BAGIAN BEDAH ONKOLOGIFAKULTAS KEDOKTERAN UNIVERSITAS GADJAH MADA
RSUP DR. SARDJITO YOGYAKARTA
LAPORAN KEGIATAN RESIDEN BEDAH UMUM
STASE BEDAH ONKOLOGI
Nama : dr. Kelik WagiyantoProgram : Bedah UmumStase : Bedah DasarPeriode : 9 September s/d 3 November 2013
NO RM NAMA L/P UMUR TGL MASUK RUANG DIAGNOSIS TINDAKAN KETERANGAN
1 1429728 Firman Watora L 40 *4/9/2013 C2/1 Soft tissue tumor a/r cruris D pro eksisi luas Merawat
2 1593371 Iin Sri Rahayu P 41 *4/9/2013 C2/6 Ca Mammae S Merawat
3 1650527 Clara Karyani P 49 *7/9/2013 B2/10 Ca Mammae S, Anemia Kemoterapi Merawat
4 1583485 Hendro Bayu Aji L 40 *6/9/2013 A2/7 Ca Lidah pro Kemoterapi Merawat
5 1587046 Nur Handayani P 32 09/09/13 A3 Tumor Mammae Bilateral pro Eksisi Luas Bilateral Merawat
6 672686 Praptining S P 41 09/09/13 A3 Tumor Mammae Sinistra pro eksisi luas Merawat
7 1597648 Tumirah P 57 09/09/13 D2 Struma Nodusa, Limfoma Lateral Endoscopic Tyroidektomi Merawat
pro Radikal Mastektomi + diseksi Axilla S
8 1625461 M. Mustabiin L 31 09/09/13 E2 Diffuse NHL pro kemoterapi V Merawat
9 1631022 Suryani P 38 10/09/13 IGD Ca Mammae Bilateral Endoscopic Tyroidektomi Merawat
10 1122921 Warni P 11/09/13 THT/B7 Ca Mammae pro kemoterapi 5 Merawat
11 1650820 Darmi P 11/09/13 B2/10 Ca thyroid Total Thyroidektomi Merawat
12 1638923 Sugiyono L 11/09/13 E2/7 NHL pro Kemoterapi 2 Merawat
13 1654520 Musiyam P 50 21/10/13 B2 Ca Duktal invasive S T4N0M0 Post mastektomi Pro Kemoterapi I Merawat
14 1654032 Safitriyani P 41 21/10/13 B2 Ca duktal residif D post mastektomi Pro mastektomi ulang Merawat
15 1625780 Ponirah P 69 21/10/13 B2 Pro Kemoterapi III Merawat
16 1618757 Tumiyem P 60 21/10/13 B2 NHL Pro Kemoterapi V Merawat
17 1652082 Parjinem P 48 21/10/13 A2 Tumor Mammae S Pro MRM S Merawat
18 1638473 Sriwidowati P 53 21/10/13 A2 Ca mammae S T4bN0M0 Pro MRM S Merawat
19 1656649 Ana Windyawati P 45 21/10/13 A3 Tumor mammae dextra et sinistra Merawat
20 1359110 Sri Istiyani P 42 21/10/13 A3 Tumor mammae dextra et sinistra Pro eksisi luas bilateral Merawat
21 1555396 Risdianto L 20 21/10/13 A3 STT Pro Eksisi luas Merawat
Tumor bulbi S post eksisi luas + eksentrasi bulbi, Limfoma maligna
Pro Eksisi luas + multiple bilateral
22 1627597 Suratiwiningsih P 29 21/10/13 A3 Neoplasia Folikuler Tiroid Pro ismulobectomy Merawat
23 1604362 Wisnu wijaya L 33 29/10/13 E2 Ca sel skuamosa maxila S Pro Kemoterapi V Merawat
25 1656029 Poniyem P 48 29/10/13 A2 Ca Duktal mammae D T4b N1 M0 Pro MRM D Merawat
26 1455058 Ari Supeno L 58 29/10/13 E2 Ca folikulare tiroid sekunder Pro Kemoterapi II Merawat
27 1649411 Dian Amelia P 34 29/10/13 A2 Pro Kemoterapi I Merawat
28 1652439 Tarminah P 57 29/10/13 B2 Ca Mammae S T3bN2Mx post mastektomi Pro Kemoterapi II Merawat
29 1656755 Sumiyati P 41 29/10/13 B2 Pro Kemoterapi I Merawat
30 1636904 Warsini P 56 *3/9/2013 A2/10 Ca Mammae S Merawat
31 1647243 Ngadinah P 49 *4/9/2013 A2/10 Ca Mammae D T4dN3M1 Merawat
32 1631022 Suryani P 38 *10/9/2013 A2/10 Ca Mammae Bilateral Perbaikan KU Merawat
33 1650687 Purwanti P 37 *13/9/2013 A2/10 Ca Mammae Dx Pro Kemoterapi I Merawat
34 1645654 Sri Rahayu P 53 *13/9/2013 A2/10 Metastase Ca anaplastik Pro kemoterapi I Merawat
35 1594975 Rubingah P 48 *12/9/2013 A2/8 Ca Mammae Bilateral, Efusi Pleura Perbaikan KU Merawat
36 1335060 Parni P 54 *18/9/2013 A2/10 Merawat
37 1652661 Ngatinem P 46 *21/9/2013 A2/10 Ca Mammae dx T4dN2mx Kemoterapi I Merawat
38 1641573 Eliza Holbala P 32 *21/9/2013 A2/10 Ca Mammae dextra T4dN2M1 Perbaikan KU Merawat
39 1625780 Ponirah P 69th *25/9/2013 A2/10 Tumor bulbi sinistra, limfoma maligna Pro kemoterapi Merawat
40 1647388 Erna Sukma P 42 *1/10/2013 A2 /10 Ca mammae sn Pro Kemoterapi I Merawat
Ca Duktal infiltratif T4bN3M1 Post simple mastektomi
Ca Mammae lobular infiltratif S T4N0M0 post mastektomi
kemoterapi 3: Doxorubicin 80mg, Cyclofosfamide
800mg, 5FU 800mg (6/9/2013)
kemoterapi 1: Cyclofosfamide 800mg,
Doxorubicin 80mg (6/9/2013)
Ca Mammae dx T4cNoMo, SNH dd/ SH,Hemiparese dx
MRM(24/9), STSG (16-10-13)
41 1652778 Wariyati P 46 *4/10/2013 A2/10 Ca mammae dx T4bN2Mx,anemia Perbaikan KU Merawat
42 1484861 Sorep L 43 *27/9/2013 A2/9 BCC reg nasal ,Condiloma accuminata Merawat
43 1649884 Pandiyem P 44 *19/9/2013 A2/8 Tumor Phyloides dx Simple mastektomi Merawat
45 1242073 Maryati P 45 *19/9/2013 A2/10 Hodgkin lymphoma Pro Kemoterapi I Merawat
46 1593371 Iin Sri Rahayu P 41 *20/9/2013 A2/8 B2+H526 Pro Kemoterapi I Merawat
48 1650285 Sunarti P 35 *23/9/13 A2/8 Struma Nodusa Non Toksik Merawat
49 1620378 Murdiyah P 39 *2/10/2013 A2/8 Fibrous displasia os maxillaris dx Pro Eksisi luas Merawat
50 1299905 Zulianto L 30th *16/9/2013 A2/7 Neurofibroma regio gluteal dextra eksisi luas(3/10) Merawat
51 1637768 Heru Pratopo L 54 *18/9/2013 A2/9 Limfoma maligna Colon pro Kemoterapi 5 Merawat
52 1638473 Sri Widowati P 53 *18/9/2013 A2/10 Ca Mammae sn pro Kemoterapi 5 Merawat
53 1631760 Entik P 60 *3/10/2013 A2/8 Basal Sel karsinoma facial post eksisi Merawat
54 1609718 Suci wahyuningsih P 23 41465.00 A2/10 Ca Rekti Pro Kemoterapi IV Merawat
55 1648389 Rohmat L 37 *3/10/2013 A2/9 Soft Tissue tumor regio Lidah Merawat
56 1655530 Rofingah P 39 16/10/2013 A2/10 Ca Duktal Mammae S T4b N1 M0 + Anemia MRM S (28-10-13) Merawat
57 1637768 Heru Pratopo L 54 17/10/2013 A2 Limfoma Maligna Colon Pro Kemoterapi VI Merawat
58 1605714 Karmini P 50 17/10/2013 A2 Ca Mammae D Post MRM Pro Kemoterapi I Merawat
59 1653325 Akhiyadi L 54 18/10/2013 A2 STT Colli Biopsi (22-10-13) Merawat
60 1652082 Parjinem P 48 21/10/2013 A2/10 Ca Duktal Mammae S T4 N0 M0 MRM S (24-10-13) Merawat
Eksisi luaa, rotation flap, FTSG (4-10-13)
endoscopic thyroidectomy(30/9)
Eksisi ulang s/d oclusi bulbi (18-10-13)
Eksisi luas dg Harmonic Scalpel (14-10-13)
61 1638473 Sriwidowati P 53 21/10/2013 A2/10 Ca mammae S T4bN0M1 MRM S (25-10-13) Merawat
62 1242073 Maryati P 45 23/10/2013 A2/10 Limfoma maligna + CKD St V on HD Kemoterapi II (25-10-13) Merawat
63 26094 Sumbuk P 81 25/10/2013 A2 ca mammae D + Anemia perbaikan KU Merawat
64 1299905 Zulianto L 31 26/10/2013 A2 Giant Neurofibroma + Aemia Perbaikan KU Merawat
65 1652661 Ngatinem P 46 28/10/2013 A2 Ca Mammae D Post mastektomy Pro kemoterapi II Merawat
66 1647388 Erna Sukma P 42 28/10/2013 A2 Ca Duktal S post MRM Pro Kemoterapi I Merawat
1354614 Burhani L 38 27/8/2013 B2/9 NHL pro kemoterapi 4 Merawat
67 1594975 Rubingah P 49 *2/9/2013 B2/10 Ca Mammae D T4cN1Mx et S Merawat
73 1618757 Tumiyem P 60 *24/9/2013 B2/10 NHL kemoterapi IV Merawat
70 1649292 Asih Susilowati P 42 *29/8/2013 B2/10 Cystosarcoma pylloides mammae dx Merawat
71 1651372 Martha Jitmau P 56 *14/9/2013 B2/8 Ca mammae dx cT4dN1Mx, Efusi pleura dextra Perbaikan KU, kemoterapi Merawat
72 1649411 Dian Amelia P 33 *30/9/2013 B2/10 Ca Mammae dextra T4bN3M1 Merawat
73 1641940 Barsinem P 39 *4/10/2013 B2/10 Struma Nodusa Non Toksika Merawat
74 1619611 Sugiarti P 38 *30/9/2013 B2/8 Merawat
75 1403366 Kismorejo L 62 *4/9/2013 B2/7 Amputasi Merawat
76 1650527 Clara Karyani P 49 *7/9/2013 B2/10 Ca Mammae D cT4dN1Mx, Anemia Merawat
77 1403366 Kismorejo L 62 *4/9/2013 B2/7 Amputasi Merawat
pro kemoterapi 1: Cisplatin 70mg, Doxorubicin 50mg
Simple mastectomy (25-9-13)
Simple Mastektomi paliative (10-10-13)
Isthmolobektomi (11-10-13)
Cyste mammae bilateral dd Fiboadenoma mammae
Eksisi luas bilateral (4-10-13)
Soft tissue tumor a/r femur S posterior curiga ganas, DM2NO
Perbaikan KU,pro kemoterapi
Soft tissue tumor a/r femur S posterior curiga ganas, DM2NO
78 1650820 Darmi P 53 *11/9/2013 B2/6 Ca thyroid,HNP, Efusi pleura dextra Pro Total thyroidektomi Merawat
79 1638957 Poniyem p 40 *17/8/2013 B2/12 Ca mammae dx cT4bN1Mx Pro kemoterapi III Merawat
80 1627979 Sumini P 67 *17/8/2013 B2/10 Pro kemoterapi IV Merawat
81 1618628 M.Arif Faturahman L 15 *22/9/2013 B2/3 MNST,tumor retroperitoneal,efusi pleura sn Perbaikan KU Merawat
82 1548743 Jariyah Ny P 44 *1/10/2013 B2 Ca Mammae sinistra Pro Kemoterapi I Merawat
83 1122921 Warni P 38 *3/10/2013 B2/10 Ca Mammae dextra kemoterapi I (6-10-13) Merawat
84 1650960 Muhyono L 55 *3/10/2013 B2/7 Limfadenopati regio colli sn Pro Biopsi Merawat
85 1582737 Sri amah P 46 2/10/2013 B2/10 Ca Mammae Sinistra residif T3N0M0 Merawat
86 1627979 Sumini P 73 10/10/2013 B2/10 Ca Mammae S Post mastektomi Pro Kemoterapi V Merawat
87 1650949 Sudiyem P 46 10/14/2013 B2/8 Ca Mammae D Pro Kemoterapi I Merawat
88 1654294 Suyadi L 60 10/14/2013 B2/6 NHL Biopsi insisi (21-10-13) Merawat
89 1655000 Fauziyah P 37 16/10/2013 B2/8 Struma Hashimoto Nodusa Residif Merawat
90 1647243 Ngadinah P 50 17/10/2013 B2/10 Ca Mammae Dextra T4bN2M1 Kemoterapi III (21-10-13) Merawat
91 1654869 Haryanto L 34 18/10/2013 B2/7 Struma koloides tyroid Bilateral Merawat
Ca mammae bilateral,dx cT4bN2Mx,sn cT4CN3Mx
Radical mastektomi + diseksi axila sinistra (16-
10-13)
Tyroidectomy Near Total (21-10-13)
Sub Total tiroidectomy (22-10-13)
92 1654520 Musiyam P 50 21/10/2013 B2 Ca Duktal invasive S T4N0M0 Post mastektomi Kemoterapi I (22-10-13) Merawat
93 1654032 Safitriyani P 41 21/10/2013 B2 Ca duktal residif D post mastektomi Merawat
94 1625780 Ponirah P 69 21/10/2013 B2 Kemoterapi III (24-10-13) Merawat
95 1618757 Tumiyem P 60 21/10/2013 B2 NHL Kemoterapi V (22-10-13) Merawat
96 1548743 Jariyah P 44 22/10/2013 B2 Kemoterapi II (24-10-13) Merawat
97 1624940 Sumiyati P 45 23/10/2013 B2 Ca Duktal Invasive mammae S post MRM Kemoterapi III (25-10-13) Merawat
98 1499625 Sri Uhrowiyah P 57 23/10/2013 B2 Ca mammae S T4b N1 Mx Kemoterapi I (25-10-13) Merawat
99 1657088 P 40 23/10/2013 IGD Ca mammae dextra + Anemia Perbaikan KU Merawat
100 1645654 Sri Rahayu P 54 25/10/2013 B2/10 NPC Kemoterap III (28-10-13) Merawat
101 1655714 Ovin Setiawati P 16 10/13/2013 D2 Abses Mammae D Merawat
102 1548023 Sri Intan Darini P 45 23/10/2013 C2 Pro Kemoterapi Merawat
103 1652967 M Galih Pratama L 2 24/10/2013 D2 Tumor Gluteal Merawat
104 1625461 M. Mustabiin L 31 09/09/13 E2/8 Diffuse NHL Merawat
Mastektomi ulang (28-10-13)
Tumor bulbi S post eksisi luas + eksentrasi bulbi, Limfoma maligna
Invasive ductal carcinoma mammae S post MRM
Agathonica Ari Setyo
Insisi drainase (13-10-13)
Ca Mammae Bilateral T4b N3 M1 + Efusi pleura bilateral
Pro CT Scan, Pro rewide exicion
kemoterapi V: Doxorubicin 80mg, Cyclofosfamide
700mg, Vincristine 2mg, Prednison 12mg-8mg-0
(10/9/2013)
105 1638923 Sugiyono L *11/9/2013 E2/7 NHL pro Kemoterapi 2 Merawat
106 1650841 Sukinem P 62 *9/9/2013 E2/7 Soft Tissue Tumor colli DD abses colli, Anemia Pro Debridement Merawat
107 1637768 Heru Pratopo L 68th 11/07/2013 E2 Limfoma Maligna kemoterapi III Merawat
108 1354614 Burhani L 39 *17/8/2013 E2 NHL pro Kemoterapi 2 Merawat
109 1455058 Ari Supeno L 58 *20/9/2013 E2 Adeno Ca Pro Kemoterapi Merawat
110 1645646 Sunardi nardi L 57 *20/8/2013 E2 NHL Pro kemoterapi Merawat
111 1638923 Sugiyono L 61 3/20/6387 E2/11 Non Hodgkin Lymphoma kemoterai III Pro kemoterapi ke III Merawat
112 1646637 Suminten P 45 *24/9/2013 E2/6 Tumor mammae sinistra eksisi luas(30/9) Merawat
113 1648865 Riyadi L 41 23/9/13 E2 NPC Pro Kemoterapi Merawat
114 1649854 Sunarso L 58th 9/25/2013 E2 NHL Pro biopsi dgn GA Merawat
115 1647243 Ngadinah P 50 *27/9/2013 E2/5 Ca Mammae dextra cT4dNoM1 kemoterapi I Merawat
116 1624940 Sumiyati P 45 *1/10/2013 E2 Ca mammae sinistra Pro Kemoterapi I Merawat
117 1652437 Tarminah P 57 *4/10/13 E2/6 Ca mammae sn Pro kemoterapi Merawat
118 1593371 Iin Sri Rahayu P 41 10/9/2013 E2 Ca Mammae sinistra post MRM Kemoterapi (10-10-13) Merawat
119 1645854 Sri Rahayu P 54 *4/10/2013 E2/7 Nasopharing Ca Pro Kemoterapi II Merawat
120 1648865 Riyadi L 41 10/10/2013 E2 Nasopharing Carcinoma Pro Kemoterapi III Merawat
121 1645646 Sunardi Nardi L 57 10/11/2013 E2 NHL Pro Kemoterapi III Merawat
122 1620058 Sukarti P 58 10/16/2013 E2 Ca Mammae Pro Kemoterapi 12 Merawat
123 1650258 Hadi Prayitno L 57 22/10/2013 E2/13 Ca sel squamosa lidah Kemoterapi (24-10-13) Merawat
124 1638923 Sugiyono L 61 25/10/2013 E2/10 Limfoma Hodgkin Kemoterapi IV (28-10-13) Merawat
125 1654265 Sri Meiyati P 56 *2/10/2013 A3/4 Tumor mammae Dx curiga ganas Eksisi luas (4-10-13) Merawat
126 1286742 Desi Suprihatin P 27 *2/10/2013 A3/5 Struma nodusa thyroid bilateral Merawat
127 1652509 Muryani P 35 10/2/2013 A3/5 Struma Nodusa non Toksika Merawat
128 1090767 P 28 10/9/2013 A3/4 Mammari aksesori axila D Eksisi luas (11-10-13) Merawat
129 1655232 Fahrila raifatul P 18 10/9/2013 A3/8 Tumor mamae S multiple Eksisi multiple (11-10-13) Merawat
130 1654420 Widada L 46 07/10/2013 A3/9 STT Multiple Eksisi Luas (9-10-13) Merawat
131 1654894 Wasito L 49 07/10/2013 A3/12 SNNT D Ismulobektomi (10-10-13) Merawat
132 1654853 Siti Purnami P 77 07/10/2013 A3/3 Ca Mamae Sinistra Mastektomi (9-10-13) Merawat
134 1654860 Juminten P 52 07/10/2013 A3/3 Ca Mamae Sinistra Merawat
135 1654953 Ngatiyem P 40 07/10/2013 A3/4 Ca Mamae Dextra post mastektomi simple Diseksi axila (11-10-13) Merawat
136 468583 Marsiyam P 63 10/10/2013 A3 Tumor mammae Dextra Eksisi luas + FZ (11-10-13) Merawat
137 1655580 Annisa Nur P 23 10/11/2013 A3 Tumor Mammae S Pro Eksisi luas Merawat
138 1221206 kasmiyati P 52 th 16/07/2013 A3 struma bilateral Merawat
139 1637081 Poniasih P 45 th 15/07/2013 A3 skin lost post MRM post FTSG (17/07/13) Merawat
140 552629 Tuminah P 55 14/10/2013 A3/1 SNNT S Ismulobectomy (16-10-13) Merawat
141 1482348 Siti saodah P 65 14/10/2013 A3/4 Abses submandibula D Insisi drainase (17-10-13) Merawat
Ismulobektomi D + Ismulobektomi S (4-10-13)
Endoskopik tyroidektomi (7-10-13)
Erna nurul wahyuningrum
Radical mastektomi + diseksi axila (9-10-13)
sub total tiroidektomi S, Ismolobektomi D
(18/07/13)
142 1655773 Djumartini P 87 14/10/2013 A3/8 Tumor Coli Merawat
143 1653474 Suliyah P 52 16/10/2013 A3 Ca Duktal infiltratif S T4b N1 M0 MRM S (18-10-13) Merawat
145 1654265 Sri Meiyati P 56 18/10/2013 A3 Ca Duktal infiltratif D T4 N0 M0 Merawat
146 1654228 Tukinah P 40 10/18/2013 A3 Struma koloides Tiroid D Tyroidectomy (22-10-13) Merawat
147 1656649 Ana Windyawati P 45 21/10/2013 A3 Tumor mammae dextra et sinistra Merawat
148 1359110 Sri Istiyani P 42 21/10/2013 A3 Tumor mammae dextra et sinistra Merawat
149 1555396 Risdianto L 20 21/10/2013 A3 Kista retensi buccal Eksisi luas (23-10-13) Merawat
150 1627597 Suratiwiningsih P 29 21/10/2013 A3 Neoplasia Folikuler Tiroid Ismulobectomy (22-10-13) Merawat
151 1656968 Tri Mince P 36 23/10/2013 A3 SNNT Ismulobectomy (25-10-13) Merawat
152 1565630 Ngadi L 74 25/10/2013 A3/11 STT sterno clavicula Eksisi Luas (29-10-13) Merawat
156 1643213 Aripah P 56 28/10/2013 A3 Adeno ca parotis D Pro Radioterapi Merawat
157 1655118 Sri sukilah P 35 28/10/2013 A3 Multiple FAM S Pro Eksisi multiple Merawat
158 928051 Rondiyati P 40 *12/9/2013 A3/2 Tumor Mammae Bilateral Merawat
159 1651736 Becher Yermyn L 38thn 16/09/2013 A3 STT reg nuchae Pro eksisi luas Merawat
160 1650212 Parju L 50thn *16/9/2013 A3 Soft tissue tumor poplitea sinistra Pro eksisi luas Merawat
161 1652112 Tuginah P 51 *23/9/13 A3 Ca tiroid Toral tiroidectomy Merawat
162 1650949 Sudiyem P 46 23/9/13 A3 Tumor mammae dextra Eksisi luas Merawat
Neck diseksion + debulking axila (16-10-13)
Mastectomy dan diseksi axila (21-10-13)
Eksisi luas + multiple bilateral (22-10-13)
Eksisi luas bilateral (23-10-13)
Pro Eksisi Luas Bilateral + frozen section s/d
BCT(13/9/2013
163 1650879 Musyarowah P 53 23/9/13 A3 Tumor mammae sinistra Eksisi luas Merawat
164 1652366 Hadi Wuryoto L 57 *19/9/2013 A3 Tumor leher sn,DM Biopsi tumor Merawat
167 1652329 Erwin Ardiyanto L 19 *20/9/2013 A3/1 Limfadenitis colli Pro eksisi luas Merawat
168 1652521 P 22 *20/9/2013 A3/3 Tumor mammae dx et sn Pro eksisi luas bilateral Merawat
169 1431694 P 41 *20/9/2013 A3/3 Tumor mammae bilateral Pro eksisi luas bilateral Merawat
170 1653601 Saidjah P 73 *30/9/2013 A3 Ca mammae dx Merawat
171 1286742 Desi Suprihatin P 27 *2/10/2013 A3/5 Struma nodusa thyroid bilateral Merawat
Residen
dr.Kunta Setiaji, Sp.BOnk(K) dr. Kelik Wagiyanto
Nurohmah Jati Safitri
Ratnawati dwiningsih
Pro Simple mastektomi dan diseksi axilla
Ismulobektomi D + Ismulobektomi S (4-10-13)
Mengetahui, Kepala Sub-Bagian Bedah
Onkologi