-3 182,1

4.31 HB 11.3 HT 36.7 AT 287 PPT 14.2/13.9 APTT
CR 0.53 GDS 103 HBsAg NonICU-IGD
Reakif NA-139
K 3.73 CL 103
28/9 AL AL
(18/10) 5,09 AEHb
7,41 4,25 HBHct
12,9 11,538,7
HCTAT34,8
191AT 26257PPT
Neu 15/14 (17/10) USG tiroid:tak tampak residif tumor dan tak tampak kelainan pada
(17/10)
APTT15,5(13,5)
PPT 31,8/30,2APTT
INR 1,1 SGOT 16INR
37,2(28,7) SGPT 12FT4
1,15 BUN1,44
9,1 TSH
CR sisa glandula thyroid D. Tak tampak kelainan pada thyroid S. Multple
0,72 GDS
0,09 88 HBsAg
(16/10) AL 7,78non
hb reaktf
12,6 Hct 36,6 AT 230 Neu 59,7 limfonodi dengan morfologi normal di regio cervical bilateral dan
110 HBsAg NR Na 144 K 4,17 Cl 104
(19/10) AL 21,63 Hb 12,6 Hct 39,3 AT 394 Neu 87,9 9/10 USG : Partal Trombus vena femoralis komunis sinisyta dengan patensi
(15/10) PPT 16,8(14,1) APTT 35,1(30) INR 1,27 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena
Fibrinogen 302 D-dimer 4930 Alb 2,87 (13/10) AL 9.04 poplitea sinistra. Tak tampak trombu dan insufisensi katup pada sistema
AE 3.93 HB 10.3 HT 33.2 AT 347 ALB 2.01 PPT 15.8/13.9 vena tbialis anterior dan posterior sinistra 4/10 CIL : ascites, indentasi
APTT 30.3/28.9 INR 1.18 12/10 AL 9.48, 4.13 HB 10.9, ht rectum proximal hingga colon sigmoid distal ke arah posterior oleh massa di
34.6 AT 400 11/10 PPT 18.1/13.9 APTT 42.5/30.6 INR cavum pelvis 28/9 thorax PA : multple lesi noduler pulmo bilateral susp.
1.39 6/10 AL 8,59 AE 4,19 HB 11,1 HCT 35,5 AT 233 PPT noduler type pulmonal metastasis 21/6 MSCT Abd dengan kontras :
(8/10) AL 2,64
17,1/14,1 Hb 8,2INR
APTT/29,6 Hct1,29
20,2ALB
AT 135
2,86Neu
SGOT8022
(17/10)
SGPT 10 Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
Urin: glukosa
BUN 8,9 2+ GDS
CR 0,68 Bacteria 25,1
83 NA Protein
136 K 3,271+
CL(12/10)
98 HBsAgKED 67 sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
non
Coombs - Feritn
reaktf 1/10 1544,94
AL 7,52 AE 3,9Iron
HB 92
10 TIBC 04 saturasi
HCT 32,8 AT 27188PPT beningn kalsifikasi dinding rectum aspek sinsitra USG Abdomen :
UBC 12 (10/10)
19,9/14,4 AE 2.44
APTT 29/29 HB 7.0
HBsAg nonHTreaktf,
19.7 AT29/9
149CEA
AL 8.03
0,2 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga
ALB
27/92.65 SGOTAE42
3.9SGPT 40 BUN
Hmt44 CRAT
1.42
266GDS
Alb105
3.4 NA obstruksi 1/3 distal ureter fibroid subserosa aspek posterior uterus
Pasien Pulang
Al 7.48 Hb 10.4 33.3
133
SGOTK 26
4.61 CL 107
SGPT MG 1.5
14 BUN PPT
13 Cr 19.7/14.9
1.08 AS uratAPTT 40.1/28.7
6.4 GDS 96 Na 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
HBsAg NonCl
139 K 3.82 Reaktf
104 tak ada kelaianan, cor dalam batas normal USG payudara post mastek tomi
NA 149 2.41 CL 104
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
3,62 Cl 100
4,9 Cr 0,57
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
27 CR 4.09 NA 143 K 1.89 CL 106 10/10 AL 9,52 AE 3,54 abdomen : massa solid di posteromedial yang mendorong ren dextra ke
HB 10 HCT 30 AT 387 PPT 14/15,4 APTT 28,3/30,1 INR antro medial, penebalan omentum dan mesenterium suspek peritoneal
(15/10) AL 8,71 Hb 10,4 Hct 31,7 AT 267 Neu 61,8 9/10 PEDIS AP/L : tak tampak fraktur maupun dislokasi pedis, senile
(12/10) AL 8.57 AE 3.09 HT 26.9 AT 289 11/10 AL 9.10 AE osteoporosis, THORAX PA : tak tampak kelainan paru jantung, old fraktur
3.12 HB 8.9 HT 28.5 AT 337 PPT 15.3/13.9 APTT costae III-IV posterior dextra dan os clavicula dextra pars terta media , USG
122 HBsAg Non Reaktf NA 142 K 4.01 CL 108 9/10
HBsAg
(14/10)non reaktf
Na 143 NA 142
K 4,41 K 4,41
Cl 104 CL 105
Ca 2,15 7/10 FT4
(13/10) AL 11,9
1.54AE 9/10 CERVICAL AP/L : struma regio colli anterior sinistra yang sedikit
3,34 HB 9,8 HCT 30,5 AT 357 ALB 3,45 SGOT 15 SGPT
TSH 0.06 NA 141 K 4.08 CL 103 MG 2.20 CA 2.25 12/10 10 menyempitkan dan mendeviasi tracea ke arah dextra, kompresi ringan VC 6,
BUN 16,9 CR 1,52 GDS 119
AL 16.57 AE 5.00 HB 13.5 HT 41.1 11/10 FT3 3.11 FT4 THORAX PA : tak tampak kelainan 3/10 THORAX PA : tak tampak kelainan,
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83
(13/10)
AL 10,62AL
AE13.1
5,28AEHB3.43
13,8HB 8.343,1
HCT HT 27.5 AT PPT
AT 321 609 14,8/15
15.1/13.9
APTT 31.5/28.9 GDS 99
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 teeth,
10/10 THORAX
efusi tampak
pleura bilateral,
kelainan USG
29/8THYROID
AP/L : spasme
HB 11,7 HCT 35,3 AT 289 PPT 15,1/15,4 APTT 29,8/30,1
101 18/9 FT3 2,83 FT4 1,17 TSH 1,27, CA 2,16 10/9 ALB
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/
30.6 INR 1.17
0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34
CA 2.15
95 NA 139 K4,43 CL 97
FT4 1,06
12/10 ALTSH
8.643,053/10 AL 8,01
AE 3.87 HB AE29.0
9.9 HT 3,3711/10
HB 6,6ALHCT 23,7
AT
284 PPT 16,1/15,4 APTT 37,2/29,6 ALB 2,62 SGOT
SGPT 6 BUN
1.00 ALB 4.499,6 Cr 0,59
SGOT GDS 65
0.75GDS
137 K 4,26 CL 1004/02/2017
138 K 3,82 CL 103
103
12,8
11/10HCT
AL 37,9
15.70ATAE268 GDS
4.16 HB177
11.0FT4
HT16,1
33.3TSHs 0,0789/10
64.08 Iron 8 TIBC 129 Saturasi 5 UIBC 121 PCT 4.63
10/10 AL 13,22 AE 3,63 HB 10 HCT 30,6 AT 654 7/10 AL 4/10 USG Thyroid : Simple cyst intraglandular parots bilateral, nodal
0,73 GDS 73 NA 140 K 4,27 CL 103
0,58 GDS 97 NA 151 K 4,24 CL 111
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
140 K 4,36 Cl 98
K 3,68
7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4
5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186
4,56 CL 103 18/9 AL 9,74 AE 4,72 HB 9,4 HCT 32,5 AT 532
CR 0,47 GDS 154 NA 137 K 4,44 CL 102
3.94 Cl 99 Ca 2.09
survey Abdomen
tampak Tak tampak
kelainan kelainan
skletal Ro thorak
metastase, USGpulmo
Abdomentak :
SGPT
30/9 Al6 BN 6.9AE
29.26 Cr 4.08
0.64 Hb
GDS11.7
248Hmt
HBsAg NR336
35 AT Free27/9
T4 0.41
TSH
4.25
BUN Hb7 Cr12.4
0.54Hmt 37.81.9
AS urat AT GDS
359 PPT
26.3/30.8 Prot total 6.4 Alb 3.45 SGOT 1280 SGPT 64
BUN 6.00 Cr 0.67 GDS 127 HBsAg NR Na 135 K 3.77 Cl
102
30/1 Ca 2,04 27/9 Al 12.78 AE 4.61 Hb 11.6 Hmt 36.3 AT 20/9 Thoral : Pulmo tak tampak kelainan
303 25/9 Al 8.49 AE 4.83 Hb 12.2 Hmt 38.3 AT 329 PPT
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
4.26 HB 10 Hmt 33.1 AT 217 PPT 14.6/13.4 INR 1.07
APTT 29.1/30.1
29/9 Al Alb HB
9.9 AE 3.69 4.2811.5
SGOTHMT37 33.7
SGPTAT
48182
BUN 10 Cr
0.57 GDS 104 Na 144 K 4.02 Cl 106
Cr 0.61 GDS 124
27.4/28.3 Alb 4.05
1/10 AL 23,34 SGOT
AE 5,31 HB199,5SGPT
HMT1532,7
BUNAT10 Cr PTT
102 HBsAg NR Cl 104 Na 140 K 3.6
PO2FIO2 210,8 30/9 Al 13.56 AE 5.23 Hb 9.7 Hmt 33.5
141
29/9KAl3.56 Cl 99
11.05 AEFIO2
3.87 30
HbpH9.77.5
AT pCO2 50 pO2
272 26/9 FIO2686.6
6 Cr 0.48
@35 Free T4 1.08 TSH 1.56
28/9 Al 16.28 AE 3.8 Hb 10.2 Hmt 31.2 AT 222 26/9 Al 26/9 Thorak : tak tampak kelainan pada paru, besar cor normal
27 BUN
1/10 AL 12 CrAE
5,72 0.93 GDS
3,31 HB83
8,9 HT 27,8 AT 176 28/9 AAl 19/9 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal
Pro eksisi luas dr. WJ

(17/10/2017)
(28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)

(+). dr. WJ
mastectomy

(29/09/2017) post
(17/10/2017)

buah limfonodi dari 9 buah limfonodi di sekitar
Pro kemoterapi dr. TW
ujung bebas tumor.

perivaskuler (+)
Mandibula

fibrosis dengan ulserasi dan radang supuratf
tanpa tumor. (13/4) AJH MAMAE DEXTRA : perbaikan KU dr.KS

grade III dr.KS

Post Eksisi biopsi
(18/10/2017)
atpi
Perbaikan KU dr.HJ
Perbaikan KU dr.HJ

rehectng (17/10/2017)

(17/10/2017)

(18/10/2017)
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

perbaikan KU dr.HJ
Post near total

evakuasi hematom
(12/10/2017)

(17/9/2017)

(17/10/2017)

Biopsi (12/10/2017)

infiltrat

(urologi)
Inguinal (12/10/2017)

(13/10/2017)

adenokarsinoma

(12/10/2017)



(13/10/2017)
MRM dr.WJ

(13/10/2017)

Inguinal (11/10/2017)

coli
(10/10/2017)
Eksisi Tumor dr.HJ



Carcinoma
Perbaikan ku +
dr. WJ
radiotherapy

treatment
pro MRM (4/10/2017) dr. WJ

type sel B
(9/10/2017)

(4/10/2017)


perbaikan KU dr.HJ

(5/10/2017)

limfangioinvasi.

(5/10/2017)

ekspresi HER 2 (-)
(5/10/2017)


fibrous histocytoma/ undiffeentated Post debulking tumor
dr.KS

(4/10/2017)

(3/10/2017)

( 2/10/2017 )


(29/9/2017)

mastektomy (29/9)


limfatk
Pro MRM dr. KS


Post Biopsi
dan Colli S (30/8)

Rekonstruksi (30/8)

Ca ductal mammae D

GxT4N1M1 paru
Ca ductal mammae D
Fibromixosarcoma
G1T2n1bM0 post
amputasi, Fournier
debridement, post
dengan flap

Regio Antebrachii D
Halusinasi
Fibrosarcoma Regio
Ca mammae lobular
neutropenia

1 620535 P 50 thn 10/10/2017 CDN3/1
Musiarsih ER+ PR+
Duktal Carsinoma
T4bN1M0
Ca Mammae post
Cervix Grade IIB

2 1791594 P 23 thn 9/10/2017 CW2/3
Mubarokatn Sinistra

isthmolobectomy

dekstra, DM2NO,
Hipokalemia

Abses regio colli S
susp HAP


progresif

evakuasi hematom

MRM post kemoterapi
Sarcoma regio femur

1 1822735 L 20 thn 10/10/2017 CW1/108
Zulma Sinistra

Liposarcoma

Dwi Purnomo
Adjie
Ca Mammae Bilateral
Ascites

Ductal Carsinoma
Kemoterapi ke 6

6 1826544 P 51 thn 10/10/2017 AYD2/202

Ganethia

8 1811742 P 26 thn 10/10/2017 CDN2/6
Astut Sinistra

parotdektomi H-2


3 1802971 P 62 thn 9/10/2017 CW2/209
Kulasah 2 + KI 67
Melanoma Maligna
Gangguan Psikotk

P.
Carcinoma Mammae

RR Antonia Tut
9 1824324 P 51 thn 10/6/2017 CDN 2/3 Sinisra post ismolobektomi
Caturwat H-3
Undifferenciated Ca


Ca Mammae Dextra
H5

bilateral




eksisi tumor H2
dextra H2

bio[psi H1
Adenoma pleomorfik
axila H2



H2

Fatchur
Rochmah 6
Ca Ductal invasive
aksila H4

mammae dextra post
H4
Liposarcoma dd
luas H5
Ca Mammae S T4N2M1,
Ca ductal invasive
MRM H6 (biopsi)
H5
Ca Lobuler mammae
MRM H2


Bedah Onkologi Senin, 23 Oktober 2017
Pasien Operasi Senin, 23 Oktober 2017
(20/10) AL 3,53 Hb 10,2 Hct 31,7 AT 235 Neu 48,8 PPT (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts.
14,6(12) APTT 31(28,2) INR 1,07 Bil tot 0,26 Bil dir 0,11
Na 146 K 3,93 Cl 103 Ca 15-3 160,20 (12/10) AL 0,97 Hb
9,4 Hct 29,5 AT 129 Neu 15,5
(22/10) Na 143 K 4,25 Cl 105 (21/10) FIO2 21 pCO2 29,6 (19/10) Sitologi AJH : regio mandibula S. didapatkan sel ganas. pendapat:
pO2 86,9 HCO3 26 TCO2 26,9 PO2/FIO2 421,6 (20/10) AL squamous cell Ca. (16/10) MSCT servikal: dbn. MSCT kepala: tumor
11,64 Hb 12,4 Hct 37,7 AT 417 Neu 67,5 APTT 31,4(28,2) maligna mandibula S dengan osteodestruksi corpus mandibula S. Thorax:
Alb 3,67 OT/PT 15/26 BUN 5 Cr 0,87 GDS 108 Na 143 K dbn (26/9) THORAX PA: Pulmo tak tampak kelainan, tampak pulmonal
2,81 Cl 101 Ca 2,19 (13/10) AL 13.32 AE 4.39 HB 12.5 HT metastase, besar cor normal, tak tampak skeletal metastasis. 18/08 OPG :
36.9 AT 404 PPT 15.1/13.9 APTT 30./9.28.9 INR 1.11 ALB Tampak Impaced M atas kiri, tampak multple missing, tak tampak kelainan
3.63 SGOT 11 SGPT 12 BUN 6.20 CR 0.89 GDS 158 NA pada struktur tulang mandibula dan maxillaris pars alveoralis bilateral
138 K 2.78 CL 99 terutama tak terlihat jelas adanya fracture/fissure atau disloasi fragmen
tulang
Pasien Baru
Cendana 2
(21/10) AL 10,35 Hb 8,6 Hct 26,8 AT 387 Neu 84 (17/10) 12/10 MSCT THORAKS DENGAN KONTRAS : Destruksi Margo Lateral os
AL 13,03 Hb 8,6 Hct 26,9 AT 325 Neu 83,7 15/10) AL Scapula Sinistra dengan soft tssue mass di rgio bahu sinistra posterior,
11,83 Hb 7,5 Hct 23,4 AT 405 Neu 82,2 PPT 15,7(14.1) suspect osteosarcoma, nodular type pulmonal metastasis, nodul kistk di
APTT 26,7(30) INR 1,17 Alb 2,74 OT/PT 34/27 BUN 13 Cr thyroid bilateral dengan kalsifikasi 22/9 FOTO SCAPULA SINISTRA : susp.
0,78 GDS 155 HBsAg NR Na 142 K 3,21 Cl 104 (6/10) AL Osteogenicsarcoma angulusinferior scapula sinistra dd soft tssue sarcoma
11,65 AE 4,49 HB 12,5 HCT 38,4 AT 504 PPT 15/14,1 meluas ke angulus inferior scapula sinistra
APTT 26,3/29,6 INR 1,1 ALB 3,56 SGOT 17 SGPT 21 BUN
18 CR 0,84
(20/10) GDS Hb
AL 3,53 10910,2
NA 143
Hct K31,7
4,26ATCL235
104Neu
HBsAg
48,8non
PPT (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts.
reaktf APTT 31(28,2) INR 1,07 Bil tot 0,26 Bil dir 0,11
14,6(12)
Na 146 K 3,93 Cl 103 Ca 15-3 160,20 (12/10) AL 0,97 Hb
9,4 Hct 29,5 AT 129 Neu 15,5
(21/10) AL 6,23 Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT (12/9) USG tiroid: lesi litk berisi cairan pekat di colli posterior.
13,9(14,4) APTT 27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir
0,07 Alb 4,42 OT/PT 19/22 BUN 9 Cr 0,65 GDS 100 Na
144 K 4,01 Cl 104 Prot tot 7,8 (11/9) AL 3,72 Hb 11,4 hct
36,1 AT 185 Neu 49,7 PPT 15(14,3) APTT 29,2(29,9) INR
1,1 OT/PT 1/23 BUN 8 Cr 0,69 AU 4,2 GDS 118 HBsAg NR
(20/10) AL 10,09 Hb 9,2 Hct 29 AT 322 Neu 76 Prot 6,25 13/10 THORAX PA: Malunion fracture os clavicula dexra, pulmo tak tampak
Alb 3,48 BUN 8,3 Cr 0,63 GDS 162 Na 132 K 3,89 Cl 95 kelainam besar cor normal 3/10 USG ABDOMEN :Soft tssu edema pada
(14/10) Alb 2,82 (11/10) Alb 2.76 Na 136 K 3.52 CL 100 scrotum bilateral dengan suspect infiltrasi tumor pada scrotum dextra 28/9
(10/10) AL 13,23 AE 3,63 HB 10 HCT 30,6 AT 654 8/10 AL Ro thorak Pulmo tak tampak kelainan, besar cor normal, fraktur kompleta
13,99 AE 3.06 HB 8, HCT 25,2 AT 678 ALB 2,71 BUN 6,6 kominutf di os clavicula dextra pars terta media, aposisi & alignment
CR 0,66 NA 137 K 3,62 CL 1006/10 AL 10,4 AE 3,01 HB 8 kurang dengan lesi osteosklerotk di ujung ketga fragmen curiga ec fraktur
HCT 24,2 AT 586 ALB 2,44 5/10 AL 8,51 AE 3,16 HB 8,3 patologis ec osteoblastk type skeletal metastasis 21/8 MSCT ext bawah
HCT 26 AT 539 ALB 2,74 PPT 15,2/15 APTT 32/28,9 INR kontras Tumor heterogen solid kistk dengan tanda malignancy di musculus
1,12 SGOT 28 SGPT 28 BUN 15,9 CR 0,7GDS 142 NA 142 vastus lateral et medial, sartorius dan rectus femoris dextra menyokong
K 3,74 CL 106 4/10 AL 12,53 AE 3,31 HB 8,5 HCT 27,2 AT fibromyxosarcoma dengan feeding vessel dari a. femoralis superfisial dan
539ALB 1,8 BUN 11,1 CR 0,79 NA 134 K 3,9 CL 100 29/9 profunda dextra.5/4 MSCT angio ekstremitas dengan kontras Tumor soft
AL 10.26 AE 3.22 Hb 8.4 AT 165 Alb 2.32 Na 139 K 3.34 Cl tssue hipervaskuler di kompartemen anterior dengan feeding vessel dari a.
104 27/9 Al 8.28 AE 3.26 Hb 8 Hmt 24.9 AT 245 PPT femoralis superfisial dan profunda, dominan superfisial.
17.6/14.6 INR 1.32 APTT 30.6/30.8 Alb 3.16 SGOT 24
Cendana 1
(18/10) AL 48,23 Hb 12,7 hct 37,3 AT 163 Neu 80 PPT (4/10) MSCT KEPALA KONTRAS : kalsifikasi diglobus pallidus dextr, tak
8/10 AL 38,59 AE 3,33 HB 10 HCT 29,7 AT 440 ALB 3,12
NA 137 K 3,17 CL 100 7/10 AL 28,35 AE 2,81 HB 8,5 HCT
2,53 NA 136 K 3,18 Cl 98 2/10 AL 51,67 AE 3,28 HB 10,1
60.35 AE 3.45 Hb 10.7 Hmt 31.4 AT 294 Na 138 K 2.5 Cl
10 27/9 Al 47.3 AE 3.11 Hb 9.7 Hmt 29.1 AT 344 PPT
(s22/10) Na 143
ALB 4,1 SGOT 12 KSGPT
4,2514
Cl 105
BUN(21/10) FIO2GDS
8,8 CR 0,98 21 pCO2 29,6 (19/10) Sitologi AJH : regio mandibula S. didapatkan sel ganas. pendapat:
103 NA
pO2
140 K 3,96 CL 100 HBsAg non reaktf 3/10 AL 9,54 AE AL squamous cell Ca. (16/10) MSCT servikal: dbn. MSCT kepala: tumor
86,9 HCO3 26 TCO2 26,9 PO2/FIO2 421,6 (20/10)
11,64 Hb11,9
4,34 HB 12,4HCT
Hct37,7
37,7AT
AT329
417PPT
Neu16,5/15,4
67,5 APTTAPTT
31,4(28,2) maligna mandibula S dengan osteodestruksi corpus mandibula S. Thorax:
Alb 3,67 OT/PT 15/26 BUN 5 Cr 0,87 GDS 108
33,6/29,6 ALB 3,58 SGOT 8 SGPT 20 BUN 11 CR 1,22 Na 143GDS
K dbn (26/9) THORAX PA: Pulmo tak tampak kelainan, tampak pulmonal
2,81 Cl 101 Ca 2,19 (13/10) AL
118 NA 143 K 4,09 CL 100 CA 2,2213.32 AE 4.39 HB 12.5 HT metastase, besar cor normal, tak tampak skeletal metastasis. 18/08 OPG :
36.9 AT 404 PPT 15.1/13.9 APTT 30./9.28.9 INR 1.11 ALB Tampak Impaced M atas kiri, tampak multple missing, tak tampak kelainan
3.63 SGOT 11 SGPT 12 BUN 6.20 CR 0.89 GDS 158 NA pada struktur tulang mandibula dan maxillaris pars alveoralis bilateral
138 K 2.78 CL 99 terutama tak terlihat jelas adanya fracture/fissure atau disloasi fragmen
tulang
(20/10) AL 3,58 Hb 9,6 hct 28,2 AT 131 neu 48 PPT (20/10) Thorax: dbn (16/5) Lumbosakral: sacralisasi inkompleta VL 5
17,3(12) APTT 29,2(28,2) INR 1,31 Alb 3,38 OT/PT 46/17
BUN 11,4 Cr 0,85 GDS 113 HBsAg NR Na 133 K 3,5 Cl 94
Cendana 5
Cendana 4
Cendana 3
(20/10) AL 6,69 Hb 12,5 Hct 39 AT 102 Neu 86,8 Na 141 (17/10) CT scan kepala : belum tapak tanda-tanda brain maupun skeletal
K 3,45 Cl 101 (16/10) AL 2,79 Hb 8,5 Hct 26,1 AT 93 Neu metastasis, spenoidits D (17/9) Thorax: pleuropneumonia bilateral ec
79,2 Na 127 K 3,4 Cl 94 (11/10) AL 4.03 AE 3.47 Hb 9.8 suspmixed type (subpleural dan pneumonic) pulmonal metastasis. Cor tdak
HT 29.8 AT 146 PPT 18.5/13.9 APRR 32.5/30.6 SGOT 90 valid dinilai. Curiga lesi osteolitk di os scapula dan os clavicula bilateral.
SPT 23 BUN 7 CR 0.59 GDS 106 HbSAg Non Reaktf NA saran: bone survey (12/9) USG ABD : pleural reacton dextra, mild
126 K 3.67 CL 92 5/9 AL 5,66 AE 3,79 HB 11,3 HCT 33,9 hydronefrosis ren dextra. Bone survey: osteoblastc type skeletal metastatc
AT 178 SGOT 50 SGPT 18 BUN 9,8 CR 0,65 CA 15-3 182,1
4.31 HB 11.3 HT 36.7 AT 287 PPT 14.2/13.9 APTT
CR 0.53 GDS 103 HBsAg NonICU-IGD Reakif NA-139
K 3.73 CL 103
28/9 AL 5,09 AE 4,25 HB 11,5 HCT 34,8 AT 262
(21/10) Alb 3,2 Na 31 K 3,97 Cl 89 (19/10) AL 21,63 PPT 15/14
Hb 9/10 USG : Partal Trombus vena femoralis komunis sinisyta dengan patensi
APTT 31,8/30,2 INR 1,1 SGOT 16 SGPT 12 BUN
12,6 Hct 39,3 AT 394 Neu 87,9 (15/10) PPT 16,8(14,1) 9,1 CR lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena
0,72
APTTGDS 88 HBsAg
35,1(30) non Fibrinogen
INR 1,27 reaktf 302 D-dimer 4930 poplitea sinistra. Tak tampak trombu dan insufisensi katup pada sistema
Alb 2,87 (13/10) AL 9.04 AE 3.93 HB 10.3 HT 33.2 AT 347 vena tbialis anterior dan posterior sinistra 4/10 CIL : ascites, indentasi
ALB 2.01 PPT 15.8/13.9 APTT 30.3/28.9 INR 1.18 12/10 rectum proximal hingga colon sigmoid distal ke arah posterior oleh massa di
AL 9.48, 4.13 HB 10.9, ht 34.6 AT 400 11/10 PPT cavum pelvis 28/9 thorax PA : multple lesi noduler pulmo bilateral susp.
18.1/13.9 APTT 42.5/30.6 INR 1.39 6/10 AL 8,59 AE 4,19 noduler type pulmonal metastasis 21/6 MSCT Abd dengan kontras :
(20/10)
HB 11,1 AL
HCT12,43
35,5HbAT 8,4
233HctPPT24,2 AT 100APTT/29,6
17,1/14,1 Neu 90,5 INR Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
(17/10)
1,29 ALB 2,86 SGOT 22 SGPT 10 BUN 8,9 CR-. 0,68
URIN: glukosa 2+, lekosit esterase bacteria
GDS25,
83 sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
protein 1+ (8/10) AL 2,64 Hb 8,2 Hct 20,2
NA 136 K 3,27 CL 98 HBsAg non reaktf 1/10 AL 7,52AT 135 NeuAE80 beningn kalsifikasi dinding rectum aspek sinsitra USG Abdomen :
(17/10)
3,9 HB 10Urin:
HCTglukosa
32,8 AT2+ 271Bacteria 25,1 Protein
PPT 19,9/14,4 APTT1+ 29/29 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga
(12/10) KED 67 Coombs - Feritn 1544,94 Iron 923.9
TIBC
Hb04 obstruksi 1/3 distal ureter fibroid subserosa aspek posterior uterus
Pasien Pulang
HBsAg non reaktf, 29/9 CEA 0,2 27/9 Al 7.48 AE
saturasi
10.4 Hmt8833.3
UBCAT12266 (10/10)
Alb 3.4AESGOT
2.44 26
HBSGPT
7.0 HT 1419.7
BUNAT13 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
149
Cr 1.08 AS urat 6.4 GDS 96 Na 139 K 3.82 Cl 104 CR 1.42 tak ada kelaianan, cor dalam batas normal USG payudara post mastek tomi
AL 8.03 ALB 2.65 SGOT 42 SGPT 40 BUN 44
GDS 105 NA 133 K 4.61 CL 107 MG 1.5 PPT 19.7/14.9 mammae bilateral, tak tampak residif massa pada dinding dada bilateral
(18/10) AL 7,41 HBsAg
APTT 40.1/28.7 Hb 12,9NonHctReaktf
38,7 AT 191 Neu 57 (17/10) (17/10) USG tiroid:tak tampak residif tumor dan tak tampak kelainan pada
PPT 15,5(13,5) APTT 37,2(28,7) INR 1,15 FT4 1,44 TSH sisa glandula thyroid D. Tak tampak kelainan pada thyroid S. Multple
0,09 (16/10) AL 7,78 hb 12,6 Hct 36,6 AT 230 Neu 59,7 limfonodi dengan morfologi normal di regio cervical bilateral dan
110 HBsAg NR Na 144 K 4,17 Cl 104
NA 149 2.41 CL 104
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
3,62 Cl 100
4,9 Cr 0,57
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
27 CR 4.09
(15/10) NA 143
AL 8,71 Hb K10,4
1.89Hct
CL31,7
106 10/10
1,02 8/10
3.12 HB 8.9ALHT
11.28
28.5AEAT2.4
337HB 6.815.3/13.9
PPT HCT 21 AT 394 6/10
BUN 72 CR 9,19 NA 142 K 3,65 CL 109 CA 1,84 4/10 AL
13,47 AE 1,41
4,0 HCTNA13,1
142 AT 472 CL
K 4.01 3/10
108AL9/10
13,35 AE
1,40
HBsAgHB 4,0
non HCT
reaktf13,0 AT
NA 142 470 PPT
K 4,41 13,4/15,4
CL 105 INR
AL0,97
(14/10)
APTT Na 143
29,2/29,6 KALB
4,41 Cl 104
3,26 SGOTCa142,15
SGPT(13/10)
14 BUN 1.54Cr
63,8
3,34
TSH HB
0.069,8
NA HCT 30,5
141 K 4.08AT 357 ALB
CL 103NaMG3,45 SGOT
2.20 15
CA 2.25 SGPT 10
8,89
BUN GDS 84
16,9AE HBsAg
CR5.00
1,52HB no reaktf
GDS 119HT 41.1 138 K 4,03 Cl 10930/8
AL 16.57 13.5
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83
(13/10)
AL 10,62ALAE13.1
5,28AEHB3.43
13,8HB 8.343,1
HCT HT 27.5 AT PPT
AT 321 609 14,8/15
15.1/13.9
APTT 31.5/28.9 GDS 99
teeth, THORAX PA : efusi pleura bilateral, USG THYROID : limfadenopat
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 10/10 THORAX PA : tdak tampak kelainan 29/8 CERVICAL AP/L : spasme
HB 11,7 HCT 35,3 AT 289 PPT 15,1/15,4 APTT 29,8/30,1
101 18/9 FT3 2,83 FT4 1,17 TSH 1,27, CA 2,16 10/9 ALB
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/
30.6 INR 1.17
0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34
CA 2.15
95 NA 139 K4,43 CL 97
FT4 1,06
12/10 ALTSH
8.643,053/10 AL 8,01
AE 3.87 HB AE29.0
9.9 HT 3,3711/10
HB 6,6ALHCT 23,7
AT
284 PPT 16,1/15,4 APTT 37,2/29,6 ALB 2,62 SGOT
SGPT 6 BUN
1.00 ALB 4.499,6 Cr 0,59
SGOT GDS 65
0.75GDS
137 K 4,26 CL 1004/02/2017
138 K 3,82 CL 103
103
12,8 HCT 37,9 AT 268 GDS 177 FT4 16,1 TSHs 0,078
11/10 AL 15.70 AE 4.16 HB 11.0 HT 33.3 ALB 2.63 9/10 2/10 Ro kepala 3 posisi : soft tssu tumor yang menyempitkan airway
64.08
AL 13,22 Saturasi
3,63 HB 10 5HCT
UIBC 121
30,6 ATPCT
6544.63
0,73 GDS 73 NA 140 K 4,27 CL 103
0,58 GDS 97 NA 151 K 4,24 CL 111
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
140 K 4,36 Cl 98
K 3,68
7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4
5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186
4,56 CL 103 18/9 AL 9,74 AE 4,72 HB 9,4 HCT 32,5 AT 532
CR 0,47 GDS 154 NA 137 K 4,44 CL 102
3.94 Cl 99 Ca 2.09
survey Abdomen
tampak Tak tampak
kelainan kelainan
skletal Ro thorak
metastase, USGpulmo
Abdomentak :
SGPT
30/9 Al6 BN 6.9AE
29.26 Cr 4.08
0.64 Hb
GDS11.7
248Hmt
HBsAg NR336
35 AT Free27/9
T4 0.41
TSH
4.25
BUN Hb7 Cr12.4
0.54Hmt 37.81.9
AS urat AT GDS
359 PPT
26.3/30.8 Prot27/9
12.78 3.45 SGOT
4.61 Hb 1280 SGPT36.3
102
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
4.26 HB 10 Hmt 33.1 AT 217 PPT 14.6/13.4 INR 1.07
APTT 29.1/30.1
29/9 Al Alb HB
9.9 AE 3.69 4.2811.5
SGOTHMT37 33.7
SGPTAT48182
BUN 10 Cr
0.57 GDS 104 Na 144 K 4.02 Cl 106
Cr 0.61 GDS 124
27.4/28.3 Alb 4.05
1/10 AL 23,34 SGOT
AE 5,31 HB199,5SGPT
HMT1532,7
BUNAT10 Cr PTT
102 HBsAg NR Cl 104 Na 140 K 3.6
PO2FIO2 210,8 30/9 Al 13.56 AE 5.23 Hb 9.7 Hmt 33.5
141 KAl3.56
29/9 Cl 99
11.05 AEFIO2
3.87 30
HbpH9.77.5
AT pCO2 50 pO2
272 26/9 FIO2686.6
BeecfpCO2
7.45 15.8 45.3
Beb 14.7
pO2 HCO3 39.5 7.9
93.6 BEecf PO2FIO2 244.6
BEb 7.4 HCO3 32.1 penarikan struktur mediastnum ke arah dextra disertai emphysema
6 Cr 0.48
28/9
@35 Al 16.28
Free AE 3.8
T4 1.08 TSHHb1.56
27 BUN
1/10 AL 12 CrAE
5,72 0.93 GDS
(28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)

(+). dr. WJ 1.01 8.00

Mandibula
Pro eksisi biopsi + dr. KS 1.01 11.00


(17/10/2017)
(28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)

(+). dr. WJ

(29/09/2017) post
(17/10/2017)
(13/6) Hitopatologi: jaringan limfonodi axilla D

pada pasien squamous cell ca regio antebrachii
D: metastasis squamous cell Ca (5/6)
pemeriksaan histopatologi jaringan besar :
oprasi dan tepi pertengahan superior dan lateral Post Eksisi Luas + Skin Graft dr. HJ
(A2) tdak bebas tumor (18/8) PA Regio lengan
dengan dasar operasi dan tepi pertengahan
perivaskuler (+)
(13/10) Sensitivitas: sensitf Tobramycin,
Mandibula

(6/7) ER-PR= -. Her-2= -. Ki-67= +, +/- 20%.

Histopatologi: jaringan mammae S: invasive
lbular Ca, nuclear grade 2. besar tumor =/- 2,3
cm. Jarak terdekat dengan batas operasi +/- 2,5
cm. Invasi ke pembuluh limfe (+). Invasi ke
jaringan lemak (+) dan di bawah putng (+).
PT2NxMx. jaringan limfonodi dan gan sinus Perbaikan KU dr. WJ
histositosis, tanpa tumor. (2/6) AJH: sitologi
mammae S: didapatkan sel ganas. pendapat:
ductal Ca, nuclear grade II.

fibrosis dengan ulserasi dan radang supuratf
tanpa tumor. (13/4) AJH MAMAE DEXTRA : perbaikan KU dr.KS
grade III dr.KS

atpi
Perbaikan KU dr.HJ

Post Eksisi biopsi
(18/10/2017)
Perbaikan KU dr.HJ

rehectng (17/10/2017)
(17/10/2017)

(18/10/2017)
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

perbaikan KU dr.HJ
Post near total

evakuasi hematom
(12/10/2017)

(17/9/2017)

Post insisi biopsi
(17/10/2017) dr.KS
Biopsi (12/10/2017)

infiltrat

(urologi)

Inguinal (12/10/2017)

(13/10/2017)

adenokarsinoma

(12/10/2017)



(13/10/2017)
MRM dr.WJ

(13/10/2017)

Inguinal (11/10/2017)

coli

(10/10/2017)
Eksisi Tumor dr.HJ


Carcinoma
Perbaikan ku +
dr. WJ
radiotherapy


treatment
pro MRM (4/10/2017) dr. WJ

type sel B
post eksisi biopsi
dr.WJ
(9/10/2017)

(4/10/2017)

perbaikan KU dr.HJ

(5/10/2017)

limfangioinvasi.

(5/10/2017)
ekspresi HER 2 (-)
(5/10/2017)


Post total parotdectomy +
dr. WJ


(4/10/2017)

(3/10/2017)

( 2/10/2017 )

(29/9/2017)

mastektomy (29/9)


limfatk
Pro MRM dr. KS

Post Biopsi
dan Colli S (30/8)

kuat. Kes : Chondrosarcoma Post Wide Eksisi, Flap dan
dr WJ
Rekonstruksi (30/8)

Bedah Onkologi SENIN, 30 Oktober 2017
No CM Nama L/P Umur Masuk RS Bangsal Diagnosis Laboratorium Radiologi PA Tindakan DPJP OK Jam
Pasien Operasi SENIN, 30 Oktober 2017
(27/10) AL 15.85 AE 3.53 Hb 10.1 Hct 31.3 AT 331 Alb (24/10) MSCT Kepala Kontras : Suspect soft tssue mass disertai perifocal
1 1827759 Partni P 31 Thn 21/10/2017 AGG2/11 Ca Adenoinvasif Mammae 3.36 OT 20 PT 15 edema di lobus occipitalis dextra (21/07) Thorax PA : Oedem pulmo, Efusi Pro Core Biopsy dr.TW 1.01 08.00
S T4dN0M1 (brain) Pleura Dextra
(26/10) AL 7.55 AE 4.86 Hb 13.6 Hct 41.5 AT 306 PPT (26/10) Thorax PA : dbn MSCT Kepala Soft tssue mass di regio nasalis
14.8/14.8 APTT 33.6/29.3 INR 1.09 Alb 4.09 OT 19 PT 15 aspek anterior dectra disertai dengan defect soft tssue di regio nasalis
2 1822849 Ngatjan L 58 thn 25/10/2017 CDN1/10 Basal Cell Carcinoma Regio BUN Cr 1.00 GDS 98 HBsAg NR FT4 1.53 TSH 0.58 Na 144 aspek anterior sinistra, deviasi septum nasi ke arah lateral sinistra Cervical
Pro Eksisi dr.WJ 1.01 09.00
Nasal K 4.09 Cl 104 AP/L Spondylosis cervicalis DIV VC 6-7
(26/10) AL 8.99 AE 4.63 Hb 13.2 Hct 40.2 AT312 PPT (13/10) Thorax PA : dbn (10/10) USG Thyroid : Mengarah complex cyst
12.3/14.8 APTT 30.5/29.3 INR 0.87 Alb 3/90 OT 22 PT 28 thyroglossus
Bronkogenic Duktal BUN 16.50 Cr 1.20 Na 142 Ca 5.43 Cl 104
4 1826914 Sriyat P 49 thn 26/10/2017 CDN2/6 Tyroglossuss Cyst Pro Cystrunk Procedure dr.WJ 1.01
Pasien Baru
(27/10) AL 9.14 Hb 9.8 Hct 32.8 AT 219 Alb 2.86 OT 41 PT (25/10) Thorax PA : Efusi Pleura bilateral mengarah sublpleural type IHC: ER, PR (+) HER 2 (-) KI67 : positf <5% (18/10)
CA Mammae Dextra 15 BUN 13.40 Cr 0.76 HBsAG NR Na 133 K 3.84 Cl 93 pulmonal metastase, Bone Metastasis pada os Humer Dextra (19/10) Core biopsy mammae dekstra : Invasive ductal
T4dN3M1 (Tulang, Pulmo), Kepala 3 posisi : Osteoclastc type, skeletal metastasis pada ossa calvaria. carcinoma of NST gr III, invasif ke pembulh darah
2 1823835 Iswahyuni P 48 thn 27/10/2017 CDN2/6 Efusi pleura dekstra ex susp Pelvis : dbn. USG Abd upper dan Lower : Efusi pleura blateral dan lemak (25/09) Sitologi efusi pleura dekstra : Pro Perbaikan KU dr.WJ
related Malignancy didaptakan sel ganas
Cendana 2
(26/10) HcT 34.0 Hb 11.3 (25/10) AL 4.40 AE 4.40 Hb (25/09) AJH : Bethesda system kelas V suspicious for papillary carcinoma
11.1 Hct 36.5 AT 276 PPT 14.1/14.2 APTT 34.3/28.6 INR
Ca Papiller Thyroid Dekstra 1.03 Alb 4.11 OT 18 PT 16 BUN 13.60 Cr 0.68 GDS 98 Post Total troidektomi dan
1 1823919 Tukijem P 65 thn 25/10/2017 CDN2/10 T3N1M0 HBsAg NR FT3 2.61 FT4 1.15 TSH 0.90 Na 139 K 3.85 CL RND H1 dr. KS
103
(26/10) AL 12.83 AE 3.59 Hb 9.2 Hct 29.5 AT 587 (24/10) 12/10 MSCT THORAKS DENGAN KONTRAS : Destruksi Margo Lateral os
Soft Tissue Tumor Regio AL 9.76 e 3.38 hB 8.9 hCT 27.9 AT 499 (21/10) AL 10,35 Scapula Sinistra dengan soft tssue mass di rgio bahu sinistra posterior, post insisi biopsi,
2 1824882 Rohat P 56 thn 10/10/2017 CDN2/10 Scapula Sinistra Curiga Hb 8,6 Hct 26,8 AT 387 Neu 84 (17/10) AL 13,03 Hb 8,6 suspect osteosarcoma, nodular type pulmonal metastasis, nodul kistk di radioterapi (17/10/2017) dr. HJ
Ganas GxT4N1M1 (P) Hct 26,9 AT 325 Neu 83,7 15/10) AL 11,83 Hb 7,5 Hct thyroid bilateral dengan kalsifikasi 22/9 FOTO SCAPULA SINISTRA : susp.
23,4 AT 405 Neu 82,2 PPT 15,7(14.1) APTT 26,7(30) INR Osteogenicsarcoma angulusinferior scapula sinistra dd soft tssue sarcoma
1,17 AlbAL
(25/10) 2,74 OT/PT
12.01 AE 34/27
4.34 HbBUN
11.913Hct37.1
Cr 0,78AT
GDS
337155
PPT meluas
(26/09) ke angulus
Bone inferior
Survey : dbn scapula sinistra
Thorax PA : dbn USG Abdomen : Hepatomegali,
HBsAg NR APTT
14.4/14.2 Na 142 K 3,21 ClINR
33.6/28.6 1041.06
(6/10)
Alb AL 11,65
3.91 AEPT
OT 19 4,49 multple polip di Vesicca Fellea USG Payudara: Multple Massa hipoechoic
Ca Ductal Invasive HB 12,5 HCT 38,4 AT 504 PPT 15/14,1 APTT 26,3/29,6
12BUN 6.80 Cr 0.73 GDS 102, HBsAg NR Na 139 K 3.64 Cl (multfocal lesion) dengan mikrokalsifikasi di mammae sinistra sesuai
3 390691 Sit Munawaroh P 35 thn 25/10/2017 CDN2/10 Mammae Sinistra T2N0M0 INR 1,1 ALB 3,56 SGOT 17 SGPT 21 BUN 18 CR 0,84 GDS Post MRM H1 dr. TW
105 Ca15-3 6.00 klasifikasi BIRADS V
109 NA 143 K 4,26 CL 104 HBsAg non reaktf
(5/10) THORAX PA : Nodular Type pulmonal metastasis (23/03) PA : Pleomorphic Rhabdomyosarcoma
Pleomorphic
Rhabdomyosarcoma regio Pro Eksisi Luas Humerus
4 1802828 Kasinah P 68 thn 27/10/2017 CDN2/10 Humerus Dextra GIII Dekstra, Aksilla Dekstra dr.KS
T4N0M1
(26/10) AL 8.99 AE 4.63 Hb 13.2 Hct 40.2 AT312 PPT (13/10) Thorax PA : dbn (10/10) USG Thyroid : Mengarah complex cyst
12.3/14.8 APTT 30.5/29.3 INR 0.87 Alb 3/90 OT 22 PT 28 thyroglossus
Bronkogenic Duktal BUN 16.50 Cr 1.20 Na 142 Ca 5.43 Cl 104
5 1826914 Sriyat P 49 thn 26/10/2017 CDN2/6 Tyroglossuss Cyst Pro Cystrunk Procedure dr.WJ
(27/10) AL 9.14 Hb 9.8 Hct 32.8 AT 219 Alb 2.86 OT 41 PT (25/10) Thorax PA : Efusi Pleura bilateral mengarah sublpleural type IHC: ER, PR (+) HER 2 (-) KI67 : positf <5% (18/10)
CA Mammae Dextra 15 BUN 13.40 Cr 0.76 HBsAG NR Na 133 K 3.84 Cl 93 pulmonal metastase, Bone Metastasis pada os Humer Dextra (19/10) Core biopsy mammae dekstra : Invasive ductal
T4dN3M1 (Tulang, Pulmo), Kepala 3 posisi : Osteoclastc type, skeletal metastasis pada ossa calvaria. carcinoma of NST gr III, invasif ke pembulh darah
6 1823835 Iswahyuni P 48 thn 27/10/2017 CDN2/6 Efusi pleura dekstra ex susp Pelvis : dbn. USG Abd upper dan Lower : Efusi pleura blateral dan lemak (25/09) Sitologi efusi pleura dekstra : Pro Perbaikan KU dr.WJ
related Malignancy didaptakan sel ganas
Cendana 1
(26/10) AL 7.55 AE 4.86 Hb 13.6 Hct 41.5 AT 306 PPT (26/10) Thorax PA : dbn MSCT Kepala Soft tssue mass di regio nasalis
14.8/14.8 APTT 33.6/29.3 INR 1.09 Alb 4.09 OT 19 PT 15 aspek anterior dectra disertai dengan defect soft tssue di regio nasalis
Basal Cell Carcinoma Regio BUN Cr 1.00 GDS 98 HBsAg NR FT4 1.53 TSH 0.58 Na 144 aspek anterior sinistra, deviasi septum nasi ke arah lateral sinistra Cervical
1 1822849 Ngatjan L 58 thn 25/10/2017 CDN1/10 Nasal K 4.09 Cl 104 AP/L Spondylosis cervicalis DIV VC 6-7 Pro Eksisi dr.WJ
(27/10) AL 8.50 AE 4.32 HB 10.8 Hct 34.7 AT 463 (5/10) Bone survey: dbn Thorax: dbn USG abdomen: mioma uteri USG (9/10) ER PR (+) HER 2 (-) Ki67 > 14% (40-50%)
(25/10)AL 10.01 AE 3.70 Hb 9.3 Hct 27.6 AT 349 (24/10) payudara: multple simple cyst di mammae S BI-RADS II
Ca mammae Dekstra AL 5.46 AE 4.20 Hb 10.1 Hct 33.7 AT 440 PPT 15.0/14.1
2 1825860 Sundari P 32 thn 10/23/2017 CDN1/9 TxN1M0 IHC : ER(+) PR (+) APTT 35.2/29.4 INR 1.10 Alb 4.50 SGOT 9 SGPT 9 BUN Post Diseksi Aksilla (25/10) dr. KS
HER2(-) KI 67>14% 9.50 Cr 0.68 GDS 85 Na144 K 4.78 CL 107
(26/10) AL 7..83 AE 4.56 Hb 12.7 Hct 38.0 AT 448 PPT (26/10) Thorax PA : Emfisematous Pulmonum (29/09) Bone Survey : Lesi (22/12/15) IHC ER + PR - HER2 -(7/12/15) PA
15.0/14.8 APTT 36.2/29.3 Alb 4.25 OT 26 PT 15 BUN 7.30 osteosklerotk pada corpusVL5, VS1, osteoblastc type skeletal metastasis Mammae Sinistra Invasive (Ductal0 of NST Grade
CA Ductal Invasiv Mammae Cr 0.77 GDS 87 HBsAg NR Na 139 K 4.17 Cl 97 (26/09) USG abdomen : Simple cyst ren dextra sesuai kategori Bosniak 1 III, meluas ke putting, metastasis ke-7 limfonodi
3 1754247 Poniyem P 62 thn 25/10/2017 CDN1/7 Sinistra Residif T4DN0M0 USG Mammae dbn aksilla, limfo angoinvasif (+) Jarak tumoe dengan Post Eksisi Luas H1 dr. KS
sayatan operasi (dasar operasi) + 1 mm
(24/10) AL 27.49 AE 4.21HCt 35.6 AT 399 (22/10) Na (25/10) tHORAX PA : Bronkhits, tak tampak pulmonal metastasis (16/10) (19/10) Sitologi AJH : regio mandibula S. didapatkan
143 K 4,25 Cl 105 (21/10) FIO2 21 pCO2 29,6 pO2 86,9 MSCT servikal: dbn. MSCT kepala: tumor maligna mandibula S dengan sel ganas. pendapat: squamous cell Ca. (26/8) AJH :
HCO3 26 TCO2 26,9 PO2/FIO2 421,6 (20/10) AL 11,64 Hb osteodestruksi corpus mandibula S. Thorax: dbn (26/9) THORAX PA: Pulmo Karsinoma Skuamosa Karnifikans Mandibula Post Combined Oral
12,4 Hct 37,7 AT 417 Neu 67,5 APTT 31,4(28,2) Alb 3,67 tak tampak kelainan, tampak pulmonal metastase, besar cor normal, tak Mandibulectomy and Neck
Squamous Cell Carcinoma OT/PT 15/26 BUN 5 Cr 0,87 GDS 108 Na 143 K 2,81 Cl tampak skeletal metastasis. 18/08 OPG : Tampak Impaced M atas kiri, Dissecton Operaton
4 1824914 Suhendriyah P 50 thn 12/10/2017 CDN1/7 (AJH) Mandibula Sinistra 101 Ca 2,19 (13/10) AL 13.32 AE 4.39 HB 12.5 HT 36.9 AT tampak multple missing, tak tampak kelainan pada struktur tulang (COMMANDO Operaton) + dr. KS
T4aN1M0 404 PPT 15.1/13.9 APTT 30./9.28.9 INR 1.11 ALB 3.63 mandibula dan maxillaris pars alveoralis bilateral terutama tak terlihat jelas Rekonstruksi dengan plate
SGOT 11 SGPT 12 BUN 6.20 CR 0.89 GDS 158 NA 138 K adanya fracture/fissure atau disloasi fragmen tulang H3
2.78 CL 99
(26/10) AL 9.93 AE 4.06 HB 9.7 Hct 31.2 AT 183 (25/10) (26/10) Cervical AP/L : Soft Tissue Mass di proyeksi palatum posterior yang
AL 7/67 AE 4.4 HB 10.3 Hct 33.7 At 226 PPT 14.8/14.2 menyempitkan nasopharynx, oropharyng dan cavum oris poserior,
APTT 35.9/28/6 INR 1/09 alb 3.6 SGOT 12 SGPT 11 BUN Spondylosis Cervicalis (25/10) Thorax PA : Tak ada kelainan (10/10) MSCT
KSS Maksilla Sinistra 7.20 Cr 0/76 GDS 78 Na 137 K 3.97 Cl 97 HBsAg Non Kepala kontras : Massa di palatum durum bilateral terutama sinistra yang
Fransina T3N1M0 Post Reaktf meluas ke palatum molle, regio oral, cavum nasi sinistra,, os maxilla sinistra, Post Hemimaksilektomi
5 1826133 Tatorim P 59 thn 24/10/2017 CDN1/7 Hemimaksilektomi Sinistra Sinistra H2 dr.HJ
sinus ethmoidalis, sinus sphenoidalis sinistra disertai destruksi maxilla
H2 sinistra dan limfadenoopat regio cervicalis sinistra. Kalsifikasi soft tssure
regio parietalis sinistra T(09/10) Thorax: dbn,
(26/10) Al 9.28 AE 5.73 Hb 15.8 HCt 48.1 AT 151 (25/10) Thorax PA : Tak tampa kelainan (12/09) Thorax PA: Cardiomegali (22/09) PA : Papillary carcinoma (classical type),
(25/10) AL 4.83 AE 5.76 HB 15.8 HCT 49.4 AT 156 PPT (11/09) USG Thyroid : multple lesi inhomogen di thyroid bilateral DD/ Ca (+) Capsular invasion, (+) Angio-invasion,
Ca Thyroid T1bN1M0 Post 13.7/14.2 APTT 30.2/28.6 INR 0.99 Alb 4.46 OT 19 PT 15 Thyroid dengan multple metastase lymphadenopathy colli bilateral diameter tumor terbesar >1 cm Post Total Tiroidektomi +
6 1825646 Rusidah P 56 thn 24/10/2017 CDN1/3 Total Tiroidektomi + RND BUN 9.9 Cr 0..95 GDS 133 Na 141 K 4.25 Cl 102 HbsAG teritamadextra DD/ lymphoma RND H3 dr.HJ
H3 NR FT3 2.66 FT4 0.87 TSH 2.76
Cendana 5
Cendana 4
Cendana 3
(27/10) AL 11/71 AE 4.25 Hb 12.6 Hct 36.8 AT 249 PPT (27/10) Thorax PA : dbn Cervical AP/L : Soft tssue mass di radix lingua yang (10/06) PA : Tumor Lidah Skuamous sel
15.1/15.6 APTT 31.3/29.3 INR 1.12 Alb 3.55 OT 15 PT 10 sedikit menyempitkan airway di regio oropharying (26/10) Thorax PA : dbn karsinoma differensiasi baik
1 1813073 Galih Ardhy L 20 thn 26/10/2017 CDN3/9 SCC Lidah T4bN3M0 BUN 11.60 Cr 0.70 GDS 8-HBsAg NR Na 135 K 4.32 Cl 95 (28/07) Echo : dbn Pro Total glossectomy dr.WJ
(19/10) AE 4.11 Hb 11.9 Hct 36.9 AL 5.54 AT 312, IT 10
PT 13 BUN 5 Cr 0.74 GDS 110
(27/10) Na 142 K 3.85 Cl 106 (25/10) AL 13.97 AE 3.65 (24/10) Cervical AP/L : Massa thyroid di regio colli aspek anterodextra yang (9/10) AJH: sitologi AJH regio thyroid D dan S:
HB 11.5 HCT 33.1 AT 256 (24/10) AL 4.01 AE 3.77 Hb mendeviasi trachea ke arah sinistra dan menyempitkan airway (5/10) tdak didapatkan sel ganas. Bethesda system class
2 1825789 Sri Nuryat P 53 thn 23/10/2017 CDN3/4 Struma nodosa non toksik 11.7 Hct 34.6 AT 274 PPT 13.0/14.1 APTT 33.7/29.4 INR Cervical: massa colli anterior D yang mendorong trakea ke arah S dan II: benign follicular nodule
Post total tyroidektomi H2 dr. WJ
Bilateral 0.93 Alb 3.85 SGOT 17 SGPT 15 BUN 10.00 Cr 0.73 GDS sedikit menyempitkan airway (4/10) USG thyroid: mengarah gambran
69 HBsAg Non Reaktf FT4 1.51 TSH 0.41 Na 144 K 4.50 Cl struma nodus thyoid sesuai TIRADS II Thorax: massa soft tsue di regio colli
107 (4/10) AL 5,74 Hb 12,4 Hct 39,2 AT 262 Neu 57 PPT D yang mendeviasi trachea
14,3(15) APTT 33(28,9) INR 1,04 Alb 4,66 OT/PT 20/19
(27/10)
BUN 10,5 ALCr19.73
0,89 AE
GDS4.30
120Hb12.4 HctTSH
FT4 1,37 38.3 AT 341
0,46 Na 142 K (25/10) bone survey : tak tampak gambaran skeletal metastasis , THORAX
(25/10) AL 6.69
4,19 Cl 103 AE 4.29 HB 12.4 HT 38.6 AT 365 PPT
Ca 2,48 PA : Kardiomegali (LVH), pulmo tak tampak kelainan, USG ABDOMEN : Fatty
3 1824636 Dwi Nursetyat P 59 thn 24/10/2017 CDN3/2 Ca Mammae Dekstra 14.4/14.2 APTT 33.3/28.6 INR 1.05 Alb 4 OT 16 PT 16 liver (27/09) Thorax PA : dbn Pro MRM dr.HJ
T2N0M0
BUN 6.7 Cr 0.7 GDS 109 NA 137 k 4.15 CL 100 HBsAg NR

(26/10) FT3 2.29 FT4 1.24 TSH 106 (25/10) AL 5.81 AE (26/10) MSCT Kepala: Soft tssue mass di lingua;is regio sinistra berukuran
3.71 Hb 11.0 Hct 33.0 AT 154 PPT 14.1/14.2 APTT lk 44.9 x 23.7 x 35.8 mm, disertai multple limfadenopat cervicalis isnistra
38.1/28.6 INR 1.03 Albumin 3.97 OT 16 PT 7 BUN 8.10 dengan diameter axis terlebar lk 5 cm, sesuai klasifikasi T3N2b Mx,
Cr0.67 GDS 97 HBsAg NR Na 137 K 3.36 Cl 00 Kalsifikasi globus palidus bilateral Cervical AP/L : Obstruksi airway di regio
Tumor Lidah Curiga Ganas retrolingual dan supraglots kemungkinan dorongan massa lingua, Pro Hemoglossectomy
1 1824851 Suminah P 57 thn 25/10/2017 BGV4/12 T3N1M0 spondylosis cervicalis, pertnedinits Calcarea Dekstra + RND dr.HJ
(25/10) AL 22.09 AE 4.48 HB 10.6 HCT 33.3 AT 350 (4/10) MRI chest kontras: ductal ectasia dengan multple nodular (17/10) ER PR (+), Her-2 (-) Ki-67 (+), +/- 10%
(24/10) AL 9.12 AE 4.43 Hb 10.3 Hct 33.6 AT 302 PPT intraductal menyokong gambran papiloma intraductal dengan gambaran
Ca Ductal Mamae Sinistra
13.3/14.1 APTT 28.4/29.4 INR 0.95 Alnb 3.84 SGOT 10 mastts mammae bilateral, BI-RADS 3. pada dynamic curve tak tampak
A. Dewi Wulan T1aN0M0 ER (+) PR (+) SGPT 15 BUN 7.40 Cr 0.75 GDS 156 HbsAg Non Reaktf tanda-tanda malignancy. Tak tampak limfadenopat axilla dan
2 1823915 P P 44 thn 23/10/2017 BGV4/1 HER2 (-) KI67 (+) 10% Post
Na 139 K 3.49 Cl 103 (5/10) AL 14,31 Hb 10,8 Hct 33,3 AT intramammary mamma D et S. Post MRM H1 dr. KS
Eksisi luas dengan guided
37 Neu 89 (3/10) PPT 14,9(15,4) APTT 28,4(29,6) INR
wire 1,09 Alb 4,16 OT/PT 11/15 BUN 8,6 Cr 0,92 GDS 145
HBsAg NR Na 140 K 3,81 Cl 104
(27/10) AL 15.85 AE 3.53 Hb 10.1 Hct 31.3 AT 331 Alb (24/10) MSCT Kepala Kontras : Suspect soft tssue mass disertai perifocal
Ca Adenoinvasif Mammae 3.36 OT 20 PT 15 edema di lobus occipitalis dextra (21/07) Thorax PA : Oedem pulmo, Efusi
3 1827759 Partni P 31 Thn 21/10/2017 AGG2/11 S T4dN0M1 (brain) Pro Core Biopsy dr.TW
Pleura Dextra
(25/10) AL 6.94 AE 3.99 Hb 10.9 Hct 33.3 AT 291 PPT (24/10) Thorax PA : Nodular dan Pneumonic (mix) type pulmonal
15.6/14.2 APTT 28.6/24.8 INT 1.16 metastasisi
CA Ductal Invasif Mammae
1 1826163 Ribut Safitri P 54 thn 25/10/2017 DHL4/11 Dextra T4N1M1 Post Core Post Core Biopy H2 dr.TW
Biopsy H2
Ca Mammae Desktra (27/10) AL 9.93 AE 3.88 Hb 10.3 Hb 32.0 AT 338 (26/10) Nodular dan subpleural type pulmonal metastasesis pulmo
Stadium 4 T4BN3M1 (lung PPT15.5/24.8 APTT 27.0/29.3 Alb 3.89 OT 20 PT12 BUN bilateral disertai efusi pleura bilateral terutama sinistra, soft tssue mass di
2 1643810 Yurestu P 38 thn 26/10/2017 DHL4/9 nodul metasase) efusi 7.20 Cr 0.53 GDS 115 HBsAg NR Na 139 K 3.98 CL 101 dinding dada dekstra Palliatve Care dr.HJ
pleura bilateral
(27/10) AL 35.04 AE 33.02 Hb 8.6 Hct 24.9 AT 210 BUN (27/10) MSCT abd dengan kontras : Limfoma di paraaorta, parailliaca dan
3 1828062 Kitriningwulan P 68 thn 25/10/2017 AMT2/201 Suspek Limfoma Maligna 12.20 Cr 1.09 inguinalis bilateral disertai multple nodil intrasplenic (Stage III), Biopsi Limfonodi dr.TW
Hepatospleomegaly, Hydrops Vesica Felea, Spondylosis Lumbales
Pasien Pulang
(24/10) AE 4.86 Hb 14.3 Hct 43.3 AT 215 (23/10) AL 7,3 (23/10) Thorax: dbn (8/5) USG payudara: residif mass tumor phyloides
Farida Hb 15,3 hct 46,4 AT 359 Neu 63 PPT 13,3(13,9) APTT dinding thorax D arah jam 10-11 (3/3) Bone survey: dbn USG abdomen: Pro eksisi mammae (D)
4 1157789 Rachmawat P 59 thn 10/23/2017 AYD2/210 Ca mammae (D) 30,9(31) INR 0,95 Alb 4,58 OT/PT 23/19 BUN 6,1 Cr 0,82 fatty liver (24/10/2017) dr. HJ
GDS 94 HBsAg NR Na 142 K 4,25 Cl 102
(25/10) AL 7.19 AE 4.34 HB 12.7 HCT 37.5 AT 237 (24/10) Thorax PA : dbn (2/10) Bone survey: dbn Thorax: dbn USG (4/10) Jaringan mammae: fragmen jaringan ikat
(23/10) AL 6,3 Hb 12,4 Hct 36,7 AT 256 Neu 59 PPT abdomen: fatty liver dan lemak Histopatologi: jaringan mammae D:
5 133673 Maryani P 51 thn 10/23/2017 CW1/2 Tumor Mammae Dextra 12,4(13,9) APTT 26,1(31) INR 0,88 Alb 3,95 OT/PT 16/22 fragmen jaringan ikat dan lemak Pro Eksisi Tumor prof.TA
T2N0M0 BUN 11,4 Cr 0,72 GDS 127 HBsAg NR Na 144 k 3,97 Cl
105
(23/10) AL 6,62 Hb 10,9 Hct 34 AT 254 Neu 53,2 PPT (12/10) USG abdomen: dbn (5/10) Thorax: dbn
Hastutning Ida Tumor Mammae Dextra 15(13,9) APTT 38,2(31) INR 1,11 Alb 3,8 OT/PT 39/33 Pro Core Biopsi Mammae
6 1807133 Suryawa P 49 thn 10/23/2017 CW2/7 T2N0M0 Dextra dr. WJ
BUN 9 Cr 0,58 GDS 91 HBsAg NR Na 142 K 3,95 Cl 105
(18/10) AL 8,23 Hb 11 Hct 33,7 AT 253 Neu 59 PPT (8/10) Cerivcal AP/L : Soft tsuue swelling di regio mandibula dekstra, defek (13/10) Sensitivitas: sensitf Tobramycin,
18,1(11,9) APTT 35,7(29,2) INR 1,39 Alb 3,29 OT/PT pada korpus mandibula dekstra et sinisra dengan fiksasi interna berupa satu Imipenem, Kanamycin, Colistn, Polymyxin B
15/17 BUN 14,5 Cr 0,96 GDS 107 Na 136 K 4,56 Cl 98 buah bridging plate dan 4 buah screw, apositon dan alignment baik, (13/10) Imunohistokimia: sesuai untuk
(13/10) bakteri gram (-) basil soliter, jarang. Bakteri retrolistesis VC 5-6 terhadap VC 7, spasme muskulus interspinalis cervicalis fibrosarcoma (29/9) HISTOPATOLOGI JARINGAN Post eksisi luas segmental
gram (+): diplococcus, jarang. (9/10) AL 11 AE 3,94 HB 3/10 OPG : defect pada corpus mandibula dextra et sinistra dengan fiksasi SEDANG : tumor ganas mesenkimal, pendapat : mandibulektomi,
11,2 HCT 35,1 AT 192 (6/10) AL 13,75 AE 4,47 HB 12,6 interna berupa 1 buah bridging plate dan 4 buah screw, appopsiton dan fibrosarcoma dd leimyosarcom rekonstruksi, dengan plate
HCT 38,3 AT 299 PPT 15,5/14,1 APTT 32,4/29,6 INR 1,15 alignment baik, THORAX PA : tak tampak kelainan expose Post Aff Plate, Re-
4 1823323 Ngamarun L 30 thn 10/5/2017 CDN1/8 Fibrosarcoma Regio rekonstruksi plate, dr. WJ
Mandibula GxT4N0M0 ALB 4,1 SGOT 12 SGPT 14 BUN 8,8 CR 0,98 GDS 103 NA
140 K 3,96 CL 100 HBsAg non reaktf 3/10 AL 9,54 AE Pectoralis Mayor
4,34 HB 11,9 HCT 37,7 AT 329 PPT 16,5/15,4 APTT Myocutaneous Flap, Rawat
33,6/29,6 ALB 3,58 SGOT 8 SGPT 20 BUN 11 CR 1,22 GDS Luka flap, Oral Hygiene H
118 NA 143 K 4,09 CL 100 CA 2,22 19
(26/10) AL 12.22 AE 4.06 Hb 11.6 Hct 36.3 AT 269 (24/10) Thorax PA : Curiga Infiltrat di apex dan suprahiler bilatral dengan (9/5) Histopatologi: jaringan dengan keterangan
(25/10) ppt 13.5/14.2 aptt 36.3/28.6 inr 0.98 (24/10) pneumonia dextra, tak tampak pulmonal metastase (18/4) USG abdomen: massa mammae dan axilla S (radang
Invasive ductulo lobular Ca AL 6.87 AE 4.41 HB 12.6 Hct 39.9 AT 304 PPT 28.9/14.1 dbn. (17/4) Thorax: dbn Bone survey: gambaran skeletal metastasis di granulomatosa karena benda asing) dengan
Mammae Residif Sinistra APTT 45.7/29.4 INR 2.43 Alb 4.21 SGOT 22 SGPT 13 BUN acetabulum D dan trochanter mayor os femur D et S supurasi tanpa tumor (11/10/2016) PA :
4 1780703 C. Mardiyat P 63 thn 10/23/2017 CDN2/2 T4N1M1 (tulang) Post 11.80 Cr 0.71 GDS 103 HBsAg Non Reaktf Na 147 K 4.55 mammae D: invasive dutulo lobular Ca, Post Limfadenektomi H1 dr. HJ
Limfadenektomi H1 Cl 107 (25/9) AL 6,56 Hb 13,6 ct 44,4 AT 347 Neu 47,1 menginvasi ke jaringan putng bagian sub
BUN 13 Cr 0,74 epidermis
(26/10) Ca 2.11 (24/10) AL 4.62 AE 4.20 Hb 12.0 Hct (26/09) Cervical AP/L : dbn. Thorax PA : dbn (26/09) AJH: Bethesda System Class IV : Follicular
37.6 AT 303 PPT 13.5/14.1 APTT 35.5/29.4 INR 0.98 Neoplasma
Struma Nodusa Dekstra SGOT 28 SGPT 28 BUN 17.50 Cr 0.85 GDS 95 HBsAg Non
3 1761788 Sri Yatun P 64 thn 24/10/2017 CDN2/8 Post HemiTiroidektomi H1 Reaktf FT4 1.23 TSH 0.96 Post HemiTiroidektomi H1 dr.KS
(24/10) AL 14.57 AE 3.90 Hb 11.0 Hct 34.0 AT 156 PPT (25/10) USG Muskkstal per regio : Limfadenopat multple regio (10/8) Histopatologi: jaringan mammae S: pada
14.6/14.1 APTT 35.7/29.4 INR 1.07 Alb 3.43 SGOT 13 supraklavikula sinistra, limfonodi multple, dengan ukuran dan morfologi spesimen jaringan yang diterima tdak lagi
SGPT 7 BUN 15.20 Cr 1.20 GDS 132 HBsAg Non Reaktf normal di supraklavikula dekstra (24/10) THORAX PA: dbn (10/5) Thorax: ditemukan tumor jenis malignant phylloides dari
Na 140 K 2.83 Cl 99 (17/10) AL 13,59 Hb 12 Hct 38,4 AT dbn sedian ini ditemukan tumor jenis malignant
Malignant Phyloides 205 Neu 40 OT/PT 11/12 BUN 6 Cr 0,99 (3/10) Alb 4,43 phylloides dari sediaan ini ditemukan lesi
2 1810441 Suminah P 54 thn 10/23/2017 CDN3/7 Sinistra Post Simple OT/PT 11/7 BUN 6 Cr 1,01 GDS 100 fibrokistk dengan usual duct hyperplasia, Pro kemoterapi dr. WJ
Mastectomy GTxN0M0 nekrosis lemak, dan radang granulomatosa.
Kemungkinan tumor telah diambil seluruhnya
pada operasi pertama
Limfadenopat axilla dan (26/10) AL 11.46 AE 3.26 Hb 9.3 Hct 29.9 AT 224 (24/10) Post Eksisi Biiopsi
1 1817291 Ngadimin L 58 thn 24/10/2017 DHL4 inguinal Post Eksisi Biiopsi AL 4.34 AE 3.31 Hb 9.3 Hct 30.2 AT 210 Alb 3.52 OT 15 PT Limfadenopat H1 dr.HJ
Limfadenopat H1 19 BUN 11.00 Cr 1.23 Na 128 K 4.71 Cl 97
(26/10) al 4.81 AE 4.13 Hb 11.6 Hct 35.6 AT 195 (24/10) (12/9) USG tiroid: lesi litk berisi cairan pekat di colli posterior. (23/10) Thorax: dbn
Soft tssue tumor curiga AL 4.81 AE 4.13 Hb 11.6 Hct 35.6 AT 195 (21/10) AL 6,23
5 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 jinak regio colli posterior Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT 13,9(14,4) APTT Pro eksisi luas dr. HJ
27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir 0,07 Alb 4,42 (24/10/2017)
dan B20
OT/PT 19/22 BUN 9 Cr 0,65 GDS 100 Na 144 K 4,01 Cl
104 ProtAL
(24/10) tot4.64,
7,8 (11/9) ALHb
AE 4.04 3,72 HbHct
11.5 11,4 hctAT
36.0 36,1
377ATPPT
185 (24/10) Thorax PA : Infiltrat di paracardial sinistra dengan pleural reacton (2/6) Blok parafin: Jaringan mammae D:
Neu 49,7 PPT
12.9/14.1 APTT15(14,3) APTT
31.5/2.4 INR29,2(29,9) INR SGOT
0.92 Alb 3.95 1,1 OT/PT
41 sinistra, tak tampak pulmonal metastase (17/5) Thorax: dbn malignant phylloides tumor, intermediate grade
Malignant Phyloides 1/23 BUN 8 Cr 0,69 AU 4,2 GDS 118 HBsAg NR
SGPT 49 BUN 10.39 Cr 0.59 HBsAg Non Reaktf Na 143 K
2 1806295 Sukirah P 55 thn 10/23/2017 CDN3/8 Mamae Dextra Post Simple 3.84 Cl 105 (10/10) AL 0,97 Hb 11,1 Hct 35 AT 227 Neu Pro kemoterapi dr. TW
Mastectomy GIITxN0M0 54,6
(26/10) al 14.05 ae 6.26 hB 14.4 hCT 45.0 at 371 (6/10)Tohrax: dbn (7/8) USG abdomen: multple soft tssue mass inguinal D (9/8) Histopatologi: jaringan femur D: embryonal
Vulnus Granulosum pada (24/10) AL 9.37 AE 5.91 Hb 13.7 Hct 42.7 AT 354 PPT rhabdomyosarcoma radikalitas benang I-IV bebas
Galih Winu Embryonal 14.4/14.1 APTT 31.8/29.4 INR 1.06 Alb 4.55 SGOT 14 tumor. Jaringan penyerta: 2 buah jaringan
4 1818450 Groho L 21 thn 10/23/2017 CDN2/7 Rhabdomyosarcoma R SGPT 10 BUN 5.30 Cr 0.84 GDS 89 HBsAg Non Reaktf NA limfonodi tanpa tumor. Jaringan dengan Pro skin graft dr. WJ
Femur D GIII T4N1M0 Post 140 K 4.75 Cl 101 (6/10) AL 7,29 Hb 13,9 Hct 43,7 AT 279 keterangan limfonodi: metastasis embryonal
Eksisi Luas Neu 68,3 PPT 14 (14,1) APTT 29,5(29,6) INRR 1.02 Alb rhabdomyosarcoma
4,8 OT/PT 23,21 BUN 5 Cr 0,73 GDS 95 Na 142 K 4,58 Cl
99
Ca ductal mammae D (23/10) AL 15,46 Hb 0,4 Hct 33 AT 266 Neu 92,8 (20/10) (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts. (28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)
T4bN2M0, post neo post classical radical
2 1811555 Sularmi P 44 thn 10/20/2017 CDN2/10 AL 3,53 Hb 10,2 Hct 31,7 AT 235 Neu 48,8 PPT 14,6(12) histopatologi core biopsi tumor payudara: mastectomy dekstra dr. WJ
adjuvan kemoterapi 4x ER + APTT 31(28,2) INR 1,07 Bil tot 0,26 Bil dir 0,11 Alb 3,48 invasive ductal ca of NST, grade 3. angioinvasion (23/10/2017)
/PR + HER 2++ OT/PT 15/19 BUN 5 Cr 0,66 GDS 110 HBsAg NR Na 146 K (+).
3,93 Cl 103
(26/10) Ca 15-3
al 4.81 160,20
AE 4.13 (12/10)
Hb 11.6 Hct AL
35.60,97
AT Hb
1959,4 Hct
(24/10) (12/9) USG tiroid: lesi litk berisi cairan pekat di colli posterior. (23/10) Thorax: dbn
29,5
AL AT 129
4.81 NeuHb
AE 4.13 15,5
11.6 Hct 35.6 AT 195 (21/10) AL 6,23
Soft tssue tumor curiga Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT 13,9(14,4) APTT
5 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 jinak regio colli posterior 27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir 0,07 Alb 4,42 Pro eksisi luas dr. HJ
dan B20 OT/PT 19/22 BUN 9 Cr 0,65 GDS 100 Na 144 K 4,01 Cl (24/10/2017)
104 Prot tot 7,8 (11/9) AL 3,72 Hb 11,4 hct 36,1 AT 185
Neu 49,7 PPT 15(14,3) APTT 29,2(29,9) INR 1,1 OT/PT
1/23 BUN 8 Cr 0,69 AU 4,2 GDS 118 HBsAg NR
(23/10) gds 67 (20/10) AL 6,69 Hb 12,5 Hct 39 AT 102 (17/10) CT scan kepala : belum tapak tanda-tanda brain maupun skeletal (31/1) Histopatologi: jaringan payudara post
Neu 86,8 Na 141 K 3,45 Cl 101 (16/10) AL 2,79 Hb 8,5 metastasis, spenoidits D (17/9) Thorax: pleuropneumonia bilateral ec mastektomi atas indikasi Ca mammae D T4N2M1
Hct 26,1 AT 93 Neu 79,2 Na 127 K 3,4 Cl 94 (11/10) AL suspmixed type (subpleural dan pneumonic) pulmonal metastasis. Cor tdak post neoadjuvant dan post radioterapi: jaringan
4.03 AE 3.47 Hb 9.8 HT 29.8 AT 146 PPT 18.5/13.9 APRR valid dinilai. Curiga lesi osteolitk di os scapula dan os clavicula bilateral. fibrosis dengan ulserasi dan radang supuratf
32.5/30.6 SGOT 90 SPT 23 BUN 7 CR 0.59 GDS 106 saran: bone survey (12/9) USG ABD : pleural reacton dextra, mild tanpa tumor. (13/4) AJH MAMAE DEXTRA :
Ca Mamae T4N1M1 (paru, HbSAg Non Reaktf NA 126 K 3.67 CL 92 5/9 AL 5,66 AE hydronefrosis ren dextra. Bone survey: osteoblastc type skeletal metastatc karsinoma ductal invasif IHC+ ER+ PR+
Agnes tulang) IHC+ ER+ PR+ 3,79 HB 11,3 HCT 33,9 AT 178 SGOT 50 SGPT 18 BUN 9,8
5 620535 Musiarsih P 50 thn 10/10/2017 CDN3/1 HER2- Hiponatremi, perbaikan KU dr.KS
CR 0,65 CA 15-3 182,1
Hipoglikemi

Regio Antebrachii D
T4aN2aM0, (24/10) AL 60.16 AE 3.18 Hb 9.3 Hct 27.4 AT 55 Alb 2.08 (4/10) MSCT KEPALA KONTRAS : kalsifikasi diglobus pallidus dextr, tak (13/6) Hitopatologi: jaringan limfonodi axilla D
2 1808072 Maryani P 49 thn 9/26/2017 CDN1/9 Limphadenectomy BUN 28.80 Cr 1.30 GDS 57 NA 127 K 4.39 Cl 88 (18/10) tampak kelainan pada intracereberi dan intracelebelli, tak tampak kelainan pada pasien squamous cell ca regio antebrachii Post Eksisi Luas + Skin Graft dr. HJ
debirdement axilla dextra,AL 48,23 Hb 12,7 hct 37,3 AT 163 Neu 80 PPT 15,6(11,9) pada neurocranium dan viscdrocranium, 6/9 MRI ekstremitas atas kontras D: metastasis squamous cell Ca (5/6)
Gangguan Halusinasi, APTT 37,3(29,2) INR 1,16 Alb 2,48 OT/PT 14/11 BUN 7,3 : Menyokong gambaran karsinoma sel skuamosa regio humerus dextra, pemeriksaan histopatologi jaringan besar :
Epilepsi Sekunder, SepsisCr 1,46 GDS
(22/10) 76 na
AL 4.68 AE135
2.05K Hb
2,9 6.9
Cl 95(17/10)
Hct 18.3 AT BUN 53 17,9 Cr
Alb 2.15 nodal metastasis multple axillary dextra dan supraclavicula dextra 28/8 jaringan tumor regio lengan bawah : karsinoma
1,44144
Na NaK1412.54K 2,77
CL 109Cl (20/10)
100 (13/10) Na 134
AL 12,43 HbK8,4 3.1Hct
CL 97
24,2 Humerus AP/Lat Soft tssue mass distal os humerus dextra thorak AP sel skuamosa diferensiasi baik dengan dasar
Anisah Rhabdomyosarcoma Femur AT (12/10) AL 49.17
100 Neu AE 2.38 URIN:
90,5 (17/10) HB 7.5glukosa
HT 21.72+, AT lekosit
412 11/10 Pulmo tak tampak, besar cor normal USG ABdomen tak tampak kelainan oprasi dan tepi pertengahan superior dan lateral
4 1791594 P 23 thn 9/10/2017 CW2/3 AL 36.32 -.AEbacteria
esterase 3.08 HB25, 9.5protein
HT 28.91+AT(8/10)
379 PPT 17.1/13,9
AL 2,64 Hb 8,2 18/4 bone survey : tak tampak gambaran metastasis (A2) tdak bebas tumor (18/8) PA Regio lengan Perbaikan KU dr.HJ
Mubarokatn Sinistra
INR 20,2
Hct 1.29 ATAPTT
13529.4/30.6 ALB 2.83
Neu 80 (17/10) SGOT
Urin: 14 SGPT
glukosa 2+ 12 BUN bawah karsinoma sel skuamosa diferensiasi baik
7 CR 0.9425,1
Bacteria GDSProtein
287 NA1+ 134 K 3.23KED
(12/10) CL 97678/10
Coombs AL 38,59 AE
- Feritn dengan dasar operasi dan tepi pertengahan
3,33 HB 10
1544,94 IronHCT
92 29,7
TIBC AT
04440 ALB 3,12
saturasi 88 UBCNA12 137(10/10)
K 3,17 CLAE superior dan lateral (A2) tdak bebas tumor, invasi
(21/10)
100 HB Alb
2.447/10 AL3,2
7.0 Na AE
28,35
HT 19.731ATK 3,97HB
2,81
149 Cl8,5
AL 89 HCT
8.03 (19/10)
ALB25,3 AL
2.65 21,63
ATSGOT
343 ALBHb 9/10 USG : Partal Trombus vena femoralis komunis sinisyta dengan patensi (2/10)
42 Histopatologi
perivaskuler (+) biopsi: kolon sigmoid:
Ca Mammae post 12,6
SGPT Hct
3,13 SGOT 39,3
40 BUN AT
13 44
SGPT394
CR 10Neu
BUN
1.42 87,9
GDS (15/10)
3,6105
CRNA 0,48 PPT
133GDS K16,8(14,1)
229 NA
4.61 133 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena kolits kronis non spesifik. Rectum: prokits konis
CL 107
1 1442716 Susi Haryat P 47 thn 9/27/2017 CW2/11 Mastektomi Bilateral, Ca APTT
K 2,71
MG 35,1(30)
1.5CLPPT INR 1,27
9419.7/14.9
HBsAg Fibrinogen
nonAPTT
reaktf 6/10302
40.1/28.7 ALB D-dimer
2,4 BUN
HBsAg Non 4930
6 CR poplitea sinistra. Tak tampak trombu dan insufisensi katup pada sistema non spesifik (23/6) Pap smear : Papaniculaou perbaikan KU dr. KS
Cervix Grade IIB Alb
0,532,87
Reaktf (13/10)
NA 134 K 2,88AL 9.04
CL 96AE 3.93
4/2 ALBHB 10.3
2,53 NAHT136 33.2 AT 347
K 3,18 Cl vena tbialis anterior dan posterior sinistra 4/10 CIL : ascites, indentasi klas II : radang tdak khas dengan sel skuamous
ALB 2.01AL
98 2/10
(18/10) ALPPT 15.8/13.9
51,67
6,53 Hb AE8,8 APTT
3,28
Hct HB 30.3/28.9
10,1
28,6 AT HCT
293 INR AT
10,1
Neu 1.18
69 26212/10 rectum
ALB 28/9
(14/10) proximal
THORAX PAhingga
: tdak colon
tampaksigmoid distal
kelainan, ke arah posterior
MAMOGRAFI DEX etoleh
SIN massa
: di 2/10
massa atpi AJH REGIO MAMAE SINISTRA : didapatkan
AL 9.48,
2,24 4.13KHB
NA 136 10.9, ht
96 34.6 AT 400 11/10 PPTHb 10.7 cavum pelvis 28/9 thorax PA : multple lesi noduler pulmo bilateral susp.
AL 10,32
18.1/13.9 Hb 0,62,04
APTT HctCL33,2 30/9
AT 323AlNeu
60.3587,8AEBUN3.45 16,8 4,19
Cr noduler
di mamaesinistra dengan tanda malignancy,limfadenopaty multpel axiila sel ganas, pendapat ductal carsinoma nuclear
Hmt 31.4120
0,8 GDS AT 29442.5/30.6
Na Na 138
141 K 4,28K INR
2.5 1.39
Cl
Cl 106 10 6/10
27/9 AL
(11/10) 8,59
AlAL47.3
5.26AEAE3.11 bilateral.type pulmonal metastasis 21/6 MSCT Abd dengan kontras : grade III
HB 9.7
Hb
4.3111,1 HCT29.1
HBHmt
11.3 35,5 AT344
AT
HT 36.7 233 PPT16.1/14.6
AT PPT
287 17,1/14,1
PPT APTT/29,6
INR
14.2/13.9 1.19
APTTAPTT INR Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
1,29 ALB
30.4/30.8 2,86
Alb SGOT
3.08 22
SGOT SGPT
17 10
SGPT BUN
9 8,9
BUN
32.6/30.6 INR 1.03 ALB 4.18 SGOT 22 SGPT 17 BUN 10 CR
16.5 0,68
Cr GDS
1.22 83
AS sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
NA
urat136
17 K
GDS 3,27
78 CL 98
HBsAg HBsAg
NR Nanon
138 reaktf
K 2.6 1/10
Cl
CR 0.53 GDS 103 HBsAg Non Reakif NA 139 K 3.73 CL 103 91 AL
28/87,52
Al AE beningn kalsifikasi dinding rectum aspek sinsitra USG Abdomen :
Duktal Carsinoma 3,9 HBAL105,09
HCTAE 32,8 ATHB271 PPT 19,9/14,4 APTT 29/29
48.23
28/9 AE 3.83 Hb 11.2
4,25 Hmt11,534.3
HCTAT34,8
480 ATSGOT26213 SGPT
PPT 15/14 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga Post modified radikal
dr.KS
HBsAg
12 BUN
APTT non
7 Crreaktf,
31,8/30,20.72INR 29/9
GDS
1,1127CEA 0,2
SGOT 16 27/9
SGPTAl127.48BUNAE9,1 3.9CRHb obstruksi 1/3 distal ureter fibroid subserosa aspek posterior uterus mastectomy (13/10/2017)
T4bN1M0 10.4
0,72 Hmt
GDS 88 33.3 AT 266
HBsAg nonAlbreaktf
3.4 SGOT 26 SGPT 14 BUN 13 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
Cr 1.08 AS urat 6.4 GDS 96 Na 139 K 3.82 Cl 104 tak ada kelaianan, cor dalam batas normal USG payudara post mastek tomi
(20/10) AL 3,58 Hb 9,6 hct 28,2 AT 131 neu 48 PPT (20/10) Thorax: dbn (16/5) Lumbosakral: sacralisasi inkompleta VL 5 (6/7) ER-PR= -. Her-2= -. Ki-67= +, +/- 20%.
17,3(12) APTT 29,2(28,2) INR 1,31 Alb 3,38 OT/PT 46/17 Histopatologi: jaringan mammae S: invasive
BUN 11,4 Cr 0,85 GDS 113 HBsAg NR Na 133 K 3,5 Cl 94 lbular Ca, nuclear grade 2. besar tumor =/- 2,3
PT2NxMx. jaringan limfonodi dan gan sinus
Ca mammae lobular mammae S: didapatkan sel ganas. pendapat:
4 1073477 Natalia P 50 thn 10/21/2017 CDN1/7 invasive S, post kemo, ductal Ca, nuclear grade II. Perbaikan KU dr. WJ
neutropenia
(20/10) AL 10,09 Hb 9,2 Hct 29 AT 322 Neu 76 Prot 6,25 13/10 THORAX PA: Malunion fracture os clavicula dexra, pulmo tak tampak (6/10) Histopatologi: skrotum: radang supuratf
Alb 3,48 BUN 8,3 Cr 0,63 GDS 162 Na 132 K 3,89 Cl 95 kelainam besar cor normal 3/10 USG ABDOMEN :Soft tssu edema pada dengan area nekrotk, menyokong diagnosis
(14/10) Alb 2,82 (11/10) Alb 2.76 Na 136 K 3.52 CL 100 scrotum bilateral dengan suspect infiltrasi tumor pada scrotum dextra 28/9 fournier gangrene 25/8 PA : Low grade
(10/10) AL 13,23 AE 3,63 HB 10 HCT 30,6 AT 654 8/10 AL Ro thorak Pulmo tak tampak kelainan, besar cor normal, fraktur kompleta myxofibrosarcoma residif dengan radang
13,99 AE 3.06 HB 8, HCT 25,2 AT 678 ALB 2,71 BUN 6,6 kominutf di os clavicula dextra pars terta media, aposisi & alignment granulomatosa 26/5 PA : Low grde
CR 0,66 NA 137 K 3,62 CL 1006/10 AL 10,4 AE 3,01 HB 8 kurang dengan lesi osteosklerotk di ujung ketga fragmen curiga ec fraktur myxofibrosarcoma dd de differentated
Fibromixosarcoma HCT 24,2 AT 586 ALB 2,44 5/10 AL 8,51 AE 3,16 HB 8,3 patologis ec osteoblastk type skeletal metastasis 21/8 MSCT ext bawah liposarcoma dengan radang granulomatosa
G1T2n1bM0 post HCT 26 AT 539 ALB 2,74 PPT 15,2/15 APTT 32/28,9 INR kontras Tumor heterogen solid kistk dengan tanda malignancy di musculus 21/11/2016 IHC : sesuai untuk fibroma Post amputasi
amputasi, Fournier 1,12 SGOT 28 SGPT 28 BUN 15,9 CR 0,7GDS 142 NA 142 vastus lateral et medial, sartorius dan rectus femoris dextra menyokong (29/09/2017) post
4 1650680 Suradi L 55 thn 9/27/2017 CDN2/2 Gangrene Skrotalis post K 3,74 CL 106 4/10 AL 12,53 AE 3,31 HB 8,5 HCT 27,2 AT fibromyxosarcoma dengan feeding vessel dari a. femoralis superfisial dan debridement (7/10/2017) dr. HJ
debridement, post 539ALB 1,8 BUN 11,1 CR 0,79 NA 134 K 3,9 CL 100 29/9 profunda dextra.5/4 MSCT angio ekstremitas dengan kontras Tumor soft post pemasangan flap
rekonstruksi skrotum AL 10.26 AE 3.22 Hb 8.4 AT 165 Alb 2.32 Na 139 K 3.34 Cl tssue hipervaskuler di kompartemen anterior dengan feeding vessel dari a. (17/10/2017)
dengan flap 104 27/9 Al 8.28 AE 3.26 Hb 8 Hmt 24.9 AT 245 PPT femoralis superfisial dan profunda, dominan superfisial.
17.6/14.6 INR 1.32 APTT 30.6/30.8 Alb 3.16 SGOT 24
(18/10) AL 7,41 Hb 12,9 Hct 38,7 AT 191 Neu 57 (17/10) (17/10) USG tiroid:tak tampak residif tumor dan tak tampak kelainan pada (7/9) FNAB: sitologi AJH dengan panduan USG r
PPT 15,5(13,5) APTT 37,2(28,7) INR 1,15 FT4 1,44 TSH sisa glandula thyroid D. Tak tampak kelainan pada thyroid S. Multple colli D: tidak didapatkan sel ganas
Limfadenopat regio Colli 0,09 (16/10) AL 7,78 hb 12,6 Hct 36,6 AT 230 Neu 59,7 limfonodi dengan morfologi normal di regio cervical bilateral dan Post Eksisi biopsi
1 1730989 Reika P 39 thn 9/17/2017 CW 3/9 (D) + post APTT 28,8 (28,7) Alb 4,51 OT/PT 17/18 BUN 8 Cr 0,6 GDS submandibula S. (7/9) Thorax: dbn limfadenopat Prof. TA
isthmolobectomy 110 HBsAg NR Na 144 K 4,17 Cl 104 (18/10/2017)
Struma Nodusa Colateral Na 143 K 2,3 Cl 65(15/10) FT4 1,4 TSH 0,17 Na 144 K 2,3 pars cervicalis ke arah sinistra CERVICAL AP/L : Soft tssue mass regio colli
curiga malignancy dengan Cl 92 (13/10) AL 19.58 AE 4.31 HB 12.7 HT 38.0 AT 327 dextra yang mendeviasi trake pars cervicalis ke arah sinistra disertai dengan
3 1826892 Sutnah P 61 thn 13/10/2017 CW2/9 multple nodule coli PPT 22.6/14.6 APTT 28.4/28.9 INR 1.81 ALB 3.17 SGOT penyempitan aitway setnggi corpus vertebra cervical 4, Hipolordotk Perbaikan KU dr.HJ
dekstra, DM2NO, 19 SGPT 26 BUN 28 CR 0.83 GDS 220 HBsAg Non Reaktf corpus V. Cervialis
Hipokalemia NA 149 2.41 CL 104
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
11/12 BUN 12,3 Cr 0,85 GDS 147 HBsAg NR Na 142 K Post debridement dan
4 1824654 Maslikhah P 52 thn 13/10/2017 CDN1/7 Tumor labia mayor 3,62 Cl 100 rehectng (17/10/2017) dr.HJ
4,9 Cr 0,57
Abses regio colli S
posterior, B20, TB paru, post insisi drainase abses
2 1629205 M. Anshary L 37 thn 10/13/2017 DHL 3/6 (17/10/2017) dr. WJ
susp HAP
ca mammae pro rehectng, glukosa 4 blood 3+ lekosit esterase - bacteria 4396,6 post pemasangan VAC
3 1455490 Lilis S P 50 thn 10/13/2017 BGV5/1 DRESS, DM2NO Protein +- bilirubin 2+ (18/10/2017) dr. TW
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

(16/10) Rivalta test -. APTT 29,9(30) AU 12,8 (15/10) (14/10) Thorax: efusi pleura masif S yang mendorong struktur mediastnum (19/6/2016) Histopatologi: biopsi kulit secra
rivalta test -. Kadara glukosa cairan 143. kadar protein ke arah D dengan kolaps pulmo S. histologis masih mungkin suatu vaskulitis
efusi pleura (D) post cairan 4,92 APTT 49,4(30) (14/4) Urin: blood 3+ lekosit
6 1411582 Sri Sulastami P 72 thn 13/10/2017 ICCU/7 mastektomi, UAP angina esterase 1+ Eritrosit 62329 Leukosit 32 bacteria 5 Protein perbaikan KU dr.HJ
progresif 1+. GDP 114 (13/4) AL 6,66 hb 14,6 Hct 43,7 AT 186 Neu
Struma Nodusa dengan AE 5 HB 13,9 HCT 42,1 AT 228 PPT 14,4/14,9 APTT 28,5/ Post near total
5 1110721 Desi Yulinda P 52 thn 10/9/2017 AYD2/9 Hypertroid sub klinis post 28,7 INR 1,05 ALB 4,26 SGOT 22 SGPT 31 BUN 9,7 CR 0,8 throidektomy, post dr.WJ
near total troidektomi post GDS 88 TSH 3,4 NA 139 K 3,72 CL 106 MG 2,11 T4 TOTAL evakuasi hematom
evakuasi hematom 5,2 HBsAg non reaktf (12/10/2017)
Ca ductal invasif mammae 450 Neu 86,4 Alb 3,82 OT/PT 31/44 BUN 14 Cr 0,8 GDS metastasis di axilla tail D, axilla bilateral, supraclavicula D. Massa mammae
Post core biopsi mammae
2 1826349 Suparmi P 35 thn 10/9/2017 AGG2/12 bilateral T4dN3Mx post 158 Na 139 K 3,79 Cl 98 (15/10) PPT 13,8(14,1) APTT S dengan tanda malignancy. Bone survey: tak tampak gambaran metastasis. dr. TW
MRM post kemoterapi 26,1(30) INR 1 MRI brain: mucocele di sinus maxillaris dekstra. Thorax: dbn. (17/9/2017)
(11/10) AL 8.95 AE 4.94 HB 14.1 HT 41.5 AT 271 PPT (16/10) BNO-IVP: batu lusen di ureter D pars terta medial dengan obstruksi (7/6) AJH FEMUR DEXTRA : didapatkan sel ganas,
15.5/13.9 APTT 30.7/30.6 INR 1.15 BUN 12.60 CR 1.44 parsial berat yang menyebabkan hidronefrosis ren D grade IV. (28/9) pendapat : tumor ganas mesenkimal
Sarcoma regio femur MG 2.05 PSA 1.40 10/10 AL8,59 AE 4,66 HB 13,2 HCT THORAX PA : tdak tampak kelainan, USG ABD : moderate to severe kemungkinan synovial sarcoma Post insisi biopsi
3 1825204 Basroni L 55 thn 10/9/2017 CDN2/7 T4N0M0 39,3 AT 272 PPT 17,1/15,4 APTT 30,3/30,1 ALB 2,98 hidronefrosis ren dextra dengan hidroureter, singel cyst di pole inferior ren (17/10/2017) dr.KS
(12/10) AL 20.50 AE 4.12 HB 11.6 HT 33.9 AT 423 9/10 (26/9) Thorax: dbn (6/9) AJH scapula: radang granulomatosa dengan
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9 supurasi. Tidak didapatkan sel ganas
Fadlani Aji Tumor Regio Scapula APTT 26.7/28.7 INR 1.41 ALB 3.68 SGOT 15 SGPT 27 BUN Post Insisi Abses, Kultur
1 1822735 Zulma L 20 thn 10/10/2017 CW1/108 Sinistra Biopsi (12/10/2017) dr.WJ
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
(13/10) AL 16.4 AE 4.33 HB 13.0 HT 38.7 AT 237 10/10 10/10 USG : Tak tampak kelainan pada hepar, vesica felea, lien, pancreas, 21/8 AJH MAMAE SINISTRA : karsinoma duktal
AL 7,45 AE 5,03 HB 14,8 HCT 46,1 AT 298 PPT 13,6/15,4 kedua ren. Tak tampak metastasis pada organ-organ tersebut. Tak tampak infiltrat
Carcinoma Duktal Invasif APTT 26,9/30,1 INR 0,98 BUN 9 CR 0,63 GDS 96 limfadenpat paraaorta 6/9 thorax PA : tidak ada kelainan post completon
1 1822603 Tuni Astutk P 43 thn 10/10/2017 CDN3/8 Sinistra T4CN2M1 mastectomy (13/10/2017) dr.WJ
(16/10) PPT 1,4(14) APTT 31,6(30) INR 0,97 BUN 35 Cr 10/10 THORAX PA : tak tampak kelainan 6/10 MSCT ABDOMEN : massa 4/1 PA jaringan sedang : jaringan tumor
Liposarcoma 5,30 Na 142 K 4,87 Cl 108 AL 13,04 Hb 10,3 Hct 32,1 AT retroperitoneal yang meluas ke antero sinistra dan mendorong ren dextra retroperitoneal : well diferentated liposarcoma
perbaikan KU. pro DJ stent
2 1790099 Poniyat P 47 thn 10/2/2017 CDN 3/7 Retroperitonial G1TxNxM1 193Neu 64,7 (15/10) AL 14,75 Hb 10,5 Hct 30,6 AT 205 ke antero medial DD teratoma DD liposarcoma 5/10 USG ABD : massa di (urologi) dr.WJ
Peritoneum Post Kolostomi Neu 68,1 (13/10) AL 10.53 AE 3.58 HB 10.1 HT 29.8 AT retroperitoneal yang mendorong ren dextra ke arah anteromedial susp.
27 CR 4.09 NA 143 K 1.89 CL 106 10/10 AL
(15/10) AL 8,71 Hb 10,4 Hct 31,7 AT 267 Neu 61,89,52 AE 3,54 abdomen : massa solid di posteromedial yang mendorong ren dextra
9/10 PEDIS AP/L : tak tampak fraktur maupun dislokasi pedis, senile ke 16/6 PA : Squamous cell carsinoma well
HB 10 HCT
(12/10) 30 ATAE
AL 8.57 387 PPTHT14/15,4
3.09 26.9 ATAPTT 28,3/30,1
289 11/10 INR AE osteoporosis,
AL 9.10 antro medial, penebalan
THORAX PAomentum dan kelainan
: tak tampak mesenterium suspek peritoneal
paru jantung, old fraktur diferetiated dengan dasar oprasi bebas tumor
1,02 8/10
3.12 HB 8.9ALHT
11.28
28.5AEAT2.4
337HB 6.815.3/13.9
PPT HCT 21 AT 394 6/10
costae III-IV posterior dextra dan os clavicula dextra pars terta media , USG Post Amputasi Pedis
SCC et Regio Pedis Dextra BUN 72 CR 9,19 NA 142 K 3,65 CL 109 CA 1,84 4/10 AL Dektsra Lisfranc + Diseksi
6 1823554 Slamet Riyadi L 73 thn 10/6/2017 CDN 1/3 TxN2M0 32.0/30.6 INR 1.13 SGOT 15 SGPT 9 BUN 22 CR 1.58 GDS ABD: tak tampak kelainan abdomen 12/9 THORAX PA : tak tampak kelainan dr. HJ
13,47
122 AE 1,41
HBsAg NonHBReaktf
4,0 HCTNA13,1
142 AT 472 CL
K 4.01 3/10 AL9/10
108 13,35 AE Inguinal (12/10/2017)
1,40
HBsAgHBnon
4,0reaktf
HCT 13,0
NA AT
142470 PPT CL
K 4,41 13,4/15,4
105 7/10INRAL0,97
11,9 AE
APTT 29,2/29,6
3,34 HB 9,8 HCTALB30,53,26 SGOT
AT 357 ALB143,45
SGPT 14 BUN
SGOT 63,8 10
15 SGPT Cr
8,89 GDS
(14/10)
BUN Na84
16,9 CR HBsAg
143 K 4,41
1,52 noCl
GDS reaktf
119 Na2,15
104 Ca 138 (13/10)
K 4,03 ClFT4
10930/8
1.54 9/10 CERVICAL AP/L : struma regio colli anterior sinistra yang sedikit (9/10) FNAB : troid (D): bethesda system class 2:
AL 60,01
TSH 0.06 AE
NA3,76
141 KHb4.08
10 HET
CL 10330,1
MGAT2.20
1281CA 2.25 12/10 menyempitkan dan mendeviasi tracea ke arah dextra, kompresi ringan VC 6, benign folicular node. Tiroid (S): Bethesda system
AL 16.57 AE 5.00 HB 13.5 HT 41.1 11/10 FT3 3.11 FT4 THORAX PA : tak tampak kelainan 3/10 THORAX PA : tak tampak kelainan, class II:benign colloid nodule Post near total
Dwi Purnomo 1.23 TSH 0.08 7/10 AL 8,72 AE 5,11 HB 13,7 HCT 42,8 AT USG THYROID : mengarah gambaran struma nodusa thyroid bilateral
3 1825760 Adjie L 45 thn 10/6/2017 CDN 1/8 SNNT Bilateral thyroidektomi dr. HJ
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83 (13/10/2017)
AL 10,62 AE 5,28 HB 13,8 HCT 43,1 AT 321 PPT 14,8/15
APTT 27,3/28,9 INR 1,08 ALB 4,44 SGOT 15 SGPT 19BUN
13,6 CR 1,45 GDS 143 FT4 1,35 TSH 0,45 NA 143 K 4,53
CL 101 T3 TOTAL 1,47 T4 TOTAL 8,4
(13/10) AL 13.1 AE 3.43 HB 8.3 HT 27.5 AT 609 PPT 13/10 USG ABD : Ascites, lesi solid kistk intraperitoneal mengarah massa (21/9) Sitopatologi: sitologi cairan ascites I dan
15.1/13.9 APTT 31.5/28.9 GDS 99 ovarial malignant dengan kecurigaan infiltrasi ke uterus, mild hidronefrosis cairan kista II: didapatkan sel ganas
Ca Mammae Bilateral sinistra, rectum dan sigmoid tak tervisualisasi karean tertutup massam, tak Histopatologi: kapsul kista ovarium: kistadenoma
5 1778067 Sri Wiyant P 43 thn 12/10/2017 CDN2/6 T3N3cM0, Ca Ovary IIIc, tampak limfadenopat paraaortci. BONE SURVEY : Tak tampak gambaran serosum, jaringan peritoneum nodule: metastasis Pro core biopsi dr. TW
Ascites skeletal metastasis, terpasang DJ stent dengan ujung proximal melingkar adenokarsinoma
(12/10) AL 6.99 AE 3.88 HT 32.8 AT 328 (9/10) AL 6,47 9/10 THORAX PA : efusi pleura dextra, mixed type (subpleural dan nodular 19/4 HISTOPATOLOGI JARINGAN KECIL : jaringan
AE 3,63 HB 10,3 HCT 31,8 AT 384 ALB 3,21 SGOT 21 SGPT type) pulmonal metastase 6/10 MSCT KEPALA KONTRAS : massa di mukosa palatum : adenoid cystc carsinoma high
Adeno Cystc Carsinoma 12 BUN 4 CR 0,65 GDS 134 NA 139 K 3,41 CL 102 5/10 suprapalatum durum sinistra yang meluas ke septum nasi dan sinus grade
palatum GIII T2N2M1 post AL 8,23 AE 3,29 HB 9,4 HCT 29,1 AT 396 PPT 17,9/13,9 maxilaris bilateral terutama sinistra terutama mendestruksi palatum durum post hemomaksilektomi +
4 1698684 Mujiono L 54 thn 10/4/2017 CDN2/9 hemomaksilektomi + rekonstruksi mesh plate dr. HJ
APTT 31,2/ 29,4ALB 3,22 SGOT 19 SGPT 13 BUN 7 Cr dextra 5/10 Thorax PA : efusi pleura masif dextra dengan pleural reacton (12/10/2017)
rekonstruksi mesh plate 0,73 GDS 176 HBsAg Non Reakt na 140 k 3,95 cl 100 sinistra, mixed type ( subpleural dan nodular pleural ) pulmonal metastase,
colli bilateral
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 10/10 THORAX dengan tandatampak
PA : tdak malignan
kelainan 29/8 CERVICAL AP/L : spasme (10/10) Thorax: dbn (11/9) HISTOPATOLOGI
AL 13.84 AE 4.12 HB 12.3 AT 275 10/10 AL 6,99 AE 4,04 muskulus interspinalis cervicalis JARINGAN TIROID : papilary carcinoma dengan
Ca Papiler Tiroid T3N1M0 HB 11,7 HCT 35,3 AT 289 PPT 15,1/15,4 APTT 29,8/30,1 invasi ke kapsul, invasi kepembuluh darah, ukuran Post total troidektomi
2 1703409 Poniyem P 41 thn 10/9/2017 CDN2/10 post total troidektomi ALB 4,24 SGOT 16 SGPT 15 BUN 9,3 CR 0,75 GDS 89 terbesar tumor 2cm dan metastase ke dua buah (12/10/2017) dr.HJ
HBsAg non reaktf FT4 1,06 TSH 1,79 NA 137 K 3,74 CL limfonodi yang diterima, 18/5 AJH KELENJAR
101 18/9 FT3 2,83 FT4 1,17 TSH 1,27, CA 2,16 10/9 ALB TYROID : susp. Folicular neoplasma
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
(13/10) AL 6.01 AE 2.71 Hb 8.4 HT 26.1 AT 132 NA 136 K (11/10) Thorax: dbn (10/9)USG ABD : cystts, USG PAYUDARA : ca mamae 11/4 AJH MAMAE SIN : Carsinoma ductal nuclear
3.70 CL 98 sinistra disertai dengan disertai oedemacendrung malignadengan nodal grade III meluas ke regio axila sinistra
Ductal Carsinoma metastase di axila sinistra, simple cyst mamae dextra
1 1807054 Trubos Al Anifa P 50 thn 10/10/2017 BGV4/12 Mammae T3N2M0 post post MRM (11/10/2017) dr.HJ
Kemoterapi ke 6
(12/10) AL 14.17 AE 3.69 HB 11.9 HT 31.9 AT 242 11/10 (11/10) Bone survey: tak tampak gambaran metastasis. Thorax: dbn. USG AJH massa mammae dekstra jam 12 : Sijumpai sel
AL 4.33 AE 4.11 HB 12.0 HT 36.3 AT 247 ALB 4.59 SGOT abdomen: tak tampak kelainan. USG Tumor Mammae Dextra, Susp Ca ganas. Kesan Keganasan Epithelial
Anastasia Anik Ca Mammae Dextra 17 SGPT 21 BUN 14 CR 0.75 GDS 108 HBsAg NR NA 146 K Mamae Sinistra
6 1826544 Sugiart P 51 thn 10/10/2017 AYD2/202 T3N0MO post MRM 3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/ Post MRM (12/10/2017) dr.KS
30.6 INR 1.17
Ganethia Obs tetraparese flacid ec HT 38.3 AT 285 ALB 3.83 SGOT 13 SGPT 19 BUN 2.50 CR Post muscle biopsy
4 1282028 Relianasa P 30 tahun 12/10/2017 AGG2/1 susp muscular dystrophy 0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34 (13/10/2017) dr.TW
dd HNP Cervical
3 1816006 Sunart P 57 thn 11/10/2017 BGV4/5 Ca Ductal Mammae Sinistra APTT 35.8/28.9 ALB 4.2 SGOT 16 SGPT 21 BUN 20 CR S residif MRM dr.WJ
CA 2.15
(13/10) AL 8.06 AE 4.72 HB 13.0 AT 204 (10/10) AL 6,96 12/10 Cervical AP/Lat Spasme M.Intersopinalis Cervicis 5/6 USG (13/10) AJH : Lesi fibrokistk
Widya Trihari Multple tumor mammae AE 4,62 HB 12,7 HCT 37,2 AT 227 PPT 15,5/15,4 APTT PAYUDARA :susp multpel fibroadenoma mamae sinistra, post eksisi biopsi
8 1811742 Astut P 26 thn 10/10/2017 CDN2/6 Sinistra 29,6/30,1 SGOT 12 SGPT 14 BUN 6 CR 0,78 GDS 110 (13/10/2017) dr.TW
11/10 AL 9.20 AE 4.30 HB 10.9 HT 33.5 AT 146 9/10 AL 4/10 THORAX PA : tidak tampak kelainan 7/2 AJH NODUL PANGKAL PAHA KIRI : sarkoma
6,47 AE 4,59 HB 11,4 HCT 37,4 AT 396 PPT 14,8/15 APTT dengan radang kronik eksaserbasi akut
5 1228584 Astri Nurani P 32 thn 10/9/2017 AMT1/106 Soft Tissue Tumor regio 30,9/28,9 ALB 4,4 SGOT 9 SGPT 17 BUN 7 CR O,72 GDS Post Eksisi Luas + Diseksi dr. WJ
Femur Sinistra 95 NA 139 K4,43 CL 97 Inguinal (11/10/2017)
Tumor Parots Sinistra NA 141 K 4,93 CL 106 5/10 AL 10,34 AE 5,12 HB 11,6 HCT glandula parots dextra 28/8 THORAX PA : tdak ada kelainan 6/3 usg
9 1801028 Novelia Sufian P 24 thn 10/5/2017 CDN2/2 Curiga Jinak post superficial 36,4 AT 390 PPT 15,1/13,9 APTT 36,3/29,4 SGOT 13 SGPT parotis/leher/thyroid : simple cyst glandula parots sinistra pro parotdektomi dr.KS
parotdektomi H-2 10 BUN 10,9 CR 0,7 GDS 111 HBsAG non reaktf
Multple limfonodi regio 16.70 CR 1.46 GDS 175 NA 139 K 3.68 CL 102 (konfirmasi MSCT Thorax 04/0/17) disertai deviasi trakea ke arah Eksisi biopsi regio axilla et
1 1540680 Yuri P 56 thn 12/10/2017 BGV3 colli et axilla PROCALCITONIN 0.52 laterodextra coli dr.HJ
10/10 HB 13.4 HT 40.3 AL 4.25 AT 167 19/09 TB lama, tdak tampak persebaran skeletal IHC : ER - PR - HER 2 + KI 67
3 1802971 Kulasah P 62 thn 9/10/2017 CW2/209 2 + KI 67 Perbaikan KU prof. TA
10/10 AL 7,33 AE 4,69 HB 10,3 HCT 34,9 AT 192 10/10 3/10 THORAX PA : tidak tampak kelainan 25/8 MSCT Cervical nodul intra 25/8 imunohistokimia : sesuai untuk tumor
AL 6,82 AE 4,28 HB 9,7 HCT 32 AT 30,3 8/10 AL 7,07 AE glandular thyroid dextra dengan nodal metastase (t2n1Bm1) 25/8 msct diferensiasi neural, masih mungkin suatu
Melanoma Maligna 4,03 HB 8,7 HCT 27,6 AT 257 ALB 2,52 6/10 AL 9,47 AE kepal : brai metastase di lobus occipital dextra, pons, dan lobus temporalis melanoma maligna Post debulking tumor
4 1718031 Mutrikah P 29 thn 10/2/2017 CDN 3/7 Multpel T3N1M1 + 3,93 HB 8,4 HCT 28,3 AT 223 ALB 2,68 5/10 AL 8,7 AE sinistra (10/10/2017) dr. HJ
Gangguan Psikotk 3,74 HB 8,1 HCT 26,7 AT 238 ALB 2,65 GDS 105 FT3 2,06
FT4 1,06 TSH 3,053/10 AL 8,01 AE 3,37 HB 6,6 HCT 23,7
AT 284 PPT 16,1/15,4 APTT 37,2/29,6 ALB 2,62 SGOT 13
12/10
SGPT 6AL 8.64
BUN 9,6AECr3.87
0,59HB 9.965
GDS HTHBsAg
29.0 11/10 AL 4.81
non reaktf NaAE 29/08 USG Gambaran mengarah fibroscystc Mammae Bilateral, Tak
Helmi 4.47KHB 11.4
CLAT 227 PPT 13.9/13.9 APTT30.0/30.6 INR tampak limfadenopat axilla dan supraclavicula dextra et sinistra
Tumor Mammae Dekstra 137
1.00
4,26
ALB 4.49
1004/02/2017
SGOT 16
AL 7,32
SGPT 13APTT
AE 4,28 HB 10,9
BUN 22/31,1SGOT
11.6 CR 0.75GDS
3 1822080 Prihatningsih S. P 37 thn 10/10/2017 CDN3/8 curiga jinak HET 32,8 AT 378 PPT 13,3/12,8 13 98 Eksisi Tumor dr.HJ
P. HBsAg
SGPT 15NRBUN
NA 10
138CRK 0,62
4.10 GDS
CL 105
78 HBsAg NON REAKTIF NA
138 K 3,82 CL 103
10/10 NA 140 K 3,18 CL 105 9/10 AL 8,81 AE 4,32 HB 10/10 MSCT KEPALA : Multcistk dengan perilesion enhancement dan 21/7/16 AJH MAMAE DEXTRA : didapatkan sel
12,8 HCT 38,5 AT 2,91 PPT 15,3/14,9 APTT 23,9/28,7 ALB kalsifikasi ec dd brain metastase, oligodendroglioma, USG ABD : tak tampak ganas, pendapat ductal carcinoma, nuclear grade
Carcinoma Mammae 3,46 SGOT 23 SGPT 28 BUN 4 CR 0,47 NA 140 K 2,51 CL kelainan pada organ abdomen 9/10 THORAX PA : tdak tampak kelainan III
1 1777322 Sri astut P 41thn 10/9/2017 CDN3/9 Dextra T4cN2m1 Perbaikan KU dr.HJ
103
RR Antonia Tut Struma Nodosa Non Toksik 28,5/27,9 FT4 1 tsh 0,27 na 145 k 3,99 cl 107 ca 2,29 inr
9 1824324 Caturwat P 51 thn 10/6/2017 CDN 2/3 Sinisra post ismolobektomi 0,95 LB 4,13 SGOT 16 SGPT 19 ALB 4,13 BUN 11,6 CR hemitroidectomy prof. TA
H-3 0,62 GDS 107 HBsAg non reaktf 18/6 AL 9,7 AE 4,53 HB
12,8 HCT 37,9 AT 268 GDS 177 FT4 16,1 TSHs 0,078
11/10 AL 15.70 AE 4.16 HB 11.0 HT 33.3 ALB 2.63 9/10 2/10 Ro kepala 3 posisi : soft tssu tumor yang menyempitkan airway 10/3 PA : jaringan tumor regio mandibula
AL 17,41 AE 3,25 HB 8,2 HCT 26,1 AT 427 ALB 2,29 NA susp.tumor residif mandibula, Thorax PA : tdak tampak kelainan pada anterior : undifferentated pleomorfic sarcoma,
143 K 4,35 CL 104 4/10 AL 13,25 AE 3,77 HB 9,7 HCT thorax, Cervical AP/L : soft tssue tumor yang menyempitkan airway susp. angionivasi (+), jaringan limfonodi sub
30,2 AT 591 PPT 17,5/15 30,7/28,9 INR 1,33 ALB 2,75 Tumor mandibula residif, 2/10 MSCT kepala : residu soft tsue sarcom di mandibula : 3 buah jaringan limfonodi dengan
SGOT 39 SGPT 54 BUN 8 CR 0,86 GDS 121 HBsAg non mandibula sinistra yang mendestruksi margo angulus hingga corpus os sinus histositosis, tanpa tumor
2 1798392 Edy Kirwanto L 34 thn 10/4/2017 CDN1/10 Ca Mandibula Sinistra GIII reaktf NA 139 K 4,51 CL 99 mandibula sinistra, sinusits maksilaris sinistra, terpasang plat dan screw perbaikan KU + dr. HJ
T4N0M0 dari margo angulus mandibula dextra hingga regio mandibula sinistra radiotherapy
10/10 AL 19,42 AE 3,55 HB 9,6 HCT 30,1 AT 304 ALB 15/9 Ro thorak : Pulmo tak tampak kelainan, tak tampak pulmonal 23/8 histopatologi mandibula : Undifferentated
2,02 10/10 A8/10 AL 23,12 AE 4,09 HB 10,4 HCT 33,6 AT metastasis, besar cor normal 12/9 Cervical AP/Lat mengarah gambaran Carcinoma
Undifferenciated Ca 289 7/10 AL 19,35 AE 3,44 HB 9,3 HCT 28,7 AT 214 PPT tumor mandibula sinistra dengan tanda tanda malignancy yang meluas Perbaikan ku +
1 1822995 Toto Suripto L 60 thn 9/30/2017 CDN1/10 Mandibula T4bN0M0 radiotherapy dr. WJ
5/10 ALAL21,09
10/10 13,22AEAE3,62
3,63HBHB9,8
10HCT
HCT30,5
30,6ATAT218
654PPT
7/10 AL 4,5,6,USG
4/10 penyempitan DIV cervical
Thyroid : Simple 6-7, MSCT kepala
cyst intraglandular kontras
parots massa
bilateral, di corpus
nodal 22/9 AJH Hepar Lobus Dekstra : didapatkan sel
22,1/13,9 APTT
10.91 AE 3.7 HB38/29,4
10.4 HCTINR 1,76ALB
32.2 2,31
226 PPT BUN 8 CR
17.2/15.4 0,64
APTT mandibula sinistra yang meluas
metastasis supraklavikula kemultple
sinistra, glots, subglots,
limfonodimelibatkan gigi, et
inguinal dekstra ganas, pendapat : karsinoma hepatoseluler
1 1822200 Suradi L 52 thn 10/6/2017 DHL2/9 GDS 142 NA
Limfadenopat regio Colli 36.2/29.6 INR143
1.3KALB
3,672.8
CLSGOT
106 3/10 AL 18,21
70 SGPT AE 16.0
31 BUN 3,37 CR mendestruksi
sinistra corpus
dan aksilla mandubla
sinistra dengan sinistra, menyempitkan
morfologi normal airway (suspek post biopsi (9/10/2017) dr.WJ
HB9,2GDS
1.08 HCT108
28,6
NAAT129
221K ALB
4.111,730/9 Al 58 REAKTIF
CL 93 HBsAg AE 1.78 Hb 4.4 amelobalstk carcinoma)
6/10
HBsAgALNR9,75
NaAE1323,96 HB Cl
K 5.01 10,9
96HCT 32,5 AT2.293
retculosit 235 feritn
4/10 AL 25/9 THORAX PA : tdak tampak kelainan 26/9 AJH : AJH mamae dextra didapatkan sel
9,20
64.08AE 4,48HB
Iron 12129
TIBC HCTSaturasi
35,8 AT 5276
UIBCPPT 15,5/15
121 APTT
PCT 4.63 ganas , pendapat ductal carsinoma nuclear grade
31,4/28,9 INR 1,15 ALB 4,57 SGOT 24 SGPT 14 BUN 9 CR II pro breast conserving
4 1488056 Mursinah P 46 thn 10/4/2017 AYD2/208 Ca Mammae Dextra treatment dr. KS
5 1824817 urai najilah P 41 thn 10/2/2017 AYD 2/210 Ca Duktal Mammae Dextra APTT 28,8/ 28,4 ALB 4,53 SGOT 11 SGPT 8 BUN 5,20 CR klasifikasi BIRADS V pro MRM (4/10/2017) dr. WJ
post MRM Dextra H3 0,73 GDS 73 NA 140 K 4,27 CL 103
9/10 AL 15,66 AE 4,39 HB 12,8 HCT 37,3 AT 341 7/10 FT3 20/9 THORAX PA : tidak tampak kelainan, USG ABDOMEN : tdak tampak 18/9 IMUNOHISTOKIMIA : Non Hodkin Lymfoma
2,38 FT4 1,54 TSH 0,9 T3 TOTAL 0,46 T4 TOTAL 8,5 20/9 kelaianan, USG PAYUDARA : massa di arah jam 9 mamae sinistra dengan type sel B
Tumor Mammae Bilateral AL 8,67 AE 3,96 HB 11,9 HCT 35,7 AT 243 PPT 15,9/13,4 suspicious malignancy, multpel FAM mamae dextra et sinistra post eksisi biopsi
6 1823482 komidah P 28 thn 10/5/2017 CDN1/7 T3N0M0 (9/10/2017) dr.WJ
0,58 GDS 97 NA 151 K 4,24 CL 111
Ca Mammae Dextra Pro Core Biopsi

6 133673 Maryani P 51 thn 10/3/2017 CW1/102 T3N0M1 post core biopsi (4/10/2017) dr. TA
H5
7/10 AL 8,15 AE 3,63 HB 10,7 HCT 31,8 AT 122 3/10 AL 3/10 cervikal AP/L Fraktur kompres vertebre cervicalis III,IV,V susp bone 15/8 AJH jaringan mamae dextra : invasif ductal
8,29 AE 2,19 HB 6,6 HCT 28,7 AT 191 PPT 18,6/15 APTT metastase ,Thorax PA : pneumonia bilateral dengan efusi pleura sinistra carcinoma of NST grade III metastase ke 8 dari
Ca Mammae Bilateral post 31,9/28,9 INR 1,43 susp pleural type pulmonal metastase limfonodi regional, infiltrasi ke jaringan ikat dan
2 1794099 muslimah P 62 thn 10/3/2017 IMC2/4 Mastectomy post STSG perbaikan KU dr.TW
6/10 AL 14,43 AE 4,21 HB 10,5 HCT 32,6 AT 354 CA 1,81 3/10 VERVICAL AP/L : soft tssu mass regio colli anterior sinistra , spasme PR
6/9: FNAB
terpulas -, Her2
/ AJH DEEP: terpulas negatf- 1+,sel
: tdak didapatkan Ki67 :
tumor mamae sinistra 3/10 AL 6,87 AE 4,74 HB 11,8 HCT 37,2 AT 349 PPT musculus interspinalis cervicalis, THORAX PA : cardiomegali, pulmo tak index proliferasi
ganas, pendapat 20%
: lesi proliferatf jinak
6 1552434 suyat p 42 thn 10/2/2017 CDN 1 /7 curiga jinak + SNNT 15/15,4 INR 1,11 APTT 29,1/29,6 ALB 4,56 SGOT 21 SGPT tampak kelainan, tak tampak skletal metastase, 5/9 thorax PA : tak tampak Post eksisi luas (5/10/2017) dr. HJ
bilateral 20 BUN 9,1 Cr 0,67 GDS 138 HBsAg non reaktf FT3 3,1 kelainan
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
papilary carcinoma thyroid mendiviasi trachea ke arah sinistra dan menyempitkan di setnggi VC 3-6,
3 1762388 sutarno L 66 thn 9/18/2017 HCU T2N1M1 perbaikan KU dr.HJ
140 K 4,36 Cl 98
struma nodusa dextra post pro hemitroidektomi

4 1824608 Chrisna anggi P 29 thn 10/3/2017 AMT 1/106 hemitroidectomi H4 (5/10/2017) dr.KS
3/10 AL 8,01 AE 3,45 HB 12,5 HCT 35,6 AT 261 GDS 141 28/9 Ro thorak Traping effusion dextra, cor normal 19/9 ct scan kepala 31/8 eksisi kulit : Karsinoma lobular invasif type
Ca Mammae Residif, Post NA 141 K 3,51 CL 104 29/9 Alb 3.72 Na 138 K 3.84 Cl 103 Multple lesi di lobus frontalis kiri, temporooccipital kanan dan hemisfer pleomorfik dengan "pagets diseae" dan bagian
2 1699535 Rini Herviara P 46 th 9/27/2017 AGG2/6 MRM Bilateral 2015, Post Prot total 7.2 28/9 Al 7.41 AE 4.38 Hb 15.6 Hmt 45.6 AT cerebelum bilateral dengan perifokal edem sesuai dengan gambaran brain karsinoma duktal invasif disertai "comedo Perbaikan KU dr. TW
Eksisi Luas dan STSG 218 30/8 AL 12,3 AE 3,24 Hb 11,7 HCT 36 AT 208 29/8 AL metastasis, sphenoidits 6/7 Ro Thorax : Pulmo tak tampak kelainan, Cor neckrosis", invasi ke epidermis, invasi
4,29 AE 3,47 Hb 12,4 HCT 36,9 AT 236 Alb 3,74 OT/PT normal. angiolimfatk, jarak terdekat batas operasi +/- 0.5
21/18
5/10 ALBUN/crea
14,31 AE11/0,73
4,49 HBGDS
10,892 HbsAg
HCT (-) Cl
33,3AT 371103 Na AL
3/10 138 22/9 thorax PA : tdak tampak kelainan cm
20/9dengan tumor
FNAB/AJH 17/7: didapatkan
DEEP PA : Radangsel atpi ,
K 3,68
tumor mamae sinistra 7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4 granulomatosa,
masih tdak didapatkan
mungkin papiloma sel tumor.
intra duktal dengan2/5
sel
PA : ekspresi ER, PR Negatf. Her-2 Positf (3+). Ki- pro eksisi tumor
1 1823915 Ari Dewi P 44 thn 10/2/2017 BGV 4 / 2 curiga ganas T2N1M0 post APTT 28,4/29,6 SGOT11 SGPT 15 BUN 8,6 Cr 0,92 GDS atpi
(5/10/2017) dr. WJ
eksisi tumor H2 145 HBsAg non reaktf NA 140 K 3,81 CL 104 67 : Positf, +/- 50%. 12/4 PA jar kulit dinding
limfangioinvasi.
5/10 AL 7,85 AE 3,66 HB 11,2 HCT 35,5 AT 135 4/10 AL 4/10 Thorax PA : tak tampak kelainan 28/8 USG PAYUDARA : lesi solid 25/4 imunologi antibodi : ekspresi ER, PR(-),
8,21 AE 3,86 HB 12,6 HCT AT 179 PPT 13,5/15 APTT hiperekoik soliter pada subkuts mamae dextra ekspresi HER 2 (-)
ca ductal infiltrat mamae 5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186
dextra T2N1M0 post MRM pro MRM dextra
5 1709983 Jumiyem P 55 thn 10/3/2017 CDN 2/10 (5/10/2017) dr.HJ
dextra H2
4/10 AL 8,52 AE 4,77 HB 9,7 HCT 33,3 AT 419 PPT 18/09 Thorax PA : efusi pleura blateral dd subpleural ype pulmonal 11/9 AJH : FNA nodul berulkus payudara dextra
ca duktal infasiv mamae 15,6/15 APTT 35,5/28,9 INR 1,16 ALB 2,81 SGOT 27 SGPT metastase infiltratng carsinoma mamae 4/1 sitologi cairan
4 1823835 Iswahyuni P 48 thn 10/3/2017 CDN 3/2 dextra T4bN2M1 post core 13 BUN 6 CR 0,7 GDS 115 HBsAg non reaktf NA 141 K pleura kanan : didapatkan sel ganas, sitologi pro core biopsi(5/10/2017) dr.TW
bio[psi H1 4,56 CL 103 18/9 AL 9,74 AE 4,72 HB 9,4 HCT 32,5 AT 532 cairan pleura kiri : tdak diadapatkan sel ganas
PPT 15,3/14,2 APTT 34,1/33,8 SGOT 24 SGPT 16 BUN 4,5 25/9 HISTOPATOLOGI : sitologi efusi pleura
CR 0,47
2/10 AL GDS
16,66154
AE NA 137
4,54 HBK14,4
4,44HCT
CL 102
41 AT 242 1/10 GDS R22/9 Ro thorak Pulmo tak tampak kelainan, besar cor normal USG didapatkan
22/9 sel ganas,pleomorfik
AJH : adenoma pendapat : metastasis
Adenoma pleomorfik 139 28/9 Al 6.44 AE 4.74 Hb 14. Hmt 42.6 AT 237 PPT thyroid massa di parots sinistra dengan gambaran benign sesuai gambaran adenocarsinoma sangat mungkin dari payudara
Post total parotdectomy +
2 1824615 Nurpan Parid L 49 thn 9/27/2017 BGV4/10 parots sinistra post deseksi 14.4/1.05 INR 1.05 APTT 33.4/30.2 Alb 4.42 SGOT 34 adenoma, limfadenopathy regio colli sinistra
diseksi colli (2/10/2017) dr. WJ
axila H2 SGPT 62 BUN 10 Cr 1.07 GDS 211 HBsAg NR Na 136 K
3.94 Cl 99 Ca 2.09
2/10 AL 10,47 AE 4,3 HB 12,6 HCT 38,4 AT 205, 1/10 PPT 29/8 Cervical AP/Lat Soft tssue mass di regio inferior colli dextra, spasme 17/11/2016 PA tumor colli sinistra : malignant
Malignant solitary fibrous 14.4/14.8 INR 1.05 APTT 30.7/29 27/9 Al 5.9 AE 4.63 Hb musculus interspinalis cervical, spondilosis cervicalis, penyempitan DIV VC solitary fibrous tumour dd MPNST, malignant
tumor Regio colli dextra 13.5 AT 225 Alb 4.15 SGOT 15 SGPT 13 BUN 11.8 Cr 0.82 5-6 USG thyroid Multple lesi hipodens di thyroid dextra sesuai klasifikasi fibrous histocytoma/ undiffeentated Post debulking tumor
2 1743192 Sutyem P 52 th 9/26/2017 CDN2/10 ( 2/10/ 2017) dr.KS
post debulking tumor H3 GDS 117 HBsAg NR Na 142 K 3.9 Cl 105 07/04 Al 12.66 TIRADS 4, multple limfadenopat di supraklavicula dextram submentum, pleomorphic sarcoma
metastase
3/10 AL 5,97 AE 4,56 HB 13,8 HCT 40,3 AT 281 SGOT 32 2/10 bone 3/8 USG: tak
survey Abdomen
tampak Tak tampak
kelainan kelainan
skletal Ro thorak
metastase, USGpulmo tak :
Abdomen
SGPT 42 BUN 9,6 CR 0,6 GDS 113 HBsAg Non reaktf tampak kelainan,
tdak tampak besar, cor
kelainan normal
Thorax PA : tak tampak pulmonal metastase
6 133673 Maryani P 51 thn 10/3/2017 CW1/102 ca mamae dextra T3N0M1 Pro Core Biopsi dr. TA
post core biopsi H1 (4/10/2017)
3/10 GDS 142 NA 138 K 4,34 CL 100 MG 2,2 CA 2,51 PPT 29/9 cervikal AP/L massa soft toissu di coli anterior dextra yang mendorong 21/8 AJH throid dextra betesda system clas V :
16,7/15,4 INR 1,26 APTT 31,9/29,6 HBsAg non reaktf sedikit menyempitkan airway, tak tampak tanda keganasan pada sistema suspicious for malignancy
CK/CPK 32 CKMB 15 FT4 0,49 TSH 2,88 HS-TROPONIN I tulang yang tervisualisasi 9/8 Ro thorak susp mass thyroid USG Thyroid pro Near total troidektomy
1 1819769 Sukemi P 64 thn 9/27/2017 CDN2/10 SNNT curiga ganas (3/10/2017) dr.KS 1.02 09.00
SGPT 6 BN
30/9 Al 6.9AE
29.26 Cr 4.08
0.64 Hb
GDS11.7
248Hmt
HBsAg NR336
35 AT Free27/9
T4 0.41
Al 17/5 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal 8/6 Konsultasi Blok parafin : jaringan mamae
Malignant phyloides dextra TSH
2.292.76 Na 141
AE 3.86 K 3.72
HB 10.9 CL 33.2
Hmt 101 Ca
AT 2.34 10/8 Al
314 SGOT 3113.14
SGPT AE
49 metastasis 30/3 Bone survey tak tampak gambaran metastasis USG dextra malignant phylodes tumor
et sinistra post mastektomi BUN
4.25 Hb
7 Cr12.4
0.54Hmt 37.81.9
AS urat AT GDS
359 PPT
98 15.5/13.5 INR 1.15 abdomen : Fatty liver USG payudara tak tampak residua mass pada mmae Post kemoterapi ke VI
1 1806295 Sukirah P 64 thn 9/27/2017 CDN2/8 simple post kemoterapi VI APTT 31.3/28.6 SGOT 13 SGPT 10 ( 2/10/2017 ) dr TW
dextra
H2
Ca Mamae T4bN1Mx Pro direct 0.34 Gamma GT 79 Fosfatase alkali 94 HBsAg NR metastasis pada vesika velea, lien, pancreas, kedua ren, vesica urinaria,
4 1825191 Ria P 39 thn 9/27/2017 AMT1/110 Core biopsi Pro Core biopsi dr. KS 1.02 08.00
26.3/30.8 Prot27/9
12.78 3.45 SGOT
4.61 Hb 1280 SGPT36.3
BUN25/9
Ca Thyroid Post Eksisi 303 6.00 Al
Cr8.49
0.67AEGDS 127Hb
4.83 HBsAg NR Na
12.2 Hmt 135ATK 329
38.3 3.77PPT
Cl
3 1824338 Fatchur P 48 th 9/25/2017 CW1/102 tumor Post Eksisi tumor H 102
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18 post Eksisi tumor (27/9) dr. WJ
Rochmah SGPT 20 BUN 8.4 Cr 0.82 GDS 128 HBsAg NR Free T4
6
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
29/9 Al 12.7 AE 4.33 Hb 10.8 Hmt 33.1 AT 205 28/9 Al 18/9 Ro thorak Pulmo tak tampak kelainan, besar cor normal 10/2 IHC ER,PR Negatf HER2 Positf (3) Ki-67 : +/-
Ca Ductal invasive 6.26 AE 3.9 HB 9.3 Hmt 29.3 AT 224 PPT 15.8/14 INR 75% PA jaringan mamae sinistra: invasive ductal
4 1799386 Mariyam P 60 thn 9/27/2017 BGV4/11 mammae sinistra TxN1M0 1.17 APTT 32.1/30.2 Alb 4.14 SGOT 39 SGPT 42 BUN 12 carcinoma os NST grade III Post diseksi aksila S dr WJ
Post MRM post Diseksi Cr 0.62 HBsAg NR Na 143 K 3.88 Cl 107 20/9 Al 6.97 AE (29/9/2017)
aksila H4 4.26 HB 10 Hmt 33.1 AT 217 PPT 14.6/13.4 INR 1.07
APTT 29.1/30.1 Alb 4.28 SGOT 37 SGPT 48 BUN 10 Cr
0.57 GDS 104 Na 144 K 4.02 Cl 106
Carcinoma ductal invasive 29/9 Al 9.9 AE 3.69 HB 11.5 HMT 33.7 AT 182 28/9 Al 7/6 Ro thorak tak tampak kelainan 7/3 USG abdomen Hepatomegali USG 8/3 AJH axila dextra : tdak didapatkan
mammae dextra post 5.13 AE 3.8 Hb 11.8 Hmt 34.8 AT 196 PPT 14/14 INR 1.02 payudara nodal metastasis di axilla dextra, limfadenopat pada regio axilla keganasan 17/3/2016 PR HER 2 terpulas negatf
6 1763449 Muskhinah P 64 thn 9/27/2017 CDN2/2 mastektomy post APTT 28.2/30.2 Alb 4.7 SGOT 21 SGPT 24 BUN 9 Cr 0.56 sinistra 28/9/2016 bone survey utak tampak gambaran skeletal metastasis, Ki 67 <1% Post completon dr. HJ
Completon Mastektomy GDS 110 HBsAg NR Na 142 Cl 104 K 3.48 7/6 Al 4.43 Ae spondilosis lumbalis mastektomy (29/9)
H4 3.76 Hb 11.5 Hmt 35.7 AT 229 SGOT 16 SGPT 29 BUN 9
Cr 0.61 GDS 124
28/9 Al 14.63 AE 4.36 Hb 10.9 AT 403 26/9 Al 6.59 AE 14/8 MSCT Ext bawah kontras : Menyongkong gambaran liposarcoma di 1/4 PA Kruris sinistra : Keganasan mesenimal
4.57 Hb 11.5 Hmt 36.5 AT 414 PPT 13.9/14.2 INR 1.01 cruris sinsitra aspek inferolateraoposterior yang menginfiltrasi <. Soleus dan condong suatu DD liposarcoma jenis pleomorfik
Liposarcoma dd APT 29.3/29.5 Alb 4.31 SGOT 15 SGPT 17 BUN 13 Cr 1.03 cutan regio cruris 8/8 Ro thorak pulmo tak tampak kelainan, besar cor liposarcoma dd pleomorfik rhabdomyosarcoma
5 1819622 Mentarjo L 91 thn 9/25/2017 CDN2/9 rhabdosarcoma post eksisi HBsAg NR Na 140 K 4.18 Cl 104 8/8 Al 6.06 AE 4.76 Hb normal USG Abdomen tak tampak kelainan Post eksisi luas (28/9) dr. HJ
luas H5 12.1 Hmt 37.5 AT 444 PPT 13.9/15.4 iNR 1.01 APTT
27.4/28.3 Alb 4.05 SGOT 19 SGPT 15 BUN 10 Cr 1.01 GDS
102 HBsAg NR Cl 104 Na 140 K 3.6
1/10 AL 23,34 AE 5,31 HB 9,5 HMT 32,7 AT 322 PTT 1/10 Thorac PA Dewasa Efusi pleura bilateral terutama sinsitra disertai
Ca Mammae S T4N2M1, PO2FIO2 210,8 30/9 Al 13.56 AE 5.23 Hb 9.7 Hmt 33.5
2 1825480 Ida Dwiningsih P 48 thn 9/30/2017 CDN2/8 pneumonia core biopsi (3/10/2017) dr. TW
141 K 3.56 Cl 99 FIO2 30 pH 7.5 pCO2 50 pO2 686.6
29/9 Al 11.05 AE 3.87 Hb 9.7 AT 272 26/9 FIO2 70 pH 21/8 MSCT kontras : Destroyed lung TB pulmo dextra yang menyebabkan 11/7 imunohistopatologi : ER,PR : positf HER 2:
7.45 pCO2 45.3 pO2 93.6 BEecf 7.9 BEb 7.4 HCO3 32.1 penarikan struktur mediastnum ke arah dextra disertai emphysema positf12/5 PA : mamae sinistra : invasive (ductal)
Ca ductal invasive PO2/FIO2 135.4 Al 9.75 AE 4.37 Hb 10.9 HMT 35.1 AT compensator sinistra dengan herniasis pulmo sinistra ke dextra, TB pulmo carcinoma of NST, Grade III, invasif pembuluh
2 1530247 Sukilah P 45 thn 9/14/2017 BGV4/11 mammae S T2N1M0 post 315 GDS 110 Na 140 K 3.82 Cl 101 19/9 BTA I (-) BTA II (-) sinistra lama aktf di apex, pulmo sinistra 10/8 ro thorak : Tb PAru dextra limfatk Pro MRM dr. KS
MRM H6 (biopsi) 18/9 FIO2 21 pH 7.48 pCO2 47.2 pO2 77.4 SO2% 96.1 chronik fibrotk type dengan emfisema compensatoir sinistra, nodul pulmo
30/9 Ca 2.03
1.13 APTT 28/9 Al Alb
35.4/31.2 19.12
3.9AE 5.2719
SGOT HBSGPT
14 Hmt 42.3 9.5
13 BUN AT 19/9 USG Thyroid Nodul thyroid bilateral TIRADS 3 9/8 Cervical AP/lat Soft
SNNT bilateral curiga ganas 220 NA GDS
Cr 0.76 138 K804.06 Cl 105
HBsAg NR 26/9 Free
Na 149 T4 1.83
K 3.65 TSH18/8
Cl 109 1.86Bun tssue mass regio colli dextra ro thorax: Pulmo dan cor tak tampak
3 1819893 Sarinem P 45 thn 9/18/2017 CDN1/10 post Total thyroidektomy 24/9 Free T4 1.4 TSH 4.91 19/9 Al 6.85 AE 5.14 Hb 14
6 Cr 0.48 kelainan. Total throidektomy (28/9) dr. KS
H5 Hmt 42.7 AT 254 PPT 14.3/34.1 INR 1.04 APTT 34.1/30.6
0.8 T4AlTotal
28/9 16.283.99/8
AE 3.8AlHb
7.75 AEHmt
10.2 5.5131.2
Hb 14.3 Hmt26/9
AT 222 45.7AlAT 26/9 Thorak : tak tampak kelainan pada paru, besar cor normal
352 SGOT
4.37 AE 4.177 SGPT 22 BUN
Hb 11.5 Hmt 635.3
CR 0.71 GDS
AT 203 152
PPT Free T3 INR
14.4/14.2
Ca Lobuler mammae @35 Free T4
1.05 APTT 1.08 TSHALB
29.6/29.5 1.56
4.09 SGOT 21 SGPT 30 BUN 10
5 1793227 Maryat P 61 thn 9/25/2017 CDN2/8 sinistra G II TxN1M0 Post CR 0.71 HBsAg NR Na 140 K 3.45 Cl 103 Ca 15-3 4.7 22/5 Post MRM (28/9) dr KS
MRM H2 Al 4.222 AE 4.19 Hb 10.8 Hmt 25.4 AT 232 SGOT 22 SGPT
27 BUN 12 Cr 0.93 GDS 83
1/10 AL 5,72 AE 3,31 HB 8,9 HT 27,8 AT 176 28/9 AAl 19/9 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal 15/8 jaringan histopatologi mamae sinistra :
6.4 Hb 7.9 Hmt 24.6 AT 160 26/9 Al 15.33 AE 3.43 Hb 9.6 metastasis, besar cor normal USG abdomen Polip vesica fellea pembesaran fibroadenoma perikanalikular dengan bagian
Ca Duktal mammae sinistra Hmt 28.9 AT 190 GDS 140 Na 142 K 3.68 Cl 107 25/9 Al uterus dengan terpasan IUD intracavuk uteri USG Payudara Susp transformasi maligna jenis ductal carcinoma
2 1822332 Asmiyat P 34 thn 9/18/2017 CDN2/10 GIIT3N0M0 Post MRM H4 5.47 AE 4.25 Hb 11.7 Hmt 36.1 AT 220 GDS 85 19/9 Al malignancy mamae sinistra, kuadran lateral atas dan susp FAM jam 11.30, (invasive dan insitu) grade II, meluas ke Post MRM 26/7 dr. HJ
4.71 AE 4.41 Hb 12 Hmt 37.5 AT 205 PP 14.6/14.1 INR spesifikasi BIRADS 5-6 lemak.9/8 AJH : tdak didapatkan sel ganas,
1.07 APTT 32/30.6 Alb 4.28 SGOT 12 SGPT 11 BUN 6.10 pendapat fibroadenoma
Limfadenopaty Multple 29/8 AL 6,99 AE 4,56 Hb 12,6 HCT 39,3 AT 228 PPT 15 9/8 MSCT Abd : Multple Limphadenopat para aorta bilateral, para illiaca
reg Inguinal Dextra + DVT V (13,3) APTT 30,4 (31,7) INR 1,1 Alb 3,64 OT/PT 38/20 bilateral, mesenterica dextra, inguinal bilateral terutama dextra, sesuai Post Biopsi
1 1819206 Nurudin L 60 th 8/28/2017 CDN 2/7 Femoralis Dextra, Post BUN/crea 13/1,43 GDS 157 HbsAg (-) Cl 105 Na 139 K gambaran Limfoma Maligna Stage II. Hepatomegali disertai massa kistk Limfadenectomy Inguinal D dr WJ
Biopsi Limfadenectomy 4,21 11/8 AL 7,7 AE 5,15 Hb 14,1 HCT 44,8 AT 366 PPT 15 hepar. Simple Cyst Ren sin. Aortosklerosis. 11/8 Ro Thorax : Pulmo tak dan Colli S (30/8)
Inguinal D dan Colli S H1 (13,9) APTT 29,1 (28,9) INR 1,10 Alb 4,24 OT/PT 25/33 tampak kelainan, cor normal.
BUN/crea 11/1,45
30/8 AL 10,68 GDSHb
AE 5,54 12015,5
Cl 104
HCTCa 2,38
45,5 ATNa 138
239 K 4,39
28/8 AL 8/8 Ro Manus : Soft tssue swelling digit II manus dextra, tak tampak 26/7 Immunohistokimia : CK 7 : Tidak didapatkan
10,62 AE 5,61 Hb 15,7 HCT 45,9 AT 139 PPT 15,2 (13,9) gambaran chondrosarcoma. 7/8 Ro Thorax : Pulmo tak tampak kelainan, cor pulasan positf. S100 : Didapatkan pulasan positf
2 1818275 Sugiya L 48 th 8/28/2017 CDN 2/3 Chondrosarcoma Digit II APTT 35,9 (32,2) INR 1,12 Alb 4,62 OT/PT 21/28 normal. kuat. Kes : Chondrosarcoma Post Wide Eksisi, Flap dan dr WJ
Manus Dextra BUN/crea 13/1,24 GDS 128 Cl 104 Na 140 K 4,02 Rekonstruksi (30/8)
Ca Mammae Dextra Post APTT 30,7 (28,5) INR 1,03 Alb 4,66 OT/PT 33/24 normal
3 1787439 Sudarmi P 38 th 8/29/2017 CDN 1/10 Kemoterapi Pro Mastectomy (31/8) dr HJ
Bedah Onkologi SENIN, 30 Oktober 2017
Pasien Operasi SENIN, 30 Oktober 2017
(29/10) AL 15.12 AE 3.40 Hb 9.9 Hct 31.1 AT 288 PPT (24/10) MSCT Kepala Kontras : Suspect soft tssue mass disertai perifocal
13.7/13.4 APTT 26.1/29.5 INR 0.99 Na 136 K 4.38 Cl 100 edema di lobus occipitalis dextra (21/07) Thorax PA : Oedem pulmo, Efusi
(28/10) AL 15.05 AE 3.39 Hb 10.0 AT 255 PPT 15.4,13.4 Pleura Dextra
Ca Adenoinvasif Mammae APTT 25.9/31.3 INR 1.14 Alb 2.92 BUN 22.80 Cr 0.85 GDS
1 1827759 Partni P 31 Thn 21/10/2017 AGG2/11 S T4dN0M1 (brain) Pro Core Biopsy dr.TW 1.01 08.00
198 HBsAg NR (27/10) AL 15.85 AE 3.53 Hb 10.1 Hct
31.3 AT 331 Alb 3.36 OT 20 PT 15
(26/10) AL 7.55 AE 4.86 Hb 13.6 Hct 41.5 AT 306 PPT (26/10) Thorax PA : dbn MSCT Kepala Soft tssue mass di regio nasalis (08/09) AJH : Sitologi AJH regio nasal dextra :
14.8/14.8 APTT 33.6/29.3 INR 1.09 Alb 4.09 OT 19 PT 15 aspek anterior dectra disertai dengan defect soft tssue di regio nasalis didapatkan sel ganas. Pendapat : Basal Cell
Basal Cell Carcinoma Regio BUN Cr 1.00 GDS 98 HBsAg NR FT4 1.53 TSH 0.58 Na 144 aspek anterior sinistra, deviasi septum nasi ke arah lateral sinistra Cervical Carcinoma
2 1822849 Ngatjan L 58 thn 25/10/2017 CDN1/10 Nasal K 4.09 Cl 104 AP/L Spondylosis cervicalis DIV VC 6-7 Pro Eksisi dr.WJ 1.01 09.00
(28/10) HBsAg NR FT3 3.79 FT4 1.24 TSH 0.01 Na 139 K (28/10) Cevical AP/L : Soft tssue mass di regio colli anterior setnggi VC 2
4.92 Cl 103 BUN 19.90 Cr 1.21 (26/10) AL 8.99 AE 4.63 sampai DIV VC 4-5, Tak tampak deviasi dan penyempitan airway,
Bronkogenic Duktal Hb 13.2 Hct 40.2 AT312 PPT 12.3/14.8 APTT 30.5/29.3 Spondylosis vertebra cervicales (13/10) Thorax PA : dbn (10/10) USG
3 1826914 Sriyat P 49 thn 26/10/2017 CDN2/3 Tyroglossuss Cyst INR 0.87 Alb 3/90 OT 22 PT 28 BUN 16.50 Cr 1.20 Na 142 Thyroid : Mengarah complex cyst thyroglossus Pro Cystrunk Procedure dr.WJ 1.01 12.00
Ca 5.43 Cl 104
Pasien Baru
(29/10) AL 11.68 AE 4.94 Hb 13.0 Hct 38.8 AT 238 PPT (29/10) Thorax PA : dbn Cervical AP/L : Soft tssuer mass pada regio colli
15.6/12.8 APTT 33.5/29.5 INR 1.16 Alb 3.13 OT 16 PT bilateral dan mandibula bilateral terutama sinistra
18BUN 16.70 Cr 1.01 GDS 249 HBsAg NR Na 131 K 4.02
1 1828574 Ngadednan L 63 thn 29/10/2017 AYD1/103 Suspek Abses Regio Buccal Cl 96 Pro Insisi Drainase Prof. TA
(29/10) AL 15.98 AE3.09 Hb 8.8 Hct 27.1 AT 332 PPT (29/10) Thorax PA : Efusi Pleura Dextra
Ca Mammae Dekstra 16.1/12.8 APTT 44.7/29.5 INR 1.21 Alb 1.89 OT 167 PT
Anik Dwi T4dN2M2, Anemia, 35 BUN 21.40 Cr 0.65 GDS 106 HBsAg NR Na 130 K 3.95
2 1828567 Prasetyawat P 33 thn 29/10/2017 CDN2/6 Hipoalbuminemia, Efusi Cl 89 Perbaikan KU dr.HJ
Pleura Dexra, Imbalance
Elektrolit
Cendana 2
(28/10) AL 9.51 AE 4.27 Hb 10.9 Hct 35.1 AT 243 Ca 1.53 (25/09) AJH : Bethesda system kelas V suspicious for papillary carcinoma
(26/10) HcT 34.0 Hb 11.3 (25/10) AL 4.40 AE 4.40 Hb
1 1823919 Tukijem P 65 thn 25/10/2017 CDN2/10 Ca Papiller Thyroid Dekstra 11.1 Hct 36.5 AT 276 PPT 14.1/14.2 APTT 34.3/28.6 INR Post Total troidektomi dan dr. KS
T3N1M0 1.03 Alb 4.11 OT 18 PT 16 BUN 13.60 Cr 0.68 GDS 98 RND H3
HBsAg NR FT3 2.61 FT4 1.15 TSH 0.90 Na 139 K 3.85 CL
103
(28/10) AL 16.49 AE 4.73 Hb 12.9 Hct 40.2 AT 324 (26/09) Bone Survey : dbn Thorax PA : dbn USG Abdomen : Hepatomegali,
(25/10) AL 12.01 AE 4.34 Hb 11.9 Hct37.1 AT 337 PPT multple polip di Vesicca Fellea USG Payudara: Multple Massa hipoechoic
Ca Ductal Invasive 14.4/14.2 APTT 33.6/28.6 INR 1.06 Alb 3.91 OT 19 PT (multfocal lesion) dengan mikrokalsifikasi di mammae sinistra sesuai
3 390691 Sit Munawaroh P 35 thn 25/10/2017 CDN2/10 Mammae Sinistra T2N0M0 12BUN 6.80 Cr 0.73 GDS 102, HBsAg NR Na 139 K 3.64 Cl klasifikasi BIRADS V Post MRM H3 dr. TW
105 Ca15-3 6.00
(29/10) AL 9.57 AE 4.47 Hb 10.1 Hct 31.2 AT 543 (28/10) (5/10) THORAX PA : Nodular Type pulmonal metastasis (23/03) PA : Pleomorphic Rhabdomyosarcoma
Pleomorphic AL 7.52 AE 4.32 Hb 9.7 Hct 29.2 AT 463 PPT 17.8/13.4
Rhabdomyosarcoma regio APTT 31.6/31.3 INR 1.36 Alb 2.22 OT 30 PT 28 BUN 12.80 Pro Eksisi Luas Humerus
3 1802828 Kasinah P 68 thn 27/10/2017 CDN2/10 Humerus Dextra GIII Dekstra, Aksilla Dekstra dr.KS
Cr 1.04 GDS 137 HBsAg R Na 136 K 3.86 Cl 98
T4N0M1
(27/10) AL 9.14 Hb 9.8 Hct 32.8 AT 219 Alb 2.86 OT 41 PT (27/10) Thorax PA : Pneumonia bilateral mengarah pneumonic type IHC: ER, PR (+) HER 2 (-) KI67 : positf <5% (18/10)
CA Mammae Dextra 15 BUN 13.40 Cr 0.76 HBsAG NR Na 133 K 3.84 Cl 93 pulmonal metastasis. Efusi pleura bilateral subpleural type pulmonal Core biopsy mammae dekstra : Invasive ductal
T4dN3M1 (Tulang, Pulmo), metastase (25/10) Thorax PA : Efusi Pleura bilateral mengarah sublpleural carcinoma of NST gr III, invasif ke pembulh darah
4 1823835 Iswahyuni P 48 thn 27/10/2017 CDN2/6 Efusi pleura dekstra ex susp type pulmonal metastase, Bone Metastasis pada os Humer Dextra (19/10) dan lemak (25/09) Sitologi efusi pleura dekstra : Pro Perbaikan KU dr.WJ
related Malignancy Kepala 3 posisi : Osteoclastc type, skeletal metastasis pada ossa calvaria. didaptakan sel ganas
Pelvis : dbn. USG Abd upper dan Lower : Efusi pleura blateral
Anik Dwi T4dN2M2, Anemia, 35 BUN 21.40 Cr 0.65 GDS 106 HBsAg NR Na 130 K 3.95
5 1828567 Prasetyawat P 33 thn 29/10/2017 CDN2/6 Hipoalbuminemia, Efusi Cl 89 dr.HJ
Elektrolit
(28/10) HBsAg NR FT3 3.79 FT4 1.24 TSH 0.01 Na 139 K (28/10) Cevical AP/L : Soft tssue mass di regio colli anterior setnggi VC 2 (28/10) Cervical AP/L Soft Tissue Mass di regio
4.92 Cl 103 BUN 19.90 Cr 1.21 (26/10) AL 8.99 AE 4.63 sampai DIV VC 4-5, Tak tampak deviasi dan penyempitan airway, colli anterior setnggi VC 2 sampai DIV VC 4-5. Tak
Bronkogenic Duktal Hb 13.2 Hct 40.2 AT312 PPT 12.3/14.8 APTT 30.5/29.3 Spondylosis vertebra cervicales (13/10) Thorax PA : dbn (10/10) USG tampak deviasi dan penyempitan airway.
6 1826914 Sriyat P 49 thn 26/10/2017 CDN2/3 Tyroglossuss Cyst INR 0.87 Alb 3/90 OT 22 PT 28 BUN 16.50 Cr 1.20 Na 142 Thyroid : Mengarah complex cyst thyroglossus Spondylosis Vertebra Cervicales Pro Cystrunk Procedure dr.WJ
Ca 5.43 Cl 104
Cendana 1
Basal Cell Carcinoma Regio BUN Cr 1.00 GDS 98 HBsAg NR FT4 1.53 TSH 0.58 Na 144 aspek anterior sinistra, deviasi septum nasi ke arah lateral sinistra Cervical Carcinoma
1 1822849 Ngatjan L 58 thn 25/10/2017 CDN1/10 Nasal K 4.09 Cl 104 AP/L Spondylosis cervicalis DIV VC 6-7 Pro Eksisi dr.WJ
(27/10) AL 8.50 AE 4.32 HB 10.8 Hct 34.7 AT 463 (5/10) Bone survey: dbn Thorax: dbn USG abdomen: mioma uteri USG (9/10) ER PR (+) HER 2 (-) Ki67 > 14% (40-50%)
(25/10)AL 10.01 AE 3.70 Hb 9.3 Hct 27.6 AT 349 (24/10) payudara: multple simple cyst di mammae S BI-RADS II
Ca mammae Dekstra AL 5.46 AE 4.20 Hb 10.1 Hct 33.7 AT 440 PPT 15.0/14.1
TxN1M0 IHC : ER(+) PR (+) APTT 35.2/29.4 INR 1.10 Alb 4.50 SGOT 9 SGPT 9 BUN Post Diseksi Aksilla (25/10)
2 1825860 Sundari P 32 thn 10/23/2017 CDN1/9 H4 dr. KS
(27/10) AL 10.38 AE 3.74 Hb 10.7 Hct 31.0 AT 390 (26/10) Thorax PA : Emfisematous Pulmonum (29/09) Bone Survey : Lesi (20/04) ER -, PR - HER2 - KI67 +/- 50% (10/3) PA :
(26/10) AL 7..83 AE 4.56 Hb 12.7 Hct 38.0 AT 448 PPT osteosklerotk pada corpusVL5, VS1, osteoblastc type skeletal metastasis Jaringan massa : residif ductal carcinoma, NST,
CA Ductal Invasiv Mammae 15.0/14.8 APTT 36.2/29.3 Alb 4.25 OT 26 PT 15 BUN 7.30 (26/09) USG abdomen : Simple cyst ren dextra sesuai kategori Bosniak 1 grade III, invasi ke pembuluh darah dan epidermis
3 1754247 Poniyem P 62 thn 25/10/2017 CDN1/7 Sinistra Residif T4DN0M0 Cr 0.77 GDS 87 HBsAg NR Na 139 K 4.17 Cl 97 USG Mammae dbn (22/02) AJH : ductal carinoma residif (22/12/15) Post Eksisi Luas H3 dr. KS
IHC ER + PR - HER2 -(7/12/15) PA Mammae
Sinistra Invasive (Ductal0 of NST Grade III, meluas
(24/10) AL 27.49 AE 4.21HCt 35.6 AT 399 (22/10) Na (25/10) tHORAX PA : Bronkhits, tak tampak pulmonal metastasis (16/10) ke putting, metastasis ke-7 limfonodi aksilla, limfo
(19/10) Sitologi AJH : regio mandibula S. didapatkan
143 K 4,25 Cl 105 (21/10) FIO2 21 pCO2 29,6 pO2 86,9 MSCT servikal: dbn. MSCT kepala: tumor maligna mandibula S dengan angoinvasif (+) Jarak tumoe dengan sayatan
sel ganas. pendapat: squamous cell Ca. (26/8) AJH :
HCO3 26 TCO2 26,9 PO2/FIO2 421,6 (20/10) AL 11,64 Hb osteodestruksi corpus mandibula S. Thorax: dbn (26/9) THORAX PA: Pulmo Karsinoma operasi (dasar operasi) + 1 mm
Skuamosa Karnifikans Mandibula Post Combined Oral
Squamous Cell Carcinoma OT/PT 15/26 BUN 5 Cr 0,87 GDS 108 Na 143 K 2,81 Cl tampak skeletal metastasis. 18/08 OPG : Tampak Impaced M atas kiri,
(AJH) Mandibula Sinistra 101 Ca 2,19 (13/10) AL 13.32 AE 4.39 HB 12.5 HT 36.9 AT tampak multple missing, tak tampak kelainan pada struktur tulang Dissecton Operaton
4 1824914 Suhendriyah P 50 thn 12/10/2017 CDN1/7 (COMMANDO Operaton) + dr. KS
2.78 CL 99
(28/10) Ca 1.98 (26/10) Al 9.28 AE 5.73 Hb 15.8 HCt 48.1 (25/10) Thorax PA : Tak tampa kelainan (12/09) Thorax PA: Cardiomegali (22/09) PA : Papillary carcinoma (classical type),
AT 151 (25/10) AL 4.83 AE 5.76 HB 15.8 HCT 49.4 AT (11/09) USG Thyroid : multple lesi inhomogen di thyroid bilateral DD/ Ca (+) Capsular invasion, (+) Angio-invasion,
Ca Thyroid T1bN1M0 Post 156 PPT 13.7/14.2 APTT 30.2/28.6 INR 0.99 Alb 4.46 OT Thyroid dengan multple metastase lymphadenopathy colli bilateral diameter tumor terbesar >1 cm Post Total Tiroidektomi +
6 1825646 Rusidah P 56 thn 24/10/2017 CDN1/3 Total Tiroidektomi + RND 19 PT 15 BUN 9.9 Cr 0..95 GDS 133 Na 141 K 4.25 Cl 102 teritamadextra DD/ lymphoma RND H4 dr.HJ
H4 HbsAG NR FT3 2.66 FT4 0.87 TSH 2.76
Cendana 5
Cendana 4
Cendana 3
1 1813073 Galih Ardhy L 20 thn 26/10/2017 CDN3/9 SCC Lidah T4bN3M0 BUN 11.60 Cr 0.70 GDS 8-HBsAg NR Na 135 K 4.32 Cl 95 (28/07) Echo : dbn Pro Total glossectomy dr.WJ
(19/10) AE 4.11 Hb 11.9 Hct 36.9 AL 5.54 AT 312, IT 10
PT 13 BUN 5 Cr 0.74 GDS 110
(28/10) Ca 2.07 (27/10) Na 142 K 3.85 Cl 106 (25/10) AL (24/10) Cervical AP/L : Massa thyroid di regio colli aspek anterodextra yang (9/10) AJH: sitologi AJH regio thyroid D dan S:
13.97 AE 3.65 HB 11.5 HCT 33.1 AT 256 (24/10) AL 4.01 mendeviasi trachea ke arah sinistra dan menyempitkan airway (5/10) tdak didapatkan sel ganas. Bethesda system class
2 1825789 Sri Nuryat P 53 thn 23/10/2017 CDN3/4 Struma nodosa non toksik AE 3.77 Hb 11.7 Hct 34.6 AT 274 PPT 13.0/14.1 APTT Cervical: massa colli anterior D yang mendorong trakea ke arah S dan II: benign follicular nodule
Post total tyroidektomi H4 dr. WJ
Bilateral 33.7/29.4 INR 0.93 Alb 3.85 SGOT 17 SGPT 15 BUN 10.00 sedikit menyempitkan airway (4/10) USG thyroid: mengarah gambran
Cr 0.73 GDS 69 HBsAg Non Reaktf FT4 1.51 TSH 0.41 Na struma nodus thyoid sesuai TIRADS II Thorax: massa soft tsue di regio colli
144 K 4.50 Cl 107 (4/10) AL 5,74 Hb 12,4 Hct 39,2 AT 262 D yang mendeviasi trachea
Neu 57 PPT 14,3(15) APTT 33(28,9) INR 1,04 Alb 4,66
(27/10) AL 19.73
OT/PT 20/19 BUNAE 4.30
10,5 Cr Hb12.4 Hct120
0,89 GDS 38.3 AT1,37
FT4 341TSH (25/10) bone survey : tak tampak gambaran skeletal metastasis , THORAX
(25/10)
0,46 Na AL
1426.69 AE 4.29
K 4,19 HBCa12.4
Cl 103 2,48HT 38.6 AT 365 PPT PA : Kardiomegali (LVH), pulmo tak tampak kelainan, USG ABDOMEN : Fatty
Ca Mammae Dekstra 14.4/14.2 APTT 33.3/28.6 INR 1.05 Alb 4 OT 16 PT 16 liver (27/09) Thorax PA : dbn
3 1824636 Dwi Nursetyat P 59 thn 24/10/2017 CDN3/2 T2N0M0 Pro MRM dr.HJ

1 1824851 Suminah P 57 thn 25/10/2017 BGV4/12 T3N1M0 spondylosis cervicalis, pertnedinits Calcarea Dekstra + RND dr.HJ
T1aN0M0 ER (+) PR (+) SGPT 15 BUN 7.40 Cr 0.75 GDS 156 HbsAg Non Reaktf tanda-tanda malignancy. Tak tampak limfadenopat axilla dan
2 1823915 A. Dewi Wulan P 44 thn 23/10/2017 BGV4/1 HER2 (-) KI67 (+) 10% Post Post MRM H4 dr. KS
P Na 139 K 3.49 Cl 103 (5/10) AL 14,31 Hb 10,8 Hct 33,3 AT intramammary mamma D et S.
37 Neu 89 (3/10) PPT 14,9(15,4) APTT 28,4(29,6) INR
3 1827759 Partni P 31 Thn 21/10/2017 AGG2/11 S T4dN0M1 (brain) Pro Core Biopsy dr.TW
31.3 AT 331 Alb 3.36 OT 20 PT 15
(28/10) Na 141 K 3.92 Cl 107 (25/10) AL 6.94 AE 3.99 Hb (24/10) Thorax PA : Nodular dan Pneumonic (mix) type pulmonal
10.9 Hct 33.3 AT 291 PPT 15.6/14.2 APTT 28.6/24.8 INT metastasisi
CA Ductal Invasif Mammae 1.16
Biopsy H4
Ca Mammae Desktra (27/10) AL 9.93 AE 3.88 Hb 10.3 Hb 32.0 AT 338 (26/10) Nodular dan subpleural type pulmonal metastasesis pulmo (22/08) IHC : ER + PR - HER2 - KI67 5%
Stadium 4 T4BN3M1 (lung PPT15.5/24.8 APTT 27.0/29.3 Alb 3.89 OT 20 PT12 BUN bilateral disertai efusi pleura bilateral terutama sinistra, soft tssue mass di
2 1643810 Yurestu P 38 thn 26/10/2017 DHL4/2 nodul metasase) efusi 7.20 Cr 0.53 GDS 115 HBsAg NR Na 139 K 3.98 CL 101 dinding dada dekstra Palliatve Care dr.HJ
pleura bilateral
(27/10) AL 35.04 AE 33.02 Hb 8.6 Hct 24.9 AT 210 BUN (27/10) MSCT abd dengan kontras : Limfoma di paraaorta, parailliaca dan
3 1828062 Kitriningwulan P 68 thn 25/10/2017 AMT2/201 Suspek Limfoma Maligna 12.20 Cr 1.09 inguinalis bilateral disertai multple nodil intrasplenic (Stage III), Biopsi Limfonodi dr.TW
Hepatospleomegaly, Hydrops Vesica Felea, Spondylosis Lumbales
(29/10) AL 11.68 AE 4.94 Hb 13.0 Hct 38.8 AT 238 PPT (29/10) Thorax PA : dbn Cervical AP/L : Soft tssuer mass pada regio colli
15.6/12.8 APTT 33.5/29.5 INR 1.16 Alb 3.13 OT 16 PT bilateral dan mandibula bilateral terutama sinistra
18BUN 16.70 Cr 1.01 GDS 249 HBsAg NR Na 131 K 4.02
4 1828574 Ngadednan L 63 thn 29/10/2017 AYD1/103 Suspek Abses Regio Buccal Cl 96 Pro Insisi Drainase Prof. TA
Pasien Pulang
(26/10) AL 12.83 AE 3.59 Hb 9.2 Hct 29.5 AT 587 (24/10) 12/10 MSCT THORAKS DENGAN KONTRAS : Destruksi Margo Lateral os (23/10) PA : Tumor regio Scapula : epitheloid
AL 9.76 e 3.38 hB 8.9 hCT 27.9 AT 499 (21/10) AL 10,35 Scapula Sinistra dengan soft tssue mass di rgio bahu sinistra posterior, sarcoma DD e[pitheloid angiosarcoma,
Soft Tissue Tumor Regio Hb 8,6 Hct 26,8 AT 387 Neu 84 (17/10) AL 13,03 Hb 8,6 suspect osteosarcoma, nodular type pulmonal metastasis, nodul kistk di diperlukan pengecatan IHC jenis vimentn, EMA post insisi biopsi,
2 1824882 Rohat P 56 thn 10/10/2017 CDN2/10 Scapula Sinistra Curiga Hct 26,9 AT 325 Neu 83,7 15/10) AL 11,83 Hb 7,5 Hct thyroid bilateral dengan kalsifikasi 22/9 FOTO SCAPULA SINISTRA : susp. dan CD31 untuk konfirmasi diagnosis radioterapi (17/10/2017) dr. HJ
Ganas GxT4N1M1 (P) 23,4 AT 405 Neu 82,2 PPT 15,7(14.1) APTT 26,7(30) INR Osteogenicsarcoma angulusinferior scapula sinistra dd soft tssue sarcoma H12
1,17 Alb 2,74 OT/PT 34/27 BUN 13 Cr 0,78 GDS 155 meluas ke angulus inferior scapula sinistra
HBsAg NR Na 142 K 3,21 Cl 104 (6/10) AL 11,65 AE 4,49
HB 12,5 AE
(24/10) HCT4.86
38,4HbAT14.3
504HctPPT43.3
15/14,1 APTT
AT 215 26,3/29,6
(23/10) AL 7,3 (23/10) Thorax: dbn (8/5) USG payudara: residif mass tumor phyloides
Farida INR15,3
Hb 1,1 ALB 3,56 AT
hct 46,4 SGOT35917 SGPT
Neu 63 21
PPTBUN 18 CR 0,84
13,3(13,9) APTTGDS dinding thorax D arah jam 10-11 (3/3) Bone survey: dbn USG abdomen: Pro eksisi mammae (D)
4 1157789 Rachmawat P 59 thn 10/23/2017 AYD2/210 Ca mammae (D) 109 NA 143
30,9(31) INRK0,95
4,26Alb
CL 4,58
104 HBsAg
OT/PT non reaktf
23/19 BUN 6,1 Cr 0,82 fatty liver (24/10/2017) dr. HJ
Tumor Mammae Dextra (23/10) AL 6,3 Hb 12,4 Hct 36,7 AT 256 Neu 59 PPT abdomen: fatty liver dan lemak Histopatologi: jaringan mammae D:
5 133673 Maryani P 51 thn 10/23/2017 CW1/2 T2N0M0 12,4(13,9) APTT 26,1(31) INR 0,88 Alb 3,95 OT/PT 16/22 fragmen jaringan ikat dan lemak Pro Eksisi Tumor prof.TA
BUN 11,4 Cr 0,72 GDS 127 HBsAg NR Na 144 k 3,97 Cl
105
Fibrosarcoma Regio HCT 38,3 AT 299 PPT 15,5/14,1 APTT 32,4/29,6 INR 1,15 alignment baik, THORAX PA : tak tampak kelainan expose Post Aff Plate, Re-
4 1823323 Ngamarun L 30 thn 10/5/2017 CDN1/8 Mandibula GxT4N0M0 ALB 4,1 SGOT 12 SGPT 14 BUN 8,8 CR 0,98 GDS 103 NA rekonstruksi plate, dr. WJ
118 NA 143 K 4,09 CL 100 CA 2,22 19
3 1761788 Sri Yatun P 64 thn 24/10/2017 CDN2/8 Struma Nodusa Dekstra SGOT 28 SGPT 28 BUN 17.50 Cr 0.85 GDS 95 HBsAg Non Post HemiTiroidektomi H1 dr.KS
Post HemiTiroidektomi H1 Reaktf FT4 1.23 TSH 0.96
1 1817291 Ngadimin L 58 thn 24/10/2017 DHL4 inguinal Post Eksisi Biiopsi AL 4.34 AE 3.31 Hb 9.3 Hct 30.2 AT 210 Alb 3.52 OT 15 PT dr.HJ
Limfadenopat H1 19 BUN 11.00 Cr 1.23 Na 128 K 4.71 Cl 97 Limfadenopat H1
Soft tssue tumor curiga AL 4.81 AE 4.13 Hb 11.6 Hct 35.6 AT 195 (21/10) AL 6,23
Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT 13,9(14,4) APTT Pro eksisi luas
5 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 jinak regio colli posterior (24/10/2017) dr. HJ
dan B20 27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir 0,07 Alb 4,42
104 ProtAL
(24/10) tot4.64,
7,8 (11/9) ALHb
AE 4.04 3,72 HbHct
11.5 11,4 hctAT
36.0 36,1
377ATPPT
Neu 49,7 PPT
12.9/14.1 APTT15(14,3) APTT
31.5/2.4 INR29,2(29,9) INR SGOT
0.92 Alb 3.95 1,1 OT/PT
Malignant Phyloides 1/23
SGPT BUN 8 Cr10.39
49 BUN 0,69 AU 4,2 GDS
Cr 0.59 118Non
HBsAg HBsAg NR Na 143 K
Reaktf
Ca ductal mammae D (23/10)4,8 OT/PT
AL23,21
15,46BUN 5 CrHct
Hb 0,4 0,73
33 GDS 95 Neu
AT 266 Na 142
92,8K (20/10)
4,58 Cl (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts. (28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6)
99 post classical radical
2 1811555 Sularmi P 44 thn 10/20/2017 CDN2/10 T4bN2M0, post neo AL 3,53 Hb 10,2 Hct 31,7 AT 235 Neu 48,8 PPT 14,6(12) histopatologi core biopsi tumor payudara: mastectomy dekstra dr. WJ
adjuvan kemoterapi 4x ER + APTT 31(28,2) INR 1,07 Bil tot 0,26 Bil dir 0,11 Alb 3,48 invasive ductal ca of NST, grade 3. angioinvasion (23/10/2017)
3,93 Cl 103
(26/10) Ca 15-3
al 4.81 160,20
AE 4.13 (12/10)
Hb 11.6 Hct AL 0,97
35.6 AT Hb
1959,4 Hct
29,5
AL AT 129
4.81 NeuHb
AE 4.13 15,5
11.6 Hct 35.6 AT 195 (21/10) AL 6,23
Soft tssue tumor curiga Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT 13,9(14,4) APTT Pro eksisi luas
5 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 jinak regio colli posterior 27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir 0,07 Alb 4,42 (24/10/2017) dr. HJ
dan B20 OT/PT 19/22 BUN 9 Cr 0,65 GDS 100 Na 144 K 4,01 Cl
Agnes tulang) IHC+ ER+ PR+ 3,79 HB 11,3 HCT 33,9 AT 178 SGOT 50 SGPT 18 BUN 9,8
5 620535 Musiarsih P 50 thn 10/10/2017 CDN3/1 HER2- Hiponatremi, perbaikan KU dr.KS
CR 0,65 CA 15-3 182,1
Hipoglikemi

Regio Antebrachii D
(22/10) 76 na
AL 4.68 AE135
2.05K Hb
2,9 6.9
Cl 95(17/10)
Hct 18.3 AT BUN 53 17,9 Cr
1,44144
Na NaK1412.54K 2,77
CL 109Cl (20/10)
100 (13/10) Na 134
AL 12,43 HbK8,4 3.1Hct
CL 97
90,5 (17/10) HB 7.5glukosa
4 1791594 Mubarokatn P 23 thn 9/10/2017 CW2/3 Sinistra AL 36.32 -.AEbacteria
esterase 3.08 HB25, 9.5protein
HT 28.91+AT(8/10)
379 PPT 17.1/13,9
AL 2,64 Hb 8,2 18/4 bone survey : tak tampak gambaran metastasis (A2) tdak bebas tumor (18/8) PA Regio lengan Perbaikan KU dr.HJ
INR 20,2
Hct 1.29 ATAPTT
13529.4/30.6 ALB 2.83
Neu 80 (17/10) SGOT
Urin: 14 SGPT
7 CR 0.9425,1
Bacteria GDSProtein
287 NA1+ 134 K 3.23KED
(12/10) CL 97678/10
Coombs AL 38,59 AE
3,33 HB 10
1544,94 IronHCT
92 29,7
TIBC AT
04440 ALB 3,12
(21/10)
2.44 HB Alb
100 7/10 AL3,2
7.0 HT Na AE
28,35
19.731ATK 3,97HB
2,81
149 Cl8,5
AL 89 HCT
8.03 (19/10)
ALB25,3 AL
2.65 21,63
ATSGOT
42 Histopatologi
Ca Mammae post 12,6
SGPT Hct
3,13 SGOT 39,3
40 BUN AT
13 44
SGPT394
CR 10Neu
BUN
1.42 87,9
GDS (15/10)
3,6105
CRNA 0,48 PPT
133GDS K16,8(14,1)
229 NA
4.61 133 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena kolits kronis non spesifik. Rectum: prokits konis
CL 107
K 2,71
MG 35,1(30)
1.5CLPPT INR 1,27
9419.7/14.9
HBsAg Fibrinogen
nonAPTT
reaktf 6/10302
2,4 BUN
HBsAg Non 4930
0,532,87
Reaktf (13/10)
NA 134 K 2,88AL 9.04
CL 96AE 3.93
4/2 ALBHB 10.3
2,53 NAHT136 33.2 AT 347
ALB 2.01AL
98 2/10
(18/10) ALPPT 15.8/13.9
51,67
6,53 HbAE8,8 APTT
3,28
Hct HB 30.3/28.9
10,1
28,6 ATHCT
29310,1INR AT
Neu 1.18
69 262 12/10 rectum
ALB 28/9
(14/10) proximal
THORAX PAhingga
: tdak colon
tampak sigmoid distal
kelainan, ke arah posterior
MAMOGRAFI DEX etoleh
SIN massa
: massadi 2/10
atpi AJH REGIO MAMAE SINISTRA : didapatkan
AL
AL 9.48,
2,24 4.13
NA 136
10,32 KHB
Hb 0,6 10.9,
2,04
Hct CL ht
96 34.6
33,2 30/9
AT AT
323 400
AlNeu
60.3511/10
87,8AEBUN PPT16,8
3.45 Cr cavum
Hb 10.7 pelvis 28/9dengan
di mamaesinistra thorax tanda
PA : multple lesi noduler pulmo bilateral
malignancy,limfadenopaty multpel susp.
axiila sel ganas, pendapat ductal carsinoma nuclear
18.1/13.9
Hmt 31.4120
0,8 GDS APTT
AT 29442.5/30.6
Na Na 138
141 K 4,28K INR
2.5 1.39
Cl
Cl 106 10 6/10
27/9 AL
(11/10) 8,59
AlAL47.3 4,19 noduler
5.26AEAE3.11 bilateral.type pulmonal metastasis 21/6 MSCT Abd dengan kontras : grade III
HB
4.3111,1
Hb 9.7 HCT29.1
HBHmt
11.3 35,5 AT344
AT
HT 36.7 233 PPT16.1/14.6
AT PPT
287 17,1/14,1
PPT APTT/29,6
INR
14.2/13.9 1.19
APTTAPTT INR Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
1,29 ALB
30.4/30.8 2,86
Alb SGOT
3.08 22
SGOT SGPT
17 10
SGPT BUN
9 8,9
BUN
32.6/30.6 INR 1.03 ALB 4.18 SGOT 22 SGPT 17 BUN 10 CR
16.5 0,68
Cr GDS
1.22 83
AS sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
NA
urat
CR 136
17 K
GDS 3,27
78 CL 98
HBsAg HBsAg
NR Nanon
138 reaktf
K 2.6 1/10
Cl 91 AL
28/87,52
Duktal Carsinoma 3,9 0.53
HBAE
48.23 10GDSHCT
3.83
103
Hb
HBsAg
32,8 AT Hmt
11.2
Non
271 PPTReakif
34.3
NA 139
19,9/14,4
AT34,8
480 AT APTT
SGOT
K 3.73
29/29CL 103 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga
1 1824092 Budi Tyas Utami P 51 thn 10/10/2017 BGV4/5 Mammae sinistra 28/9
HBsAg ALnon
5,09 AE 4,25 HBCEA
11,5 HCT 26213 SGPT
PPT 15/14 Post modified radikal
dr.KS
12 BUN
APTT 7 Crreaktf,
31,8/30,20.72INR 29/9
GDS SGOT0,2
1,1127 16 27/9
T4bN1M0 10.4 Hmt 33.3 AT 266 Alb 3.4 SGOT 26 SGPT 14 BUN 13 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
neutropenia
17.6/14.6 INR 1.32 APTT 30.6/30.8 Alb 3.16 SGOT 24
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
4 1824654 Maslikhah P 52 thn 13/10/2017 CDN1/7 Tumor labia mayor 3,62 Cl 100 dr.HJ
rehectng (17/10/2017)
4,9 Cr 0,57
Abses regio colli S post insisi drainase abses
2 1629205 M. Anshary L 37 thn 10/13/2017 DHL 3/6 posterior, B20, TB paru, (17/10/2017) dr. WJ
susp HAP
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

Hypertroid sub klinis post 28,7 INR 1,05 ALB 4,26 SGOT 22 SGPT 31 BUN 9,7 CR 0,8 throidektomy, post
5 1110721 Desi Yulinda P 52 thn 10/9/2017 AYD2/9 near total troidektomi post GDS 88 TSH 3,4 NA 139 K 3,72 CL 106 MG 2,11 T4 TOTAL evakuasi hematom dr.WJ
2 1826349 Suparmi P 35 thn 10/9/2017 AGG2/12 bilateral T4dN3Mx post 158 Na 139 K 3,79 Cl 98 (15/10) PPT 13,8(14,1) APTT S dengan tanda malignancy. Bone survey: tak tampak gambaran metastasis. Post core biopsi mammae dr. TW
(17/9/2017)
MRM post kemoterapi 26,1(30) INR 1 MRI brain: mucocele di sinus maxillaris dekstra. Thorax: dbn.
3 1825204 Basroni L 55 thn 10/9/2017 CDN2/7 T4N0M0 39,3 AT 272 PPT 17,1/15,4 APTT 30,3/30,1 ALB 2,98 hidronefrosis ren dextra dengan hidroureter, singel cyst di pole inferior ren (17/10/2017) dr.KS
Fadlani Aji Tumor Regio Scapula AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9 supurasi. Tidak didapatkan sel ganas Post Insisi Abses, Kultur
1 1822735 Zulma L 20 thn 10/10/2017 CW1/108 Sinistra APTT 26.7/28.7 INR 1.41 ALB 3.68 SGOT 15 SGPT 27 BUN Biopsi (12/10/2017) dr.WJ
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
Retroperitonial G1TxNxM1 193Neu 64,7 (15/10) AL 14,75 Hb 10,5 Hct 30,6 AT 205 ke antero medial DD teratoma DD liposarcoma 5/10 USG ABD : massa di perbaikan KU. pro DJ stent
2 1790099 Poniyat P 47 thn 10/2/2017 CDN 3/7 (urologi) dr.WJ
27 CR 4.09
(15/10) NA 143
AL 8,71 Hb K10,4
1.89Hct
CL31,7
106 10/10
AT 267AL 9,52
Neu AE 3,54 abdomen
dislokasi pedis, senile ke 16/6 PA : Squamous cell carsinoma well
HB 10 HCT
(12/10) 30 ATAE
AL 8.57 387 PPTHT14/15,4
3.09 26.9 ATAPTT 28,3/30,1
1,02 8/10
3.12 HB 8.9ALHT
11.28
28.5AEAT2.4
337HB 6.815.3/13.9
PPT HCT 21 AT 394 6/10
SCC et Regio Pedis Dextra BUN 72 CR 9,19 NA 142 K 3,65 CL 109 CA 1,84 4/10 AL
6 1823554 Slamet Riyadi L 73 thn 10/6/2017 CDN 1/3 TxN2M0 32.0/30.6 INR 1.13 SGOT 15 SGPT 9 BUN 22 CR 1.58 GDS ABD: tak tampak kelainan abdomen 12/9 THORAX PA : tak tampak kelainan Dektsra Lisfranc + Diseksi dr. HJ
13,47
122 AE 1,41
HBsAg NonHBReaktf
4,0 HCTNA13,1
142 AT 472 CL
K 4.01 3/10 AL9/10
108 13,35 AE Inguinal (12/10/2017)
1,40
HBsAgHBnon
4,0reaktf
HCT 13,0
NA AT
142470 PPT CL
K 4,41 13,4/15,4 INR
105 7/10 AL0,97
11,9 AE
APTT 29,2/29,6
3,34 HB 9,8 HCTALB30,53,26 SGOT
AT 357 ALB143,45
SGPT 14 BUN
SGOT 63,8 10
15 SGPT Cr
8,89 GDS
(14/10)
BUN Na84
16,9 CR HBsAg
143 K 4,41
1,52 noCl
GDS reaktf
119104 CaNa2,15
138 (13/10)
K 4,03 ClFT4
10930/8
AL 60,01
TSH 0.06 AE
NA3,76
141 KHb4.08
10 HET
CL 10330,1
MGAT2.20
Dwi Purnomo 1.23 TSH 0.08 7/10 AL 8,72 AE 5,11 HB 13,7 HCT 42,8 AT USG THYROID : mengarah gambaran struma nodusa thyroid bilateral thyroidektomi
3 1825760 Adjie L 45 thn 10/6/2017 CDN 1/8 SNNT Bilateral dr. HJ
291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83 (13/10/2017)
AL 10,62 AE 5,28 HB 13,8 HCT 43,1 AT 321 PPT 14,8/15
(13/10) AL 13.1 INR
APTT 27,3/28,9 AE 3.43
1,08HBALB8.3 HT SGOT
4,44 27.5 AT
15609
SGPTPPT
19BUN 13/10 USG ABD : Ascites, lesi solid kistk intraperitoneal mengarah massa (21/9) Sitopatologi: sitologi cairan ascites I dan
15.1/13.9 APTT
13,6 CR 1,45 GDS31.5/28.9
143 FT4 GDS
1,35 99
TSH 0,45 NA 143 K 4,53 ovarial malignant dengan kecurigaan infiltrasi ke uterus, mild hidronefrosis cairan kista II: didapatkan sel ganas
Ca Mammae Bilateral CL 101 T3 TOTAL 1,47 T4 TOTAL 8,4 sinistra, rectum dan sigmoid tak tervisualisasi karean tertutup massam, tak Histopatologi: kapsul kista ovarium: kistadenoma
Adeno Cystc Carsinoma 12 BUN 4 CR 0,65 GDS 134 NA 139 K 3,41 CL 102 5/10 suprapalatum durum sinistra yang meluas ke septum nasi dan sinus grade post hemomaksilektomi +
palatum GIII T2N2M1 post AL 8,23 AE 3,29 HB 9,4 HCT 29,1 AT 396 PPT 17,9/13,9 maxilaris bilateral terutama sinistra terutama mendestruksi palatum durum
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 10/10 colli bilateral
THORAX dengan tandatampak
PA : tdak malignan
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
Kemoterapi ke 6
6 1826544 P 51 thn 10/10/2017 AYD2/202 3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/ Post MRM (12/10/2017) dr.KS
30.6 INR 1.17
Obs tetraparese flacid ec HT 38.3 AT 285 ALB 3.83 SGOT 13 SGPT 19 BUN 2.50 CR
4 1282028 Ganethia P 30 tahun 12/10/2017 AGG2/1 susp muscular dystrophy 0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34 Post muscle biopsy dr.TW
Relianasa (13/10/2017)
dd HNP Cervical
CA 2.15
8 1811742 Widya Trihari P 26 thn 10/10/2017 CDN2/6 Multple tumor mammae AE 4,62 HB 12,7 HCT 37,2 AT 227 PPT 15,5/15,4 APTT PAYUDARA :susp multpel fibroadenoma mamae sinistra, post eksisi biopsi dr.TW
Astut Sinistra 29,6/30,1 SGOT 12 SGPT 14 BUN 6 CR 0,78 GDS 110 (13/10/2017)
Soft Tissue Tumor regio 30,9/28,9 ALB 4,4 SGOT 9 SGPT 17 BUN 7 CR O,72 GDS Post Eksisi Luas + Diseksi
5 1228584 Astri Nurani P 32 thn 10/9/2017 AMT1/106 Femur Sinistra Inguinal (11/10/2017) dr. WJ
95 NA 139 K4,43 CL 97
Melanoma Maligna 4,03 HB 8,7 HCT 27,6 AT 257 ALB 2,52 6/10 AL 9,47 AE kepal : brai metastase di lobus occipital dextra, pons, dan lobus temporalis melanoma maligna
4 1718031 Mutrikah P 29 thn 10/2/2017 CDN 3/7 Multpel T3N1M1 + Post debulking tumor dr. HJ
3,93 HB 8,4 HCT 28,3 AT 223 ALB 2,68 5/10 AL 8,7 AE sinistra (10/10/2017)
FT4 1,06 TSH 3,053/10 AL 8,01 AE 3,37 HB 6,6 HCT 23,7
12/10
SGPT 6AL
BUN8.64
9,6AECr3.87
0,59HB 9.965
GDS HTHBsAg
29.0 11/10 AL 4.81
Helmi 4.47KHB 11.4
1.00
4,26 1004/02/2017 AL 7,32 AE 4,28 HB 10,9
3 1822080 Prihatningsih S. P 37 thn 10/10/2017 CDN3/8 curiga jinak HET 32,8 AT 378 PPT 13,3/12,8 APTT 22/31,1SGOT 13 98
ALB 4.49 SGOT 16 SGPT 13 BUN 11.6 CR 0.75GDS Eksisi Tumor dr.HJ
P. HBsAg
SGPT 15NRBUN
NA 10
138CRK 0,62
4.10 GDS
CL 105
138 K 3,82 CL 103
1 1777322 Sri astut P 41thn 10/9/2017 CDN3/9 Carcinoma Mammae 3,46 SGOT 23 SGPT 28 BUN 4 CR 0,47 NA 140 K 2,51 CL kelainan pada organ abdomen 9/10 THORAX PA : tdak tampak kelainan III Perbaikan KU dr.HJ
Dextra T4cN2m1 103
Struma Nodosa Non Toksik 28,5/27,9 FT4 1 tsh 0,27 na 145 k 3,99 cl 107 ca 2,29 inr
RR Antonia Tut Sinisra post ismolobektomi 0,95 LB 4,13 SGOT 16 SGPT 19 ALB 4,13 BUN 11,6 CR
9 1824324 Caturwat P 51 thn 10/6/2017 CDN 2/3 hemitroidectomy prof. TA
12,8 HCT 37,9 AT 268 GDS 177 FT4 16,1 TSHs 0,078
Ca Mandibula Sinistra GIII reaktf NA 139 K 4,51 CL 99 mandibula sinistra, sinusits maksilaris sinistra, terpasang plat dan screw perbaikan KU +
2 1798392 Edy Kirwanto L 34 thn 10/4/2017 CDN1/10 T4N0M0 dari margo angulus mandibula dextra hingga regio mandibula sinistra radiotherapy dr. HJ
5/10 ALAL21,09
10/10 13,22AEAE3,62
3,63HBHB9,8
10HCT
HCT30,5
30,6ATAT218
654PPT
7/10 AL 4,5,6,USG
parots massa
22,1/13,9 APTT
10.91 AE 3.7 HB38/29,4
10.4 HCTINR 1,76ALB
32.2 2,31
226 PPT BUN 8 CR
17.2/15.4 0,64
APTT mandibula sinistra yang meluas
metastasis supraklavikula kemultple
1 1822200 Suradi L 52 thn 10/6/2017 DHL2/9 Limfadenopat regio Colli GDS 142 NA
36.2/29.6 INR143
1.3KALB
3,672.8
CLSGOT
106 3/10 AL 18,21
70 SGPT AE 16.0
31 BUN 3,37 CR mendestruksi corpus
sinistra dan aksilla mandubla
HB9,2GDS
1.08 HCT108
28,6
NAAT129
221K ALB
4.111,730/9 Al 58 REAKTIF
6/10
HBsAgALNR9,75
NaAE1323,96 HB Cl
K 5.01 10,9
96HCT 32,5 AT2.293
9,20
64.08AE 4,48HB
Iron 12129
TIBC HCTSaturasi
35,8 AT 5276
UIBCPPT 15,5/15
121 APTT
Ca Duktal Mammae Dextra APTT 28,8/ 28,4 ALB 4,53 SGOT 11 SGPT 8 BUN 5,20 CR klasifikasi BIRADS V
5 1824817 urai najilah P 41 thn 10/2/2017 AYD 2/210 post MRM Dextra H3 pro MRM (4/10/2017) dr. WJ
0,73 GDS 73 NA 140 K 4,27 CL 103
0,58 GDS 97 NA 151 K 4,24 CL 111
Ca Mammae Dextra
6 133673 Maryani P 51 thn 10/3/2017 CW1/102 T3N0M1 post core biopsi Pro Core Biopsi dr. TA
H5 (4/10/2017)
2 1794099 muslimah P 62 thn 10/3/2017 IMC2/4 Ca Mammae Bilateral post 31,9/28,9 INR 1,43 susp pleural type pulmonal metastase limfonodi regional, infiltrasi ke jaringan ikat dan perbaikan KU dr.TW
Mastectomy post STSG lemak sekitar, invasi pembuluh darah dan limfe
6/10 AL 14,43 AE 4,21 HB 10,5 HCT 32,6 AT 354 CA 1,81 3/10 VERVICAL AP/L : soft tssu mass regio colli anterior sinistra , spasme PR : FNAB
6/9 terpulas -, Her2
tumor mamae sinistra 3/10 AL 6,87 AE 4,74 HB 11,8 HCT 37,2 AT 349 PPT musculus interspinalis cervicalis, THORAX PA : cardiomegali, pulmo tak index
ganas,proliferasi
pendapat 20%
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
140 K 4,36 Cl 98
4 1824608 Chrisna anggi P 29 thn 10/3/2017 AMT 1/106 struma nodusa dextra post pro hemitroidektomi dr.KS
hemitroidectomi H4 (5/10/2017)
21/18ALBUN/crea
5/10 14,31 AE11/0,73
4,49 HBGDS
10,892 HbsAg
HCT (-) Cl
33,3AT 371103 Na AL
3/10 138 22/9 thorax PA : tdak tampak kelainan cm dengan
20/9 tumor
tumor mamae sinistra K 3,68
7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4 granulomatosa, tdak didapatkan
masih mungkin papiloma sel tumor.
sel
pro eksisi tumor
1 1823915 Ari Dewi P 44 thn 10/2/2017 BGV 4 / 2 curiga ganas T2N1M0 post APTT 28,4/29,6 SGOT11 SGPT 15 BUN 8,6 Cr 0,92 GDS PA : ekspresi ER, PR Negatf. Her-2 Positf (3+). Ki-
atpi dr. WJ
eksisi tumor H2 145 HBsAg non reaktf NA 140 K 3,81 CL 104 67 : Positf, +/- 50%. 12/4 PA jar kulit dinding (5/10/2017)
limfangioinvasi.
ca ductal infiltrat mamae 5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186 pro MRM dextra
5 1709983 Jumiyem P 55 thn 10/3/2017 CDN 2/10 dextra T2N1M0 post MRM (5/10/2017) dr.HJ
dextra H2
CR 0,47
2/10 AL GDS
16,66154
AE NA 137
4,54 HBK14,4
4,44HCT
CL 102
41 AT 242 1/10 GDS R22/9 Ro thorak Pulmo tak tampak kelainan, besar cor normal USG didapatkan sel ganas,pleomorfik
22/9 AJH : adenoma pendapat : metastasis
2 1824615 Nurpan Parid L 49 thn 9/27/2017 BGV4/10 parots sinistra post deseksi 14.4/1.05 INR 1.05 APTT 33.4/30.2 Alb 4.42 SGOT 34 adenoma, limfadenopathy regio colli sinistra Post total parotdectomy + dr. WJ
SGPT 62 BUN 10 Cr 1.07 GDS 211 HBsAg NR Na 136 K diseksi colli (2/10/2017)
axila H2
3.94 Cl 99 Ca 2.09
Malignant solitary fibrous 14.4/14.8 INR 1.05 APTT 30.7/29 27/9 Al 5.9 AE 4.63 Hb musculus interspinalis cervical, spondilosis cervicalis, penyempitan DIV VC solitary fibrous tumour dd MPNST, malignant Post debulking tumor
2 1743192 Sutyem P 52 th 9/26/2017 CDN2/10 tumor Regio colli dextra 13.5 AT 225 Alb 4.15 SGOT 15 SGPT 13 BUN 11.8 Cr 0.82 5-6 USG thyroid Multple lesi hipodens di thyroid dextra sesuai klasifikasi fibrous histocytoma/ undiffeentated ( 2/10/ 2017) dr.KS
metastase 3/8 USG Abdomen Tak tampak kelainan Ro thorak pulmo
3/10 AL 5,97 AE 4,56 HB 13,8 HCT 40,3 AT 281 SGOT 32 2/10 bone survey : tak tampak kelainan skletal metastase, USG Abdomen : tak
SGPT 42 BUN 9,6 CR 0,6 GDS 113 HBsAg Non reaktf tampak
tdak kelainan,
tampak besar, cor
kelainan normal
ca mamae dextra T3N0M1 Pro Core Biopsi
6 133673 Maryani P 51 thn 10/3/2017 CW1/102 post core biopsi H1 (4/10/2017) dr. TA
SGPT 6 BN 6.9 Cr 0.64 GDS 248 HBsAg NR Free T4 0.41
TSH 2.76 Na 141 K 3.72 CL 101 Ca 2.34 10/8 Al 13.14 AE
4.25 Hb 12.4 Hmt 37.8 AT 359 PPT 15.5/13.5 INR 1.15
APTT 31.3/28.6 SGOT 13 SGPT 10
30/9 Al 29.26 AE 4.08 Hb 11.7 Hmt 35 AT 336 27/9 Al 17/5 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal 8/6 Konsultasi Blok parafin : jaringan mamae
Malignant phyloides dextra 2.29 AE 3.86 HB 10.9 Hmt 33.2 AT 314 SGOT 31 SGPT 49 metastasis 30/3 Bone survey tak tampak gambaran metastasis USG dextra malignant phylodes tumor
et sinistra post mastektomi BUN 7 Cr 0.54 AS urat 1.9 GDS 98 abdomen : Fatty liver USG payudara tak tampak residua mass pada mmae Post kemoterapi ke VI
1 1806295 Sukirah P 64 thn 9/27/2017 CDN2/8 simple post kemoterapi VI ( 2/10/2017 ) dr TW
dextra
H2
26.3/30.8
30/1 Prot27/9
Ca 2,04 totalAl6.4 Alb AE
12.78 3.45 SGOT
4.61 Hb 1280 SGPT36.3
BUN25/9
Cr8.49
0.67AEGDS 127Hb
4.83 HBsAg NR Na
12.2 Hmt 135ATK 329
38.3 3.77PPT
Cl
Fatchur tumor Post Eksisi tumor H 102
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18
3 1824338 Rochmah P 48 th 9/25/2017 CW1/102 post Eksisi tumor (27/9) dr. WJ
6 SGPT 20 BUN 8.4 Cr 0.82 GDS 128 HBsAg NR Free T4
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
mammae sinistra TxN1M0 1.17 APTT 32.1/30.2 Alb 4.14 SGOT 39 SGPT 42 BUN 12 carcinoma os NST grade III Post diseksi aksila S
4 1799386 Mariyam P 60 thn 9/27/2017 BGV4/11 Post MRM post Diseksi Cr 0.62 HBsAg NR Na 143 K 3.88 Cl 107 20/9 Al 6.97 AE (29/9/2017) dr WJ
0.57 GDS 104 Na 144 K 4.02 Cl 106
mastektomy post APTT 28.2/30.2 Alb 4.7 SGOT 21 SGPT 24 BUN 9 Cr 0.56 sinistra 28/9/2016 bone survey utak tampak gambaran skeletal metastasis, Ki 67 <1% Post completon
6 1763449 Muskhinah P 64 thn 9/27/2017 CDN2/2 mastektomy (29/9) dr. HJ
Completon Mastektomy GDS 110 HBsAg NR Na 142 Cl 104 K 3.48 7/6 Al 4.43 Ae spondilosis lumbalis
Cr 0.61
28/9 Al GDS
14.63124
AE 4.36 Hb 10.9 AT 403 26/9 Al 6.59 AE 14/8 MSCT Ext bawah kontras : Menyongkong gambaran liposarcoma di 1/4 PA Kruris sinistra : Keganasan mesenimal
102 HBsAg NR Cl 104 Na 140 K 3.6
141 K 3.56 Cl 99 FIO2 30 pH 7.5 pCO2 50 pO2 686.6
30/9 Ca 2.03
35.4/31.2 19.12
3.9AE 5.2719
SGOT HBSGPT
14 Hmt 42.3 9.5
Cr 0.76 138 K804.06 Cl 105
HBsAg NR 26/9 Free
Na 149 T4 1.83
K 3.65 TSH18/8
0.8
28/9T4AlTotal
16.283.99/8
AE 3.8AlHb
7.75 AEHmt
10.2 5.5131.2
Hb 14.3 Hmt26/9
352 SGOT
4.37 AE 4.177 SGPT 22 BUN
Hb 11.5 Hmt 635.3
CR 0.71 GDS
AT 203 PPT152 Free T3 INR
14.4/14.2
Ca Lobuler mammae @35
1.05 Free
APTT T4 1.08 TSH
29.6/29.5 1.56
ALB 4.09 SGOT 21 SGPT 30 BUN 10
27 BUN 12 Cr 0.93 GDS 83
BUN/crea 11/1,45
30/8 AL 10,68 GDSHb
AE 5,54 12015,5
Cl 104
HCTCa 2,38
45,5 ATNa
239138 K 4,39
Chondrosarcoma Digit II APTT 35,9 (32,2) INR 1,12 Alb 4,62 OT/PT 21/28 normal. kuat. Kes : Chondrosarcoma Post Wide Eksisi, Flap dan
2 1818275 Sugiya L 48 th 8/28/2017 CDN 2/3 Manus Dextra Rekonstruksi (30/8) dr WJ
3 1787439 Sudarmi P 38 th 8/29/2017 CDN 1/10 Ca Mammae Dextra Post APTT 30,7 (28,5) INR 1,03 Alb 4,66 OT/PT 33/24 normal Pro Mastectomy (31/8) dr HJ
Kemoterapi BUN/crea 19/0,94 GDS (-) Cl 100 Na 137 K 4,46
Bedah Onkologi SELASA, 31 Oktober 2017
Pasien Operasi SELASA, 31 Oktober 2017
1 1824851 Suminah P 57 thn 25/10/2017 BGV4/12 T3N1M0 spondylosis cervicalis, pertnedinits Calcarea Dekstra + RND+free flap dr.HJ 1.01 09.00
Pasien Baru
17/10 thorax PA : infiltrat di parahiler dextra, cardiomegaly. 19/9 thorax 22/10 biopsi reg.Mandibula : karsinoma sel
PA : cardiomegaly, elongasi aorta,gambaran brochopneumonia squamosa, diferensiasi baik
Squamuos cel carsinoma
1 1827128 rowiyah P 59 thn 30/10/2017 CDN2/8 mandibula dextra pro komando dr. HJ
T4N2cM0
3/10 AL 7,97 AE 4,82 HB 11,2 HCT 37,4 AT 370, 4/10 CA 3/10 THORAX PA : Elevasi diafragma sinistra ec proses infradiafragma, 1/2 PA jaringan sedang : uterus : serviks : kista
tumor mamae dextra 15-3 29,30 USG abdomen : tampak tumor ovarium retensi, corpus : hiperplasia simpleks non atpi
curiga ganas TxN0M0, post (benigna hiperplasia) kelenjar endometrium
2 1793680 sarijah P 42 thn 10/30/2017 CDN1/9 MRM sinistra dan pro eksisi luas dr.HJ
kemoterapi 8x
(5/10) thorax PA : tdak ada kelainan pulmo,scletal metastase, Bone

survey : scletal metastase, osteoclastc type di ossa calvaria, os humerus
ca mamae sinistra dextra, ossa femur bilateral, os Vth 10 dan os sacrum 1
3 1826003 theresia P 54 thn 30/10/2017 CDN3/7 T4dN2M1(tulang) pro core biopsi dr.TW
2/10 cervical AP/L : struma dextra yang mendeviasi trachea ke sinistra, AJH(-)
spasme musculus interspinalis cervicalis, thorax PA : emfisematous lung,
tak tampak metastase pulmonal, cardiomegaly
4 1825615 walimah P 57 thn 10/30/2017 BGV4/8 SNNT bilateral pro total troidektomy dr.HJ
squamous Cel carsinoma

5 1825980 suyat P 75 thn 30/10/2017 CW3 regio bucal sinistra eksisi tumor dr.HJ
Cendana 2
(29/10) CA 2,05 (28/10) AL 9.51 AE 4.27 Hb 10.9 Hct (25/09) AJH : Bethesda system kelas V suspicious for papillary carcinoma
35.1 AT 243 Ca 1.53 (26/10) HcT 34.0 Hb 11.3 (25/10) AL
Ca Papiller Thyroid Dekstra 4.40 AE 4.40 Hb 11.1 Hct 36.5 AT 276 PPT 14.1/14.2 Post Total troidektomi dan
1 1823919 Tukijem P 65 thn 25/10/2017 CDN2/10 T3N1M0 APTT 34.3/28.6 INR 1.03 Alb 4.11 OT 18 PT 16 BUN 13.60 RND H4 dr. KS
Cr 0.68 GDS 98 HBsAg NR FT3 2.61 FT4 1.15 TSH 0.90 Na
139 K 3.85 CL 103
(28/10) AL 16.49 AE 4.73 Hb 12.9 Hct 40.2 AT 324 (26/09) Bone Survey : dbn Thorax PA : dbn USG Abdomen : Hepatomegali,
(25/10) AL 12.01 AE 4.34 Hb 11.9 Hct37.1 AT 337 PPT multple polip di Vesicca Fellea USG Payudara: Multple Massa hipoechoic
Ca Ductal Invasive 14.4/14.2 APTT 33.6/28.6 INR 1.06 Alb 3.91 OT 19 PT (multfocal lesion) dengan mikrokalsifikasi di mammae sinistra sesuai
2 390691 Sit Munawaroh P 35 thn 25/10/2017 CDN2/10 Mammae Sinistra T2N0M0 12BUN 6.80 Cr 0.73 GDS 102, HBsAg NR Na 139 K 3.64 Cl klasifikasi BIRADS V Post MRM H4 dr. TW
105 Ca15-3 6.00
(29/10) AL 9.57 AE 4.47 Hb 10.1 Hct 31.2 AT 543 (28/10) (5/10) THORAX PA : Nodular Type pulmonal metastasis (23/03) PA : Pleomorphic Rhabdomyosarcoma
Pleomorphic AL 7.52 AE 4.32 Hb 9.7 Hct 29.2 AT 463 PPT 17.8/13.4
3 1802828 Kasinah P 68 thn 27/10/2017 CDN2/10 Rhabdomyosarcoma regio APTT 31.6/31.3 INR 1.36 Alb 2.22 OT 30 PT 28 BUN 12.80 Pro Radioterapi cito dr.KS
Humerus Dextra GIII Cr 1.04 GDS 137 HBsAg R Na 136 K 3.86 Cl 98
T4N0M1
17/10 thorax PA : infiltrat di parahiler dextra, cardiomegaly. 19/9 thorax 22/10 biopsi reg.Mandibula : karsinoma sel
PA : cardiomegaly, elongasi aorta,gambaran brochopneumonia squamosa, diferensiasi baik
Squamuos cel carsinoma
4 1827128 rowiyah P 59 thn 30/10/2017 CDN2/8 mandibula dextra Pro Comando dr.HJ
T4N2cM0
(27/10) AL 9.14 Hb 9.8 Hct 32.8 AT 219 Alb 2.86 OT 41 PT (27/10) Thorax PA : Pneumonia bilateral mengarah pneumonic type IHC: ER, PR (+) HER 2 (-) KI67 : positf <5% (18/10)
CA Mammae Dextra 15 BUN 13.40 Cr 0.76 HBsAG NR Na 133 K 3.84 Cl 93 pulmonal metastasis. Efusi pleura bilateral subpleural type pulmonal Core biopsy mammae dekstra : Invasive ductal
T4dN3M1 (Tulang, Pulmo), metastase (25/10) Thorax PA : Efusi Pleura bilateral mengarah sublpleural carcinoma of NST gr III, invasif ke pembulh darah
5 1823835 Iswahyuni P 48 thn 27/10/2017 CDN2/6 Efusi pleura dekstra ex susp type pulmonal metastase, Bone Metastasis pada os Humer Dextra (19/10) dan lemak (25/09) Sitologi efusi pleura dekstra : Pro Perbaikan KU dr.WJ
related Malignancy Kepala 3 posisi : Osteoclastc type, skeletal metastasis pada ossa calvaria. didaptakan sel ganas
Pelvis : dbn. USG Abd upper dan Lower : Efusi pleura blateral
Anik Dwi T4dN2M2, Anemia, 35 BUN 21.40 Cr 0.65 GDS 106 HBsAg NR Na 130 K 3.95 Pro Perbaikan KU, pro core
6 1828567 Prasetyawat P 33 thn 29/10/2017 CDN2/6 Hipoalbuminemia, Efusi Cl 89 biopsi dr.HJ
Elektrolit
(30/10) AL 15,94 AE 4,43 HB 13 HCT 38,3 AT 317 (28/10) (28/10) Cevical AP/L : Soft tssue mass di regio colli anterior setnggi VC 2 (28/10) Cervical AP/L Soft Tissue Mass di regio
HBsAg NR FT3 3.79 FT4 1.24 TSH 0.01 Na 139 K 4.92 Cl sampai DIV VC 4-5, Tak tampak deviasi dan penyempitan airway, colli anterior setnggi VC 2 sampai DIV VC 4-5. Tak
Bronkogenic Duktal 103 BUN 19.90 Cr 1.21 (26/10) AL 8.99 AE 4.63 Hb 13.2 Spondylosis vertebra cervicales (13/10) Thorax PA : dbn (10/10) USG tampak deviasi dan penyempitan airway.
7 1826914 Sriyat P 49 thn 26/10/2017 CDN2/3 Tyroglossuss Cyst Hct 40.2 AT312 PPT 12.3/14.8 APTT 30.5/29.3 INR 0.87 Thyroid : Mengarah complex cyst thyroglossus Spondylosis Vertebra Cervicales Post Cystrunk Procedure H1 dr.WJ
Alb 3/90 OT 22 PT 28 BUN 16.50 Cr 1.20 Na 142 Ca 5.43
Cl 104
Cendana 1
Basal Cell Carcinoma Regio BUN Cr 1.00 GDS 98 HBsAg NR FT4 1.53 TSH 0.58 Na 144 aspek anterior sinistra, deviasi septum nasi ke arah lateral sinistra Cervical Carcinoma Post Eksisi
1 1822849 Ngatjan L 58 thn 25/10/2017 CDN1/10 Nasal T3N0M0 K 4.09 Cl 104 AP/L Spondylosis cervicalis DIV VC 6-7 luas+rekonstruksi H1 dr.WJ
3/10 AL 7,97 AE 4,82 HB 11,2 HCT 37,4 AT 370, 4/10 CA 3/10 THORAX PA : Elevasi diafragma sinistra ec proses infradiafragma 1/2 PA jaringan sedang : uterus : serviks : kista
tumor mamae dextra 15-3 29,30 retensi, corpus : hiperplasia simpleks non atpi
curiga ganas TxN0M0, post (benigna hiperplasia) kelenjar endometrium
2 1793680 sarijah P 56 thn 10/30/2017 CDN1/9 MRM sinistra dan eksisi luas dr.HJ
kemoterapi 8x
(24/10) AL 27.49 AE 4.21HCt 35.6 AT 399 (22/10) Na (25/10) tHORAX PA : Bronkhits, tak tampak pulmonal metastasis (16/10) (19/10) Sitologi AJH : regio mandibula S. didapatkan
143 K 4,25 Cl 105 (21/10) FIO2 21 pCO2 29,6 pO2 86,9 MSCT servikal: dbn. MSCT kepala: tumor maligna mandibula S dengan sel ganas. pendapat: squamous cell Ca. (26/8) AJH :
HCO3 26 TCO2 26,9 PO2/FIO2 421,6 (20/10) AL 11,64 Hb osteodestruksi corpus mandibula S. Thorax: dbn (26/9) THORAX PA: Pulmo Karsinoma Skuamosa Karnifikans Mandibula Post Combined Oral
Squamous Cell Carcinoma OT/PT 15/26 BUN 5 Cr 0,87 GDS 108 Na 143 K 2,81 Cl tampak skeletal metastasis. 18/08 OPG : Tampak Impaced M atas kiri,
3 1824914 Suhendriyah P 50 thn 12/10/2017 CDN1/7 (AJH) Mandibula Sinistra 101 Ca 2,19 (13/10) AL 13.32 AE 4.39 HB 12.5 HT 36.9 AT tampak multple missing, tak tampak kelainan pada struktur tulang Dissecton Operaton dr. KS
(COMMANDO Operaton) +
2.78 CL 99
(28/10) Ca 1.98 (26/10) Al 9.28 AE 5.73 Hb 15.8 HCt 48.1 (25/10) Thorax PA : Tak tampa kelainan (12/09) Thorax PA: Cardiomegali (22/09) PA : Papillary carcinoma (classical type),
AT 151 (25/10) AL 4.83 AE 5.76 HB 15.8 HCT 49.4 AT (11/09) USG Thyroid : multple lesi inhomogen di thyroid bilateral DD/ Ca (+) Capsular invasion, (+) Angio-invasion,
Ca Thyroid T1bN1M0 Post 156 PPT 13.7/14.2 APTT 30.2/28.6 INR 0.99 Alb 4.46 OT Thyroid dengan multple metastase lymphadenopathy colli bilateral diameter tumor terbesar >1 cm Post Total Tiroidektomi +
5 1825646 Rusidah P 56 thn 24/10/2017 CDN1/3 Total Tiroidektomi + RND 19 PT 15 BUN 9.9 Cr 0..95 GDS 133 Na 141 K 4.25 Cl 102 teritamadextra DD/ lymphoma RND H5 dr.HJ
H5 HbsAG NR FT3 2.66 FT4 0.87 TSH 2.76
Cendana 5
Cendana 4
Cendana 3
(5/10) thorax PA : tdak ada kelainan pulmo,scletal metastase, Bone
survey : scletal metastase, osteoclastc type di ossa calvaria, os humerus
ca mamae sinistra dextra, ossa femur bilateral, os Vth 10 dan os sacrum 1
1 1826003 theresia P 54 30/10/2017 CDN3/7 T4dN2M1(tulang) core biopsi dr.TW
2 1813073 Galih Ardhy L 20 thn 26/10/2017 CDN3/9 SCC Lidah T4bN3M0 BUN 11.60 Cr 0.70 GDS 8-HBsAg NR Na 135 K 4.32 Cl 95 (28/07) Echo : dbn Pro Total glossectomy+RND dr.WJ
(19/10) AE 4.11 Hb 11.9 Hct 36.9 AL 5.54 AT 312, IT 10
PT 13 BUN 5 Cr 0.74 GDS 110
1 1824851 Suminah P 57 thn 25/10/2017 BGV4/12 T3N1M0 spondylosis cervicalis, pertnedinits Calcarea Dekstra + RND+free flap dr.HJ
2/10 cervical AP/L : struma dextra yang mendeviasi trachea ke sinistra,
spasme musculus interspinalis cervicalis, thorax PA : emfisematous lung,
tak tampak metastase pulmonal, cardiomegaly
2 1825615 walimah P 57 thn 10/30/2017 BGV4/8 SSNT bilateral T3N0M0 total troidektomy dr.HJ
A. Dewi Wulan T1aN0M0 ER (+) PR (+) SGPT 15 BUN 7.40 Cr 0.75 GDS 156 HbsAg Non Reaktf tanda-tanda malignancy. Tak tampak limfadenopat axilla dan
2 1823915 P P 44 thn 23/10/2017 BGV4/1 HER2 (-) KI67 (+) 10% Post
Na 139 K 3.49 Cl 103 (5/10) AL 14,31 Hb 10,8 Hct 33,3 AT intramammary mamma D et S. Post MRM H5 dr. KS
37 Neu 89 (3/10) PPT 14,9(15,4) APTT 28,4(29,6) INR
3 1827759 Partni P 31 Thn 21/10/2017 AGG2/11 S T4dN0M1 (brain) Post Core Biopsy H1 dr.TW
31.3 AT 331 Alb 3.36 OT 20 PT 15
(28/10) Na 141 K 3.92 Cl 107 (25/10) AL 6.94 AE 3.99 Hb (24/10) Thorax PA : Nodular dan Pneumonic (mix) type pulmonal
10.9 Hct 33.3 AT 291 PPT 15.6/14.2 APTT 28.6/24.8 INT metastasisi
CA Ductal Invasif Mammae 1.16
Biopsy H5
(27/10) AL 9.93 AE 3.88 Hb 10.3 Hb 32.0 AT 338 (30/10) bone survey : multple nodul pulmo bilateral disertai efusi pleura (22/08) IHC : ER + PR - HER2 - KI67 5%
Ca Mammae Desktra PPT15.5/24.8 APTT 27.0/29.3 Alb 3.89 OT 20 PT12 BUN pulmo sinistra d mixed pulmonal metastase (26/10) Nodular dan
2 1643810 Yurestu P 38 thn 26/10/2017 DHL4/2 Stadium 4 T4BN3M1 (lung 7.20 Cr 0.53 GDS 115 HBsAg NR Na 139 K 3.98 CL 101 subpleural type pulmonal metastasesis pulmo bilateral disertai efusi pleura Palliatve Care dr.HJ
nodul metasase) efusi bilateral terutama sinistra, soft tssue mass di dinding dada dekstra
pleura bilateral
(29/10) AL 11.68 AE 4.94 Hb 13.0 Hct 38.8 AT 238 PPT (30/10) cervical AP/L : opasitas dengan densitas soft tissue di proyeksi
15.6/12.8 APTT 33.5/29.5 INR 1.16 Alb 3.13 OT 16 PT colli dextra yang sedikit mendeviasi trachea ke arah dextra tidfak tampak
18BUN 16.70 Cr 1.01 GDS 249 HBsAg NR Na 131 K 4.02 penyempitan airway, spondilosis cervicalis (29/10) Thorax PA : dbn Pro CT scan kepala eksten
4 1828574 Ngadednan L 63 thn 29/10/2017 AYD1/103 Suspek Abses Regio Buccal Cl 96 Cervical AP/L : Soft tssuer mass pada regio colli bilateral dan mandibula leher Prof. TA
bilateral terutama sinistra
Pasien Pulang
(27/10) AL 19.73 AE 4.30 Hb12.4 Hct 38.3 AT 341 (25/10) bone survey : tak tampak gambaran skeletal metastasis , THORAX
(25/10) AL 6.69 AE 4.29 HB 12.4 HT 38.6 AT 365 PPT PA : Kardiomegali (LVH), pulmo tak tampak kelainan, USG ABDOMEN : Fatty
3 1824636 Dwi Nursetyat P 59 thn 24/10/2017 CDN3/2 Ca Mammae Dekstra 14.4/14.2 APTT 33.3/28.6 INR 1.05 Alb 4 OT 16 PT 16 liver (27/09) Thorax PA : dbn Pro MRM dr.HJ
T2N0M0
(27/10) AL 10.38 AE 3.74 Hb 10.7 Hct 31.0 AT 390 (26/10) Thorax PA : Emfisematous Pulmonum (29/09) Bone Survey : Lesi (20/04) ER -, PR - HER2 - KI67 +/- 50% (10/3) PA :
(26/10) AL 7..83 AE 4.56 Hb 12.7 Hct 38.0 AT 448 PPT osteosklerotk pada corpusVL5, VS1, osteoblastc type skeletal metastasis Jaringan massa : residif ductal carcinoma, NST,
CA Ductal Invasiv Mammae 15.0/14.8 APTT 36.2/29.3 Alb 4.25 OT 26 PT 15 BUN 7.30 (26/09) USG abdomen : Simple cyst ren dextra sesuai kategori Bosniak 1 grade III, invasi ke pembuluh darah dan epidermis
3 1754247 Poniyem P 62 thn 25/10/2017 CDN1/7 Sinistra Residif T4DN0M0 Cr 0.77 GDS 87 HBsAg NR Na 139 K 4.17 Cl 97 USG Mammae dbn (22/02) AJH : ductal carinoma residif (22/12/15) Post Eksisi Luas H3 dr. KS
IHC ER + PR - HER2 -(7/12/15) PA Mammae
Sinistra Invasive (Ductal0 of NST Grade III, meluas
(27/10) AL 8.50 AE 4.32 HB 10.8 Hct 34.7 AT 463 (5/10) Bone survey: dbn Thorax: dbn USG abdomen: mioma uteri USG ke putting,
(9/10) ER PR metastasis
(+) HER 2ke-7 limfonodi
(-) Ki67 > 14% aksilla,
(40-50%) limfo
(25/10)AL 10.01 AE 3.70 Hb 9.3 Hct 27.6 AT 349 (24/10) payudara: multple simple cyst di mammae S BI-RADS II angoinvasif (+) Jarak tumoe dengan sayatan
Ca mammae Dekstra AL 5.46 AE 4.20 Hb 10.1 Hct 33.7 AT 440 PPT 15.0/14.1 operasi (dasar operasi) + 1 mm
Post Diseksi Aksilla (25/10)
2 1825860 Sundari P 32 thn 10/23/2017 CDN1/9 TxN1M0 IHC : ER(+) PR (+) APTT 35.2/29.4 INR 1.10 Alb 4.50 SGOT 9 SGPT 9 BUN H4 dr. KS
(26/10) AL 12.83 AE 3.59 Hb 9.2 Hct 29.5 AT 587 (24/10) 12/10 MSCT THORAKS DENGAN KONTRAS : Destruksi Margo Lateral os (23/10) PA : Tumor regio Scapula : epitheloid
AL 9.76 e 3.38 hB 8.9 hCT 27.9 AT 499 (21/10) AL 10,35 Scapula Sinistra dengan soft tssue mass di rgio bahu sinistra posterior, sarcoma DD e[pitheloid angiosarcoma,
Soft Tissue Tumor Regio Hb 8,6 Hct 26,8 AT 387 Neu 84 (17/10) AL 13,03 Hb 8,6 suspect osteosarcoma, nodular type pulmonal metastasis, nodul kistk di diperlukan pengecatan IHC jenis vimentn, EMA post insisi biopsi,
2 1824882 Rohat P 56 thn 10/10/2017 CDN2/10 Scapula Sinistra Curiga Hct 26,9 AT 325 Neu 83,7 15/10) AL 11,83 Hb 7,5 Hct thyroid bilateral dengan kalsifikasi 22/9 FOTO SCAPULA SINISTRA : susp. dan CD31 untuk konfirmasi diagnosis radioterapi (17/10/2017) dr. HJ
Ganas GxT4N1M1 (P) 23,4 AT 405 Neu 82,2 PPT 15,7(14.1) APTT 26,7(30) INR Osteogenicsarcoma angulusinferior scapula sinistra dd soft tssue sarcoma H12
1,17 Alb 2,74 OT/PT 34/27 BUN 13 Cr 0,78 GDS 155 meluas ke angulus inferior scapula sinistra
HBsAg NR Na 142 K 3,21 Cl 104 (6/10) AL 11,65 AE 4,49
HB 12,5 AE
(24/10) HCT4.86
38,4HbAT14.3
504Hct
PPT43.3
15/14,1 APTT
AT 215 26,3/29,6
(23/10) AL 7,3 (23/10) Thorax: dbn (8/5) USG payudara: residif mass tumor phyloides
Farida INR15,3
Hb 1,1 ALB 3,56 AT
hct 46,4 SGOT35917 SGPT
Neu 63 21
PPTBUN 18 CR 0,84
13,3(13,9) APTTGDS dinding thorax D arah jam 10-11 (3/3) Bone survey: dbn USG abdomen: Pro eksisi mammae (D)
4 1157789 Rachmawat P 59 thn 10/23/2017 AYD2/210 Ca mammae (D) 109 NA 143
30,9(31) INRK0,95
4,26Alb
CL 4,58
104 HBsAg
OT/PT non reaktf
23/19 BUN 6,1 Cr 0,82 fatty liver (24/10/2017) dr. HJ
(23/10) AL 6,3 Hb 12,4 Hct 36,7 AT 256 Neu 59 PPT abdomen: fatty liver dan lemak Histopatologi: jaringan mammae D:
Tumor Mammae Dextra 12,4(13,9) APTT 26,1(31) INR 0,88 Alb 3,95 OT/PT 16/22 fragmen jaringan ikat dan lemak
5 133673 Maryani P 51 thn 10/23/2017 CW1/2 T2N0M0 Pro Eksisi Tumor prof.TA
BUN 11,4 Cr 0,72 GDS 127 HBsAg NR Na 144 k 3,97 Cl
105
Fibrosarcoma Regio HCT 38,3 AT 299 PPT 15,5/14,1 APTT 32,4/29,6 INR 1,15 alignment baik, THORAX PA : tak tampak kelainan expose Post Aff Plate, Re-
4 1823323 Ngamarun L 30 thn 10/5/2017 CDN1/8 Mandibula GxT4N0M0 ALB 4,1 SGOT 12 SGPT 14 BUN 8,8 CR 0,98 GDS 103 NA rekonstruksi plate, dr. WJ
118 NA 143 K 4,09 CL 100 CA 2,22 19
3 1761788 Sri Yatun P 64 thn 24/10/2017 CDN2/8 Struma Nodusa Dekstra SGOT 28 SGPT 28 BUN 17.50 Cr 0.85 GDS 95 HBsAg Non Post HemiTiroidektomi H1 dr.KS
Post HemiTiroidektomi H1 Reaktf FT4 1.23 TSH 0.96
1 1817291 Ngadimin L 58 thn 24/10/2017 DHL4 inguinal Post Eksisi Biiopsi AL 4.34 AE 3.31 Hb 9.3 Hct 30.2 AT 210 Alb 3.52 OT 15 PT dr.HJ
Limfadenopat H1 19 BUN 11.00 Cr 1.23 Na 128 K 4.71 Cl 97 Limfadenopat H1
Soft tssue tumor curiga AL 4.81 AE 4.13 Hb 11.6 Hct 35.6 AT 195 (21/10) AL 6,23 Pro eksisi luas
5 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 jinak regio colli posterior Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT 13,9(14,4) APTT (24/10/2017) dr. HJ
dan B20 27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir 0,07 Alb 4,42
104 ProtAL
(24/10) tot4.64,
7,8 (11/9) ALHb
AE 4.04 3,72 HbHct
11.5 11,4 hctAT
36.0 36,1
377ATPPT
Neu 49,7 PPT
12.9/14.1 APTT15(14,3) APTT
31.5/2.4 INR29,2(29,9) INR SGOT
0.92 Alb 3.95 1,1 OT/PT
Malignant Phyloides 1/23 BUN 8 Cr 0,69 AU 4,2 GDS 118 HBsAg NR
SGPT 49 BUN 10.39 Cr 0.59 HBsAg Non Reaktf Na 143 K
Ca ductal mammae D 4,8 OT/PT
(23/10) AL23,21
15,46BUN 5 CrHct
Hb 0,4 0,73
33 GDS 95 Neu
AT 266 Na 142
92,8K (20/10)
4,58 Cl (7/6) Thorax: dbn (19/5) USG abdomen: dbn. Cystts. (28/7) ER, PR (+), HER 2(3+) Ki67 (+/- 25%) (13/6) post classical radical
T4bN2M0, post neo 99 3,53 Hb 10,2 Hct 31,7 AT 235 Neu 48,8 PPT 14,6(12)
AL histopatologi core biopsi tumor payudara:
2 1811555 Sularmi P 44 thn 10/20/2017 CDN2/10 adjuvan kemoterapi 4x ER + APTT 31(28,2) INR 1,07 Bil tot 0,26 Bil dir 0,11 Alb 3,48 mastectomy dekstra dr. WJ
invasive ductal ca of NST, grade 3. angioinvasion (23/10/2017)
3,93 Cl 103
(26/10) Ca 15-3
al 4.81 160,20
AE 4.13 (12/10)
Hb 11.6 Hct AL 0,97
35.6 AT Hb
1959,4 Hct
29,5
AL AT 129
4.81 NeuHb
AE 4.13 15,5
11.6 Hct 35.6 AT 195 (21/10) AL 6,23
Soft tssue tumor curiga Hb 12,3 Hct 37,8 AT 222 Neu 53,8 PPT 13,9(14,4) APTT Pro eksisi luas
5 1823408 Ika Widyawat P 30 thn 10/20/2017 CDN2/6 jinak regio colli posterior 27,5(29,6) INR 1,01 Bil tot 0,13 Bil dir 0,07 Alb 4,42 (24/10/2017) dr. HJ
dan B20 OT/PT 19/22 BUN 9 Cr 0,65 GDS 100 Na 144 K 4,01 Cl
5 620535 Agnes P 50 thn 10/10/2017 CDN3/1 tulang) IHC+ ER+ PR+ 3,79 HB 11,3 HCT 33,9 AT 178 SGOT 50 SGPT 18 BUN 9,8 perbaikan KU dr.KS
Musiarsih HER2- Hiponatremi, CR 0,65 CA 15-3 182,1
Hipoglikemi
Regio Antebrachii D
(22/10) 76 na
AL 4.68 AE135
2.05K Hb
2,9 6.9
Cl 95(17/10)
Hct 18.3 AT BUN 53 17,9 Cr
1,44144
Na NaK1412.54K 2,77
CL 109Cl (20/10)
100 (13/10) Na 134
AL 12,43 HbK8,4 3.1Hct
CL 97
90,5 (17/10) HB 7.5glukosa
4 1791594 Mubarokatn P 23 thn 9/10/2017 CW2/3 Sinistra AL 36.32
esterase AE
-. 3.08
bacteriaHB 9.5
25, HT 28.9
protein 1+AT 379
(8/10) PPT
AL 17.1/13,9
2,64 Hb 8,2 18/4 bone survey : tak tampak gambaran metastasis (A2) tdak bebas tumor (18/8) PA Regio lengan Perbaikan KU dr.HJ
INR 20,2
Hct 1.29 ATAPTT
13529.4/30.6 ALB 2.83
Neu 80 (17/10) SGOT
Urin: 14 SGPT
7 CR 0.9425,1
Bacteria GDSProtein
287 NA1+ 134 K 3.23KED
(12/10) CL 97678/10
Coombs AL 38,59 AE
3,33 HB 10
1544,94 IronHCT
92 29,7
TIBC AT
04440 ALB 3,12
(21/10)
2.44 HB Alb
100 7/10 AL3,2
7.0 HT Na AE
28,35
19.731ATK 3,97HB
2,81
149 Cl8,5
AL 89 HCT
8.03 (19/10)
ALB25,3 AL
2.65 21,63
ATSGOT
42 Histopatologi
Ca Mammae post 12,6
SGPT Hct
3,13 SGOT 39,3
40 BUN AT
13 44
SGPT394
CR 10Neu
BUN
1.42 87,9
GDS (15/10)
3,6105
CRNA 0,48 PPT
133GDS K16,8(14,1)
229 NA
4.61 CL 107133 lumen 30%. Total trombus vena femoralis superfisialis sinistra hingga vena kolits kronis non spesifik. Rectum: prokits konis
K 2,71
MG 35,1(30)
1.5CLPPT INR 1,27
9419.7/14.9
HBsAg Fibrinogen
nonAPTT
reaktf 6/10302
2,4 BUN
HBsAg Non 4930
0,532,87
Reaktf (13/10)
NA 134 K 2,88AL 9.04
CL 96AE 3.93
4/2 ALBHB 10.3
2,53 NAHT136 33.2 AT 347
ALB 2.01
98 2/10 AL
(18/10) PPT
AL6,53 15.8/13.9
51,67HbAE8,83,28APTT
HctHB 30.3/28.9
10,1
28,6 ATHCT
29310,1INR
Neu AT 1.18
69 262 12/10 rectum proximal hingga colon sigmoid distal ke arah posterior oleh massa di atpi
ALB 28/9 THORAX PA : tdak tampak kelainan, MAMOGRAFI DEX et SIN : massa 2/10 AJH REGIO MAMAE SINISTRA : didapatkan
(14/10)
AL
AL 9.48,
2,2410,32 4.13
NA 136 KHB
Hb 0,6 10.9,
2,04
Hct CL ht
96 34.6
33,2 30/9
AT AT
323 400
AlNeu
60.3511/10
87,8AEBUN PPT16,8
3.45 Hb 10.7
Cr di cavum pelvis 28/9dengan
mamaesinistra thorax tanda
PA : multple lesi noduler pulmo bilateral
malignancy,limfadenopaty multpel susp.
axiila sel ganas, pendapat ductal carsinoma nuclear
18.1/13.9
Hmt
0,8 31.4120
GDS APTT
AT 29442.5/30.6
Na Na 138
141 K233 K INR
4,28 2.5 1.39
Cl 10 6/10
Cl 17,1/14,1
106 27/9 AL
(11/10) 8,59
AlAL47.3
5.26AEAE 4,19 noduler
3.11 bilateral.type pulmonal metastasis 21/6 MSCT Abd dengan kontras : grade III
HB
Hb 11,1
9.7 HCT
Hmt 35,5
29.1 AT
AT 344 PPT
PPT 16.1/14.6
4.31 HB 11.3 HT 36.7 AT 287 PPT 14.2/13.9 APTT APTT/29,6
INR 1.19 APTTINR Hepatomegali, moderate hydronephrosis sinsitra disertai hidroureter
1,29 ALB 2,86
30.4/30.8
32.6/30.6 INR SGOT
Alb 3.08 22 SGPT
1.03 SGOT
ALB 4.18 10 BUN
17 SGPT
SGOT 922 8,9
BUN
SGPT CR17
16.5 0,68
Cr
BUN GDS
1.22 83 sinistra, cystts, myoma uteri subserosa, nodular type pulmonal metastasis,
10AS
NA
urat136
17 K
GDS 3,27
78 CL 98
HBsAg HBsAg
NR Nanon
138 reaktf
K 2.6 1/10
Cl
CR 0.53 GDS 103 HBsAg Non Reakif NA 139 K 3.73 CL 103 91 AL
28/87,52
Duktal Carsinoma 3,9
1 1824092 Budi Tyas Utami P 51 thn 10/10/2017 BGV4/5 Mammae sinistra 28/9HBAL
48.23 105,09
AE HCTAE
3.83 32,8
Hb 4,25ATHB
11.2 271
Hmt PPT
11,534.3 19,9/14,4
HCTAT34,8
480 AT APTT
SGOT26213 29/29
SGPT
PPT 15/14 Hidronefrosis sinistra grade I dengan pelebaran ureter proximal curiga Post modified radikal dr.KS
HBsAg
12 BUN
APTT non
7 Crreaktf,
31,8/30,20.72INR 29/9
GDS
1,1127CEA 0,2
SGOT 16 27/9
T4bN1M0 10.4 Hmt 33.3 AT 266 Alb 3.4 SGOT 26 SGPT 14 BUN 13 24/10/2016 Bone survey Tak ada gambaran metastasis Ro thorak pulmo
neutropenia
17.6/14.6 INR 1.32 APTT 30.6/30.8 Alb 3.16 SGOT 24
14,1(14,9) APTT 28,9(31,3) INR 1,03 Alb 4,08 OT/PT
4 1824654 Maslikhah P 52 thn 13/10/2017 CDN1/7 Tumor labia mayor 3,62 Cl 100 rehectng (17/10/2017) dr.HJ
4,9 Cr 0,57
Abses regio colli S post insisi drainase abses
2 1629205 M. Anshary L 37 thn 10/13/2017 DHL 3/6 posterior, B20, TB paru, (17/10/2017) dr. WJ
susp HAP
(18/8) ER: + PR: - HER-2: - Ki-67: >14%

Hypertroid sub klinis post 28,7 INR 1,05 ALB 4,26 SGOT 22 SGPT 31 BUN 9,7 CR 0,8 throidektomy, post
5 1110721 Desi Yulinda P 52 thn 10/9/2017 AYD2/9 near total troidektomi post GDS 88 TSH 3,4 NA 139 K 3,72 CL 106 MG 2,11 T4 TOTAL evakuasi hematom dr.WJ
Post core biopsi mammae
2 1826349 Suparmi P 35 thn 10/9/2017 AGG2/12 bilateral T4dN3Mx post 158 Na 139 K 3,79 Cl 98 (15/10) PPT 13,8(14,1) APTT S dengan tanda malignancy. Bone survey: tak tampak gambaran metastasis.
(17/9/2017) dr. TW
MRM post kemoterapi 26,1(30) INR 1 MRI brain: mucocele di sinus maxillaris dekstra. Thorax: dbn.
3 1825204 Basroni L 55 thn 10/9/2017 CDN2/7 39,3 AT 272 PPT 17,1/15,4 APTT 30,3/30,1 ALB 2,98 hidronefrosis ren dextra dengan hidroureter, singel cyst di pole inferior ren dr.KS
T4N0M0 (17/10/2017)
AL 14.58 AE 4.27 HB 11.8 HT 36.4 AT 426PPT 18.4/14.9 supurasi. Tidak didapatkan sel ganas
Fadlani Aji Tumor Regio Scapula APTT 26.7/28.7 INR 1.41 ALB 3.68 SGOT 15 SGPT 27 BUN Post Insisi Abses, Kultur
1 1822735 Zulma L 20 thn 10/10/2017 CW1/108 Sinistra Biopsi (12/10/2017) dr.WJ
7 CR 1.22 HBsAg NR NA 135 K 3.96 CL 100
Retroperitonial G1TxNxM1 193Neu 64,7 (15/10) AL 14,75 Hb 10,5 Hct 30,6 AT 205 ke antero medial DD teratoma DD liposarcoma 5/10 USG ABD : massa di perbaikan KU. pro DJ stent
2 1790099 Poniyat P 47 thn 10/2/2017 CDN 3/7 (urologi) dr.WJ
27 CR 4.09 NA 143 K 1.89 CL 106 10/10 AL
(15/10) AL 8,71 Hb 10,4 Hct 31,7 AT 267 Neu 61,89,52 AE 3,54 abdomen : massa solid di posteromedial yang mendorong ren dextra
9/10 PEDIS AP/L : tak tampak fraktur maupun dislokasi pedis, senile ke 16/6 PA : Squamous cell carsinoma well
HB 10 HCT
(12/10) 30 ATAE
AL 8.57 387 PPTHT14/15,4
3.09 26.9 ATAPTT 28,3/30,1
1,02 8/10
3.12 HB 8.9ALHT
11.28
28.5AEAT2.4
337HB 6.815.3/13.9
PPT HCT 21 AT 394 6/10
SCC et Regio Pedis Dextra BUN 72 CR 9,19 NA 142 K 3,65 CL 109 CA 1,84 4/10 AL
6 1823554 Slamet Riyadi L 73 thn 10/6/2017 CDN 1/3 TxN2M0 32.0/30.6 INR 1.13 SGOT 15 SGPT 9 BUN 22 CR 1.58 GDS ABD: tak tampak kelainan abdomen 12/9 THORAX PA : tak tampak kelainan Dektsra Lisfranc + Diseksi dr. HJ
13,47
122 AE 1,41
HBsAg NonHBReaktf
4,0 HCTNA13,1
142 AT 472 CL
K 4.01 3/10 AL9/10
108 13,35 AE Inguinal (12/10/2017)
1,40
HBsAgHBnon
4,0reaktf
HCT 13,0
NA AT
142470 PPT CL
K 4,41 13,4/15,4 INR
105 7/10 AL0,97
11,9 AE
APTT 29,2/29,6
3,34 HB 9,8 HCTALB30,53,26 SGOT
AT 357 ALB143,45
SGPT 14 BUN
SGOT 63,8 10
15 SGPT Cr
8,89 GDS
(14/10)
BUN Na84
16,9 CR HBsAg
143 K 4,41
1,52 noCl
GDS reaktf
119104 CaNa2,15
138 (13/10)
K 4,03 ClFT4
10930/8
AL 60,01
TSH 0.06 AE
NA3,76
141 KHb4.08
10 HET
CL 10330,1
MGAT2.20
3 1825760 Dwi Purnomo L 45 thn 10/6/2017 CDN 1/8 SNNT Bilateral 1.23 TSH 0.08 7/10 AL 8,72 AE 5,11 HB 13,7 HCT 42,8 AT USG THYROID : mengarah gambaran struma nodusa thyroid bilateral thyroidektomi dr. HJ
Adjie 291 PPT 16,1/14,6 APTT 37,5/27,9 INR 1,21 ALB 3,83 (13/10/2017)
AL 10,62 AE 5,28 HB 13,8 HCT 43,1 AT 321 PPT 14,8/15
(13/10) AL 13.1 INR
APTT 27,3/28,9 AE 3.43
1,08HBALB8.3 HT SGOT
4,44 27.5 AT
15609
SGPTPPT
19BUN 13/10 USG ABD : Ascites, lesi solid kistk intraperitoneal mengarah massa (21/9) Sitopatologi: sitologi cairan ascites I dan
15.1/13.9 APTT
13,6 CR 1,45 GDS31.5/28.9
143 FT4 GDS
1,35 99
TSH 0,45 NA 143 K 4,53 ovarial malignant dengan kecurigaan infiltrasi ke uterus, mild hidronefrosis cairan kista II: didapatkan sel ganas
Ca Mammae Bilateral CL 101 T3 TOTAL 1,47 T4 TOTAL 8,4 sinistra, rectum dan sigmoid tak tervisualisasi karean tertutup massam, tak Histopatologi: kapsul kista ovarium: kistadenoma
Adeno Cystc Carsinoma 12 BUN 4 CR 0,65 GDS 134 NA 139 K 3,41 CL 102 5/10 suprapalatum durum sinistra yang meluas ke septum nasi dan sinus grade
palatum GIII T2N2M1 post AL 8,23 AE 3,29 HB 9,4 HCT 29,1 AT 396 PPT 17,9/13,9 maxilaris bilateral terutama sinistra terutama mendestruksi palatum durum post hemomaksilektomi +
(16/10) Ca 2,48 (15/10) Ca 1,96 (14/10) Ca 1,78 12/10 colli 10/10bilateral
THORAX dengan tandatampak
PA : tdak malignan
3,66 CA 28/9 AL 19,72 AE 3,93 HB 11,6 HCT 33,9 AT 282
Kemoterapi ke 6
6 1826544 Sugiart P 51 thn 10/10/2017 AYD2/202 T3N0MO post MRM 3.60 CL 105 CA-15-3 18.62 PPT 15.7/13.9 APTT 33.7/ Post MRM (12/10/2017) dr.KS
30.6 INR 1.17
Ganethia Obs tetraparese flacid ec HT 38.3 AT 285 ALB 3.83 SGOT 13 SGPT 19 BUN 2.50 CR Post muscle biopsy
4 1282028 Relianasa P 30 tahun 12/10/2017 AGG2/1 susp muscular dystrophy 0.40 NA 138 K 3.40 CL 104 MG 1.86 CA 2.34 (13/10/2017) dr.TW
dd HNP Cervical
CA 2.15
Widya Trihari Multple tumor mammae AE 4,62 HB 12,7 HCT 37,2 AT 227 PPT 15,5/15,4 APTT PAYUDARA :susp multpel fibroadenoma mamae sinistra, post eksisi biopsi
8 1811742 Astut P 26 thn 10/10/2017 CDN2/6 Sinistra 29,6/30,1 SGOT 12 SGPT 14 BUN 6 CR 0,78 GDS 110 (13/10/2017) dr.TW
5 1228584 Astri Nurani P 32 thn 10/9/2017 AMT1/106 Soft Tissue Tumor regio 30,9/28,9 ALB 4,4 SGOT 9 SGPT 17 BUN 7 CR O,72 GDS Post Eksisi Luas + Diseksi dr. WJ
Femur Sinistra 95 NA 139 K4,43 CL 97 Inguinal (11/10/2017)
Melanoma Maligna 4,03 HB 8,7 HCT 27,6 AT 257 ALB 2,52 6/10 AL 9,47 AE kepal : brai metastase di lobus occipital dextra, pons, dan lobus temporalis melanoma maligna Post debulking tumor
4 1718031 Mutrikah P 29 thn 10/2/2017 CDN 3/7 Multpel T3N1M1 + 3,93 HB 8,4 HCT 28,3 AT 223 ALB 2,68 5/10 AL 8,7 AE sinistra (10/10/2017) dr. HJ
FT4 1,06 TSH 3,053/10 AL 8,01 AE 3,37 HB 6,6 HCT 23,7
12/10
SGPT 6AL
BUN8.64
9,6AECr3.87
0,59HB 9.965
GDS HTHBsAg
29.0 11/10 AL 4.81
Helmi 4.47KHB 11.4
1.00
4,26
ALB 4.49
1004/02/2017
SGOT
AL 7,32 AE 4,28 HB 10,9
3 1822080 Prihatningsih S. P 37 thn 10/10/2017 CDN3/8 curiga jinak HET 32,8 AT 378 PPT16 SGPT 13APTT
13,3/12,8 BUN 22/31,1SGOT
11.6 CR 0.75GDS
13 98 Eksisi Tumor dr.HJ
P. HBsAg
SGPT 15NRBUN
NA 10
138CRK 0,62
4.10 GDS
CL 105
138 K 3,82 CL 103
Carcinoma Mammae 3,46 SGOT 23 SGPT 28 BUN 4 CR 0,47 NA 140 K 2,51 CL kelainan pada organ abdomen 9/10 THORAX PA : tdak tampak kelainan III
1 1777322 Sri astut P 41thn 10/9/2017 CDN3/9 Dextra T4cN2m1 Perbaikan KU dr.HJ
103
RR Antonia Tut Struma Nodosa Non Toksik 28,5/27,9 FT4 1 tsh 0,27 na 145 k 3,99 cl 107 ca 2,29 inr
9 1824324 Caturwat P 51 thn 10/6/2017 CDN 2/3 Sinisra post ismolobektomi 0,95 LB 4,13 SGOT 16 SGPT 19 ALB 4,13 BUN 11,6 CR hemitroidectomy prof. TA
12,8 HCT 37,9 AT 268 GDS 177 FT4 16,1 TSHs 0,078
2 1798392 Edy Kirwanto L 34 thn 10/4/2017 CDN1/10 Ca Mandibula Sinistra GIII reaktf NA 139 K 4,51 CL 99 mandibula sinistra, sinusits maksilaris sinistra, terpasang plat dan screw perbaikan KU + dr. HJ
T4N0M0 dari margo angulus mandibula dextra hingga regio mandibula sinistra radiotherapy
5/10 ALAL21,09
10/10 13,22AEAE3,62
3,63HBHB9,8
10HCT
HCT30,5
30,6ATAT218
654PPT
7/10 AL 4,5,6,USG
parots massa
22,1/13,9
10.91 APTT
AE 3.7 HB38/29,4
10.4 HCTINR 1,76ALB
32.2 2,31
226 PPT BUN 8 CR
17.2/15.4 0,64
APTT mandibula supraklavikula
metastasis sinistra yang meluas kemultple
1 1822200 Suradi L 52 thn 10/6/2017 DHL2/9 Limfadenopat regio Colli GDS 142 NA
36.2/29.6 INR143
1.3KALB
3,672.8
CLSGOT
106 3/10 AL 18,21
70 SGPT AE 16.0
31 BUN 3,37 CR mendestruksi corpus
sinistra dan aksilla mandubla
HB9,2GDS
1.08 HCT108
28,6
NAAT129
221K ALB
4.111,730/9 Al 58 REAKTIF
6/10
HBsAgALNR9,75
NaAE1323,96 HB Cl
K 5.01 10,9
96HCT 32,5 AT2.293
9,20
64.08AE 4,48HB
Iron 12129
TIBC HCTSaturasi
35,8 AT 5276
UIBCPPT 15,5/15
121 APTT
5 1824817 urai najilah P 41 thn 10/2/2017 AYD 2/210 Ca Duktal Mammae Dextra APTT 28,8/ 28,4 ALB 4,53 SGOT 11 SGPT 8 BUN 5,20 CR klasifikasi BIRADS V pro MRM (4/10/2017) dr. WJ
post MRM Dextra H3 0,73 GDS 73 NA 140 K 4,27 CL 103
0,58 GDS 97 NA 151 K 4,24 CL 111
Ca Mammae Dextra Pro Core Biopsi

6 133673 Maryani P 51 thn 10/3/2017 CW1/102 T3N0M1 post core biopsi (4/10/2017) dr. TA
H5
Ca Mammae Bilateral post 31,9/28,9 INR 1,43 susp pleural type pulmonal metastase limfonodi regional, infiltrasi ke jaringan ikat dan
2 1794099 muslimah P 62 thn 10/3/2017 IMC2/4 Mastectomy post STSG perbaikan KU dr.TW
6/10 AL 14,43 AE 4,21 HB 10,5 HCT 32,6 AT 354 CA 1,81 3/10 VERVICAL AP/L : soft tssu mass regio colli anterior sinistra , spasme PR
6/9: FNAB
terpulas -, Her2
tumor mamae sinistra 3/10 AL 6,87 AE 4,74 HB 11,8 HCT 37,2 AT 349 PPT musculus interspinalis cervicalis, THORAX PA : cardiomegali, pulmo tak index proliferasi
ganas, pendapat 20%
FT4 1,25 TSH 1,15 NA 140 K 3,49 CL 103
140 K 4,36 Cl 98
struma nodusa dextra post pro hemitroidektomi

4 1824608 Chrisna anggi P 29 thn 10/3/2017 AMT 1/106 hemitroidectomi H4 (5/10/2017) dr.KS
21/18
5/10 ALBUN/crea
14,31 AE11/0,73
4,49 HBGDS
10,892 HbsAg
HCT (-) Cl
33,3AT 371103 Na AL
3/10 138 22/9 thorax PA : tdak tampak kelainan cm
20/9dengan tumor
K 3,68
tumor mamae sinistra 7,02 AE 4,54 HB 10,8 HCT 34,5 AT 332 PPT 14,9/15,4 granulomatosa,
masih tdak didapatkan
mungkin papiloma sel tumor.
sel
curiga ganas T2N1M0 post APTT 28,4/29,6 SGOT11 SGPT 15 BUN 8,6 Cr 0,92 GDS PA : ekspresi ER, PR Negatf. Her-2 Positf (3+). Ki-
atpi pro eksisi tumor
1 1823915 Ari Dewi P 44 thn 10/2/2017 BGV 4 / 2 (5/10/2017) dr. WJ
eksisi tumor H2 145 HBsAg non reaktf NA 140 K 3,81 CL 104 67 : Positf, +/- 50%. 12/4 PA jar kulit dinding
limfangioinvasi.
ca ductal infiltrat mamae 5/7 AL 5,05 AE 3,83 HB 11,6 HCT 36,5 AT 186 pro MRM dextra
5 1709983 Jumiyem P 55 thn 10/3/2017 CDN 2/10 dextra T2N1M0 post MRM (5/10/2017) dr.HJ
dextra H2
CR 0,47
2/10 AL GDS
16,66154
AE NA 137
4,54 HBK14,4
4,44HCT
CL 102
41 AT 242 1/10 GDS R22/9 Ro thorak Pulmo tak tampak kelainan, besar cor normal USG didapatkan sel ganas,pleomorfik
22/9 AJH : adenoma pendapat : metastasis
parots sinistra post deseksi 14.4/1.05 INR 1.05 APTT 33.4/30.2 Alb 4.42 SGOT 34 adenoma, limfadenopathy regio colli sinistra Post total parotdectomy +
2 1824615 Nurpan Parid L 49 thn 9/27/2017 BGV4/10 diseksi colli (2/10/2017) dr. WJ
axila H2 SGPT 62 BUN 10 Cr 1.07 GDS 211 HBsAg NR Na 136 K
3.94 Cl 99 Ca 2.09
Malignant solitary fibrous 14.4/14.8 INR 1.05 APTT 30.7/29 27/9 Al 5.9 AE 4.63 Hb musculus interspinalis cervical, spondilosis cervicalis, penyempitan DIV VC solitary fibrous tumour dd MPNST, malignant
tumor Regio colli dextra 13.5 AT 225 Alb 4.15 SGOT 15 SGPT 13 BUN 11.8 Cr 0.82 5-6 USG thyroid Multple lesi hipodens di thyroid dextra sesuai klasifikasi fibrous histocytoma/ undiffeentated Post debulking tumor
2 1743192 Sutyem P 52 th 9/26/2017 CDN2/10 ( 2/10/ 2017) dr.KS
metastase 3/8 USG Abdomen Tak tampak kelainan Ro thorak pulmo
3/10 AL 5,97 AE 4,56 HB 13,8 HCT 40,3 AT 281 SGOT 32 2/10 bone survey : tak tampak kelainan skletal metastase, USG Abdomen : tak
SGPT 42 BUN 9,6 CR 0,6 GDS 113 HBsAg Non reaktf tampak
tdak kelainan,
tampak besar, cor
kelainan normal
ca mamae dextra T3N0M1 Pro Core Biopsi
6 133673 Maryani P 51 thn 10/3/2017 CW1/102 post core biopsi H1 (4/10/2017) dr. TA
SGPT 6 BN
30/9 Al 6.9AE
29.26 Cr 4.08
0.64 Hb
GDS11.7
248Hmt
HBsAg NR336
35 AT Free27/9
T4 0.41
Al 17/5 Ro thorak Pulmo tak tampak kelainan, tak tampak pulmonal 8/6 Konsultasi Blok parafin : jaringan mamae
Malignant phyloides dextra 2.29
TSH 2.76 Na 141
AE 3.86 K 3.72
HB 10.9 CL 33.2
Hmt 101 Ca
AT 2.34 10/8 Al
314 SGOT 3113.14
SGPT AE
49 metastasis 30/3 Bone survey tak tampak gambaran metastasis USG dextra malignant phylodes tumor
et sinistra post mastektomi 4.25 Hb 12.4 Hmt 37.8 AT 359
BUN 7 Cr 0.54 AS urat 1.9 GDS 98PPT 15.5/13.5 INR 1.15 abdomen : Fatty liver USG payudara tak tampak residua mass pada mmae Post kemoterapi ke VI
1 1806295 Sukirah P 64 thn 9/27/2017 CDN2/8 simple post kemoterapi VI APTT 31.3/28.6 SGOT 13 SGPT 10 ( 2/10/2017 ) dr TW
dextra
H2
26.3/30.8
30/1 Prot27/9
Ca 2,04 totalAl6.4 Alb AE
12.78 3.45 SGOT
4.61 Hb 1280 SGPT36.3
BUN25/9
Cr8.49
0.67AEGDS 127Hb
4.83 HBsAg NR Na
12.2 Hmt 135ATK 329
38.3 3.77PPT
Cl
Fatchur
3 1824338 Rochmah P 48 th 9/25/2017 CW1/102 tumor Post Eksisi tumor H 102
15.5/13.7 INR 1.14 APTT 31,4/28.2 Alb 3.95 SGOT 18 post Eksisi tumor (27/9) dr. WJ
6 SGPT 20 BUN 8.4 Cr 0.82 GDS 128 HBsAg NR Free T4
1.37 TSH 0.78 Na 141 K 4.1 Cl 102 Ca 2.21
4 1799386 Mariyam P 60 thn 9/27/2017 BGV4/11 mammae sinistra TxN1M0 1.17 APTT 32.1/30.2 Alb 4.14 SGOT 39 SGPT 42 BUN 12 carcinoma os NST grade III Post diseksi aksila S dr WJ
Post MRM post Diseksi Cr 0.62 HBsAg NR Na 143 K 3.88 Cl 107 20/9 Al 6.97 AE (29/9/2017)
0.57 GDS 104 Na 144 K 4.02 Cl 106
6 1763449 Muskhinah P 64 thn 9/27/2017 CDN2/2 mastektomy post APTT 28.2/30.2 Alb 4.7 SGOT 21 SGPT 24 BUN 9 Cr 0.56 sinistra 28/9/2016 bone survey utak tampak gambaran skeletal metastasis, Ki 67 <1% Post completon dr. HJ
mastektomy (29/9)
Completon Mastektomy GDS 110 HBsAg NR Na 142 Cl 104 K 3.48 7/6 Al 4.43 Ae spondilosis lumbalis
Cr 0.61
28/9 Al GDS
14.63124
AE 4.36 Hb 10.9 AT 403 26/9 Al 6.59 AE 14/8 MSCT Ext bawah kontras : Menyongkong gambaran liposarcoma di 1/4 PA Kruris sinistra : Keganasan mesenimal
102 HBsAg NR Cl 104 Na 140 K 3.6
141 K 3.56 Cl 99 FIO2 30 pH 7.5 pCO2 50 pO2 686.6
30/9 Ca 2.03
35.4/31.2 19.12
3.9AE 5.2719
SGOT HBSGPT
14 Hmt 42.3 9.5
Cr 0.76 138 K804.06 Cl 105
HBsAg NR 26/9 Free
Na 149 T4 1.83
K 3.65 TSH18/8
0.8
28/9T4AlTotal
16.283.99/8
AE 3.8AlHb
7.75 AEHmt
10.2 5.5131.2
Hb 14.3 Hmt26/9
352 SGOT
4.37 AE 4.177 SGPT 22 BUN
Hb 11.5 Hmt 635.3
CR 0.71 GDS
AT 203 PPT152 Free T3 INR
14.4/14.2
Ca Lobuler mammae @35
1.05 Free
APTT T4 1.08 TSH
29.6/29.5 1.56
ALB 4.09 SGOT 21 SGPT 30 BUN 10
27 BUN 12 Cr 0.93 GDS 83
BUN/crea 11/1,45
30/8 AL 10,68 GDSHb
AE 5,54 12015,5
Cl 104
HCTCa 2,38
45,5 ATNa 138
239 K 4,39
2 1818275 Sugiya L 48 th 8/28/2017 CDN 2/3 Chondrosarcoma Digit II APTT 35,9 (32,2) INR 1,12 Alb 4,62 OT/PT 21/28 normal. kuat. Kes : Chondrosarcoma Post Wide Eksisi, Flap dan dr WJ
Manus Dextra BUN/crea 13/1,24 GDS 128 Cl 104 Na 140 K 4,02 Rekonstruksi (30/8)
Ca Mammae Dextra Post APTT 30,7 (28,5) INR 1,03 Alb 4,66 OT/PT 33/24 normal
3 1787439 Sudarmi P 38 th 8/29/2017 CDN 1/10 Kemoterapi Pro Mastectomy (31/8) dr HJ

Sensus Onkologi 31 Oktober Rev

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Sensus Onkologi 31 Oktober Rev

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No CM Nama L/P Umur Masuk RS Bangsal Diagnosis

Limfadenopat regio Colli

STT Punggung (S) curiga

2 985938 Sumarlan L 40 thn 12/10/2017 CDN2/9 SNNT Follicular

Sarcoma regio femur

Squamous cell Carcinoma

Agnes Ca Mamae T4N1M1 IHC+

Ca ductal invasif mammae

Limfadenopat regio Colli

Struma Nodusa Colateral

Anisah Rhabdomyosarcoma Femur

Struma Nodusa dengan

efusi pleura (D) post

Fadlani Aji Tumor Regio Scapula

Carcinoma Duktal Invasif

Adeno Cystc Carsinoma

Ca Papiler Tiroid T3N1M0

Obs tetraparese flacid ec

3 1816006 Sunart P 57 thn 11/10/2017 BGV4/5 Ca Ductal Mammae Sinistra

Widya Trihari Multple tumor mammae

Soft Tissue Tumor regio

Tumor Parots Sinistra

Multple limfonodi regio

Kafiyatul Ca Mammae ER - PR - HER

Helmi Tumor Mammae Dekstra

Struma Nodosa Non Toksik

Ca Mandibula Sinistra GIII

4 1488056 Mursinah P 46 thn 10/4/2017 AYD2/208 Ca Mammae Dextra

Ca Duktal Mammae Dextra

Tumor Mammae Bilateral

Ca Mammae Bilateral post

tumor mamae sinistra

struma nodusa dextra post

Ca Mammae Residif, Post

tumor mamae sinistra

ca ductal infiltrat mamae

Malignant solitary fibrous

ca mamae dextra T3N0M1

1 1819769 Sukemi P 64 thn 9/27/2017 CDN2/10 SNNT curiga ganas

Malignant phyloides dextra

Ca Mamae T4bN1Mx Pro

Carcinoma ductal invasive

SNNT bilateral curiga ganas

Ca Duktal mammae sinistra

Ca Mammae Dextra Post

Anggrek / Bougenville / Kartika / Melati

(7/9) FNAB: sitologi AJH dengan panduan USG r

post insisi biopsi dr. HJ

5/9 AJH : Hisotologi AJH dan cell block regio

(7/6) AJH FEMUR DEXTRA : didapatkan sel ganas,

(5/6) pemeriksaan histopatologi jaringan besar :

(13/10) Imunohistokimia: sesuai untuk

(26/8) AJH : Karsinoma Skuamosa Karnifikans

(31/1) Histopatologi: jaringan payudara post

2/10 AJH REGIO MAMAE SINISTRA : didapatkan

Post core biopsi mammae dr. TW 1.01 12.00

(7/9) FNAB: sitologi AJH dengan panduan USG r

Post near total

(19/6/2016) Histopatologi: biopsi kulit secra

(6/9) AJH scapula: radang granulomatosa dengan

21/8 AJH MAMAE SINISTRA : karsinoma duktal

4/1 PA jaringan sedang : jaringan tumor

(9/10) FNAB : troid (D): bethesda system class 2:

(21/9) Sitopatologi: sitologi cairan ascites I dan