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Case #1

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Expand Physical Exam

11/15/XX

58-year-old female with right upper quadrant and right flank pain. PE – mild RUQ tenderness.

Expand X-Rays & Scans

11/18/XX

CT Abd/pelvis: tiny nodular density L pulmonary base 6mm which is nonspecific. Moderate ascites. R kidney mass – small benign cyst. Large pelvic mass.

Expand Laboratory

11/20/XX

CA 125: 62H

Expand Operative Findings

11/24/XX

Uterus and cervix absent. R ovarian mass. Metastatic disease to peritoneum in pelvis.

Expand 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.

Expand 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.