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  G S ADIUM I SKOR

FIGO 5

CHEMORESIS AN

DR. BIMA ANANTA

GYNECOLOGY ONCOLOGY RESIDENT

Parade kasus III

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IDENTIFIKASI

  Nama : Ny. P

  Med.Rec : 861537

  Umur : 34 tahun

Pendd!an : "MA

  Pe!er#aan : IRT

  A$amat : BAN%UA"IN

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Riwayat Pernikahan

• 1x, Lama Tahun

Riwayat !ersa"inan

P# $%

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Riwayat Penyakit Dahu"u• R& 'uretase ()"a *idatid)sa

Riwayat S)sek dan Gi+i

• R& s)sek sedan-• R& -i+i sedan-

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'e"uhan utama

')ntr)" *asi" CT S.an $/d)men

Riwayat Per0a"anan PenyakitPada /u"an $-ustus #%1 )s men-aku hami" kemudianmemeriksakan diri ke d)kter namun dikatakan hami" an--urdan diren.anakan untuk di"akukan kuretase2 Sete"ahkuretase )s men--unakan '3 suntik se"ama 1 /u"an2 Pada

/u"an kedua )s men-e"uh ke"uar darah dari kema"uan/anyaknya #45x -anti !em/a"ut kemudian di"akukankuretase kedua ka"inya2 Sete"ah kuretase dida!atkan hasi"hasi" P$ 6##7&P$&C*&18 den-an kesan .h)ri).ar.in)ma

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PEMERIKSAAN FISIK

STATUS PRESENT

&eadaan Umum

&e'adaran : !(m)(' ment'

T)e *adan : a'then!u'

Berat *adan : 56 !+

Tn++ *adan : 155 cm

Te! darah : 1,-8- mm/+

 Nad : 88 0ment

 Pernaa'an : ,- 0ment

 "uhu : ae*r'

&eadaan &hu'u'

&e)a$a

2eher d$m *ata'

Th(ra0 n(rma$

A*d(men : "tatu' +ne!($(+

!'tremta' :

dema )ret*a$

Re$e!' )at($(+'

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PEMERIKSAAN GINEKOLOGI

Pemer!'aan $uar :

A*d(men datar $ema' 'metr' UT ta! tera*a

NT T9B

In')e!u$( :

P(rt( ta! $de ;U tertutu) $u(r $u!'u'

2P

<T :P(rt( !enya$ ;U tertutu) 9UT n(rma$ AP

!anan!r $ema'. 9D ta! men(n#($

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UMUR : 0

ANTECEDENT PREGNANCY : 0INTERVAL MONTH : 0

PRETREATMENT SERUM : 2

LARGEST TUMOR SIZE : 0

SIZE OF METASTASE : 0

PREVIOUS FAILED : 0

TOTAL : 2

SKOR FIGO3.12.2014

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LABORATORIUM03.12.2014

/* : 8.3

r : 313

2eu : 7,--

Tr(m* : ,75.---

D9 : -3-6=,,6

">;T : 17

">PT : 17

A$*umn : 4.,

Ureum : ,.7

9reatnn : -.8-

$e!tr($t :

9a : =.5

M+ : 3-

Na : 13=

& : 5.-

T3 -.6=

T4 4.3,

B/9> : 185334.--

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USG KONFIRMASI NS!5.12.2014

4 Uteru' A u! ,6 0 ,8 0 ,64 ;arum !r u! 55 0 ,64 ;arum !anan u! 3 0 17

4 Tam)a! +am*aran h)(ech(c u! ,6 0 ,8 dan +am*aranh)erech(c u! ,6 0 1, cm yan+ *era'a$ dar uteru'

!emun+!nan 'uatu tum(r tr((*$a' +e'ta'(na$

&e'an : Tum(r Tr((*$a' >e'ta'(na$

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DIAGNOSIS KER"A

  G S ADIUM I SKOR FIGO 2

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PENATALAKSANAAN

2a)(r Dr. /. Patyu' A+u'tan'yah ");>&

"aran &em(tera) MR

A'am ($at 101 ta*<tamn A 101 ta*

A'. Meenamat 30 5-- m+

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RI9$Y$T T*ER$PY

3.1,.,-14 ha'$ B/9> 185.334 !em(tera) MR 'er I

,.1.,-15 ha'$ B/9> 48.764 !em(tera) MR 'er II

3.,.,-15 ha'$ B/9> ,18.3,= !em(tera) MR 'er III16.3.,-15 ha'$ B/9> 3=4.3-1 't() !em(tera) MR 'er I<

,,.4.,-15 ha'$ B/9> 616.-85

 D TT> "tadum I "&;R I>; 5

!em(tera) MR 'er I

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,,.-5.,-15 /a'$ B/9> =1.47= !em(tera) MR 'er II

-3.-7.,-15 /a'$ B/9> 87,.67!em(tera) MR 'er III

3-.-7.,-15 /a'$ B/9> 7-,48 !em(tera) MR 'er I<

,8.-8.,-15 /a'$ B/9> =53,8 !em(tera) MR 'er <3-.-=.,-15 /a'$ B/9> 66=7= !em(tera) MR 'er <I

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C*$RT 3*CG

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1%%

#%%

5%%

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:%%

;%%

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Ba+amana tata$a!'ana 'e$an#utnya

)ada )a'en n?