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Case #4

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Expand Physical Exam

04/04/XX

48-year-old female with pelvic pain and abdominal distention/shortness of breath worsening over several days. She has a history of liver problems and reports weight gain.

Expand X-Rays & Scans

04/15/XX

CT Chest/Abd/pelvis: small to moderate R pleural effusion w/RLL segment atelectasis. Mild to moderate ascites. Pericardial effusion. 22 x 10 cm fluid filled mass/cyst anterolateral aspect of liver. L adnexal mass suspicious for ovarian carcinoma.

Expand Laboratory

04/XX/XX

CA 125 = elevated, no value given.

Expand Operative Findings

08/12/XX

Minimal disease in abdomen. Uterus slightly enlarged. Ovaries bilaterally abnormal c/w cancer. No gross significant ascites noted.

Expand Pathological Reports

05/01/XX

Pleural fluid: adenoca.

08/12/XX

Omentum: metastatic adenoca. Both ovaries/L tube: adenoca. R tube: negative. Umbilical region: hernia sac w/mets. Uterus: negative.

Expand Treatment

06/01/XX

Chemotherapy: neoadjuvant Carbo/Taxol.

08/12/XX

Surgery:Tumor debulking; omentectomy; supracervical hysterectomy; BSO; repair of umbilical hernia.