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Oncology Patient Records Summary

1. This document contains patient information from 3 oncology wards, including 17 patients' names, dates of birth, diagnoses, treatment plans and relevant medical details. 2. The patients have various cancer diagnoses such as breast cancer, lymphoma, bone sarcoma, thyroid cancer and others. Their treatment plans include chemotherapy, surgery, radiotherapy and post-operative care. 3. Accompanying medical details provide information on patients' hemoglobin levels, blood counts, liver and kidney function tests to monitor their health status and progress.

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Adi Riyadli
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0% found this document useful (0 votes)
56 views2 pages

Oncology Patient Records Summary

1. This document contains patient information from 3 oncology wards, including 17 patients' names, dates of birth, diagnoses, treatment plans and relevant medical details. 2. The patients have various cancer diagnoses such as breast cancer, lymphoma, bone sarcoma, thyroid cancer and others. Their treatment plans include chemotherapy, surgery, radiotherapy and post-operative care. 3. Accompanying medical details provide information on patients' hemoglobin levels, blood counts, liver and kidney function tests to monitor their health status and progress.

Uploaded by

Adi Riyadli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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17 NOVEMBER2014

BGSL

KM

MWR
1

3A
6A
6B

MWR
2

Ny.Sri Lestari
1/5/1964
Nn. Yuri
11/4/1997
Ny.Amini
30/12/1971

CID/AHS/MAP/DNA/KAP/WOS/IND/IRS/ANH/SCP*

No RM

MRS

DIAGNOSA

50

012280
00

11/12
16/11

17
42

011918
97
012770
89
012708
39
012596
48

6E

Ny.Parwini

40

6L

Ny.Minartie
08/03/1971

43

7J

Ny.Tuminem
01/12/1963

48

011377
60

1B

Ny.Sri
Handayani

4C

10/11
12/11
13/11

PLAN

PJM

Tumor mamae (S) T2N0Mx


Pansitopenia

Tunggu hasil,Ro
Thorak, USG Abdomen

BPJS

Hodgkin Lymphoma + Anemia

Transfusi PRC I bag

BPJS

Perawatan post op

BPJS

Pre op

MRM

BPJS

Pre op

MRM/Radical
mastectomy

BPJS

(14/11) Hb 10,7 AL 4,5 AT 408 PT/APTT 12/28

Tumor R.Plantar pedis (S).Melanoma


maligna
Ca epitel ductal mamae (D) T4bN1M0
Anemia
Ca ductal mamae (S) T4cN2bM0 post
neoadjuvant

STS

Post op

Tgl OP

13/11

PEMERIKSAAN PENUNJANG

LAIN2

FNAB : Curiga ca infiltrate


(13/11) Hb 11,7 AL 2,3 AT 19 Ur/Cr 47/0,7 OT/PT
32/47 Alb 4,2

Ca ductal invasive mamae (D) TxN0M0


post MRM + Limfadenopati

Pro Eksisi

BPJS

10/11 HB 12 AL 7,5 AT 214 SGOT/PT 32/27 UR/CR


18/0,9
ER (-) PR (-) PA 23/6/12 Well differentiated
infiltrating ductal carcinoma

40

007634
97

3/11

Phyloides tumor mamae residif post


eksisi, post radioterapi 15x + anemia

Kemo Haloxan
5000,mesna 5000,
doxo 60 mg, MSCT
Thorak kontras dari
BTKV

BPJS

15/10 Hb 8,1 AL 17,7 AT 699 GDS 111 OT/PT


31/14
UR/CR 30/0,6
4/11 Hb 12,1 AL 21,7 AT 533

Ny. Painem
01/07/1953

61

012768
22

30/10

Tumor R.Tibia proksimal (S)+ R.Frontal


T2N1M0 susp malignancy

Biopsi eksisi,FNAB
R.Colli

BPJS

3/11 HB 11,7 AL 9,5 AT 267


31/10 Hb 6,4 al 9,9 at 382, 11/11/14 FNAB
Sarcoma

4E

Ny. Wakiyem
31/12/1968

45

012708
29

15/11

Malignant Fibrohistiocytoma Reg. Femur


(D)

BPJS

(15/11) Hb 11,1 AL 13,2 AT 429 PT/APTT 12/22


GDS 103 Ur/Cr 20/0,7 HbsAg (-)

4F

Ny. Rumi
Aryati
26/4/1973

41

012400
21

11/11

Ca mamae infiltrative (S) T4bN1M1,


anemia

BPJS

(16/11) Hb 10,6 AL 12,5 AT 116

4H

Ny. Sriwati
1/7/1957

57

012776
07

13/11

Tumor Mammae (S) T4bN2M0

BPJS

(13/11) Hb 13,2 AL 8,0 AT 421 GDS 101 OT/PT


25/32 Ur/Cr 41/0,3
PA : AJH Mammae sinistra. Ca ductal

5C

Tn.Eko S
30/4/1973

41

012749
79

11/14

Malignancy mesenchymal
tumor/Rhabdomyosarcoma R.Antebrachii
(S)
Anemia

Amputasi above elbow

BPJS

8/11 PA : Malignant mesenchymal


mengarah Rhabdomyosarcoma
11/11 HB 9,1 AL 10,6 AT 469 UR 19 CR 0,6

65

012618
30

Lipomatosis Gluteus maximus + BPH

Menolak Op

BPJS

(15/11) Hb 13 AL 6,8 AT 275 PT/APTT 11/25 Elk


142/4,7 Ca 0,8

Rahman
28/01/1949

Kemo

Peo Radiotherapy
tunggu hasil USG
Abdomen & Ro Thorax
Transfusi PRC,
Kemoterapi jika HB>
10
Pro Ro cervical,
vert.Thoracal,
Lumbosacral
Pre op

BTKV

tumor

6B

M.Dwiyanto
5/1/1981

33

012765
11

12/11

Struma, Vulnus apertum R.Palmar manus


(S)

USG Coli, bila diffuse,


alih rawat IPD

BPJS

7/11 FT3 12,75 FT4 85,93 TSH 0,05 HB 13,5 AL 9,4


AT 155 SGOT/PT 61/128 ALB 3,6 UR/CR 36/0,6 ELK
134/4,1/104

1B

Tn. Ruly S
28/12/1956

57

012349
39

11/11

Malignant Fibrohistiocytoma gr.II Reg.


Femur (D)

Kemotherapy

BPJS

(14/11) Hb 12,7 AL 6,0 AT 162 Goldar B GDS 201


OT/PT 17/9 Alb 3,5 Elk 136/4,5/106

1C

Ny. Jumairah
01/06/1943

71

012767
85

13/11

Ca Mammae (S) T4aN1M0

Kemotheraoy

17

(15/11) Hb 11 AL 11,7 AT 453 Goldar O GDS 103


OT/PT 18/14

1D

Ny.Rumiatun

49

012734
54

6/11

Tumor mamae (S) T4bN0M0 susup


malignancy

Perawatan post op

BPJS

2B

Ny. Kasih
01/12/1955

58

Kemoterapi brexel 100


mg doxo 60 mg,
radioterapi

BPJS

012779
27

5/11
(pindah
dari
Mwr1)

Tumor mamae (D) T4bN0M1(paru) +


paraparese inferior ec MBD

Post op

14/11

IPD

(15/11) Hb 9,2 AL 8,9 AT 501 Goldar O Elk


136/3,0/103 Ur/Cr 13/0,5 OT/PT 12/9
(12/11) Hb 12,2 AL 7,2 AT 303 OT/PT 12/8 PT/APTT
15/26 Ur/Cr 26/0,4 Elk 137/3,5/106
12/11 HB 6,4 AL 8,3 AT 542
13/11 HB 8,4 AL 7,7 AT 440

13/14

5F

MWR
3

NAMA / Tgl lahir

PETA ONKOLOGI
USI
A

4/10 Hb 14,7 AL 8,3 AT 205 PT/APTT 12,5/27


10/11 HB 13,6 AL 6,4 AT 230 GDS 130 OT/PT
40/20 UR 21 CR 0,6 AJH 10/11 Carcinoma
infiltrate mamae metastase ke limfonodi axila
5/11 Hb 12,al 15,1 at 273,gda 222, ot 14,pt 12 ur
66 cr 0,4

Plasti
k

3A

Ny. Samini
01/7/1959

54

012738
50

4A

Ny. Sukir
01/07/1948

61

01

15/11

Ca ductal mammae (S) Gr. II TxNxM0

Kemo

6C

Tn.Suyono
15/12/1948

68

012741
53

10/12

SNNT (D)

Post op

9C
11C
MLT3

Agg1

Nn.Darlin
13/12/1994
Ny. Salimah
01/04/1962

18
55

012757
00
012504
24

Post subtotal thyroidectomy e.c SNNT

13/11
8/11

Perawatan post Op

BPJS

(14/11) Hb 9,7 AL 8,7 AT 142 Elk 134/3,6 Ca 1,05

Kemotherapy

BPJS

(21/9) PA - Mammae (S) : Ca ductal grade II

Subtotal tiroidektomi

BPJS

(14/11) Elk 136/4,7/107


(10/10) Hb 13,5 AL 8,4 AT 217 GDS 88 FT4 16,25
TSH 0,82
AJH Struma koloides

Pre op

Debridement + biopsi

BPJS

(13/11) HB 13,5 AL 4,7 AT 241

Kemo

Pro kemo ke 6

BPJS

Tumor R.Palatum Susp malignancy

Pre op

Pro eksisi GA

BPJS

Carcinoma ductal invasive mamma (D)


T4cN2M1 (costae + vertebra)
Susp Ca cervix

Post
biopsi

8/11

Perbaikan KU

BPJS

(13/11) Hb 10,3 AL 7,2 AT 530

Post op

14/11

Perawatan post op

BPJS

(13/11) Hb 12,6 AL 6,1 AT 294 PT/APTT 11,4/25


Alb 4,4 OT/PT 17/10 Ur/Cr 25/0,4 Elk 137/3,3 Ca
1,26

Perbaikan KU

BPJS

(10/11) HB 11,1 AL 7,1 AT 156 GDS 76 SGOT/PT


19/12 ALB 3 UR/CR 16/0,4 ELK 131/3,9/101

Mastitis bilateral
Ca ductal infiltrate mamae (D) Tx N3x N1

5B

Ny.Sukiyem
31/12/1950

63

011526
91

14/11

5C

Ny.Ani Suharni
6/4/1969

45

012768
41

6/11

14C

Ny. Maria K
2/12/1980

33

012532
13

11/12

Ca infiltrative mamae (S) T3N0M0

7C

Ny.Marsini
22/6/1974

40

012704
05

11/11

Ca ductal invasive mamae (S) gr III Post


kemoterapi ke I, Effusi pleura (S) ec
metastase carcinoma di paru

kemo

14/11

(16/11) Hb 9,5 AL 13,7 AT 297 GDS 127 Ur/Cr


52/0,6 Elk 132/2,8/96
(30/10) HB 12 AL 6,1 AT 242 SGOT/PT 29/16 ALB
4,4 CR 0,8
UR 36 PA : Basal sel carcinoma tipe solid

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