| Physical Exam |
11/15/XX
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58 year old female with right upper quadrant and right flank pain. PE – mild RUQ tenderness.
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| X-Ray/Scans |
11/18/XX
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CT Abd/pelvis: tiny nodular density L pulmonary base 6mm which is nonspecific. Moderate ascites. R kidney mass – small benign cyst. Large pelvic mass. |
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| Laboratory Studies |
11/20/XX |
CA 125: 62H |
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| Operative Findings |
11/24/XX
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Uterus and cervix absent. R ovarian mass. Metastatic disease to peritoneum in pelvis. |
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| Pathological Reports |
11/24/XX |
R and L ovary – pd adenoca. L fallopian tube – serosal implants of pd adenoca. Omentum positive for adenoca. 11 negative R and L pelvic nodes. One negative R aortic node. Appendix negative.
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| Treatment |
11/24/XX |
Surgery: Tumor debulking and BSO, radical omentectomy. Bilateral pelvic lymphadenectomy. R aortic LN sampling. |
| 01/21/XX |
Chemotherapy: Started Taxol/carboplatin. |
