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CANCER
Gynecologic malignancy,
with high mortality
because of advanced
disease by time of
diagnosis. It is the
leading cause of
morbidity of gynecologic
Signs and Symptoms:
Bloating; abdominal
distention or discomfort
Pressure effects on the
bladder and rectum
Constipation
Vaginal bleeding
Signs and Symptoms:
Indigestion and acid
reflux
Shortness of breath
Tiredness
Weight loss
Diagnostic Evaluation
Pelvic Examination to detect
enlargement, nodulity,
immobility of the ovaries.
Pelvic sonography and
computed tomography(CT)scan
not help for early detection
Paracentesis or thoracentesis if
ascites or pleural effusion is
Diagnostic Evaluation
Laporotomy to stage the
disease and determine
effectiveness of treatment.
Increase of CA125 signifies
progression, but not useful as
diagnostic or screening tool.
Diagnostic Evaluation
Laporotomy to stage the
disease and determine
effectiveness of treatment.
Increase of CA125 signifies
progression, but not useful as
diagnostic or screening tool.
Management
Chemotherapy is more
effective if tumor is
optimally debulked;
usually follows surgery
because of frequency of
advanced disease;may
be given IV or
Management
Radiation therapy is not
often valuable
Hormonal therapy with
Tamoxifen(tamofen), an
antiestrogen agent, may
be used
Complication
Direct intra-abdominal or
lymphatic spread.
Patient
s
Name: J. M
Age: 45 years old
Gender: Female
Date of Birth: June 19, 1970
Civil Status: Married
Address: Bangag, Solana, Cagayan
Nationality : Filipino
Dialect Spoken: Iloco, Ibanag
Religion: Roman Catholic
Educational Attainment : Under graduate
in Elementary (Grade One)
Occupation: Vendor
Date of Admission : Feb. 28, 2016
Time of Admission : 2:15pm
Mode of Arrival : via Wheelchair
Chief Complaint: Enlarging
abdomen
Ward: OB
Admitting Diagnosis: Ovarian New
Growth
Final Diagnosis : G4P4(4003) Ovarian
New Growth related to probably
malignant, Cystoadenocarcinoma
ruptured.
Date of Interview : March 06, 2016
Time of Interview : 11:30 am
Attending physician: Dr.M. L
Date of Discharge : March 4, 2016
Time of Discharge : 5:10 pm
Source of Information : Patient, SO, and
Chart
NURSIN
G
PAST HEALTH HISTORY
Patient J.M. was fully immunized, she had
her BCG as evidenced by the BCG scar in
her right deltoid muscle. She didnt
experience any childhood illnesses such
as chicken pox, measles, and mumps but
she experienced symptoms such as
cough, colds, and fever. Her mothers
initial management was by taking OTC
drugs such as neozep and biogesic. She
has no allergic to any food and
medication drugs even when she got
PAST HEALTH HISTORY
Her Ligation was on 1997and she was
diagnosed with ovarian on 2014.
PRESENT HEALTH HISTORY
May 2014, patient J.M.
noticed that her menstrual
cycle stopped and during that
month she experienced
enlarging abdomen, however,
patient J.M. did not
experience any pain on her
enlarging abdomen.
PRESENT HEALTH HISTORY
She refused to have her check up
because of financial constrict. Last
year she decided to have medical
consultation and her physician
advised to schedule operation but
she postponed it. On February 28,
2016 she decided to continue her
operation and undergone test like CT-
scan, MRI, and X-ray.