1. DAFTAR PASIEN ONKOLOGI RDP 24 Sept 2019 (RAJAWALI 1-5A)
NO IDENTITAS MRS KMR DPJP DIAGNOSIS RIWAYAT RENCANA PENUNJANG KETERANGAN
R5A
1. TONO/34 th/
C773511
11/9 1.2 DH High grade sarcoma consistent
with rhabdomyosarcoma
G2T2bN1M0
Insisi biopsi(4/8/19) Transfusi1 kolf PRC
Simulator rabu
(25/9/19)
Ro. Thorax
(tidak tampak infiltrat /nodul)
CT-scan(16/9/19)
Soft tissuemass lobulated
disertai area nekrotik di
dalamnya regio pelvis-upper
femoralis kanan (+ 9x14x15
cm) mendesak vasa femoralis
kanna ke medial, menempel
dgn os ilium dan proximal os
femur kanan. Menempel dan
sulit dipisahkan dgn M.
Gluteus max-med-min, M.
Iliopsoas, M. Tensor fascia
lata, M. Rectus femoris, M.
Sartorius kanan. Meluas ke
cutis-subcutis regio upper
femoralis disertai erosi
minimal pd os Ilium kanan.
Multiplelimfadenopati regio
inginal kanan-kiri (1x1 cm)
dan regio inguinal kanan
2. M
SANWANI/46/
C775159
20/9 6.5 BIS Basosquamous carcinoma regio
palpebrasinistra T2N1M0
BiopsiRSI SA Agustus
2018
CT scan kontras PA (30/8/19) Basosquamous
carcinoma
Thorax (28/8/19) tak tampak
nodul/iinfiltrat
R4AOP
3. MARIYATI/51
th/C765155
6/9 5.3 DH IC of NST gr III MST4bN1M1
(otak)
Hemiplegia sinistra
Biopsi2018
Kejang
KT II (FAC)tunda
Post transfusi1 kolf
(Hb:11,5/Ht:34.9/AL:
29,7/AT: 439)
Rencana ER 2
(Tunda)
Komsul neuro
Dexa 10mg/ 8 jam
Fenito 200mg/ 24 jam
Diaz 10mg/ jam
Pamol 1gr/ 8 jam
Caco3 500mg/ 8 jam
Ksr 60/ 8 jam
Depakene syr 250 mg
Koreksi elektrolit dan
perbaikan KU
PA (12/1/18) IC of NST gr III
MS
IHK (17/7/19): ER-,PR-
,Her2++,Ki67+
USG: nodul/limfadenopati -
X-thorax: nodul/ infiltrat –
MSCT (10/9/19)
Multiplemassa solid dengan
RIM enhanchement bentuk
lobulated pd cortex-subcortex
lobus frontoparietalkanan,
lobus parietal kanan dan
nucleus cerebellum disertai
perifocal edem.
massa solid dengan RIM
enhanchement bentuk
lobulated pd regio midbrain-
pons, mendesak a.cerebri
Lab (8/9/19)
9.9/29.7/40.8/559
Lab
11,5/34,9/29,7/439
Cefotaxim 1 gr/ 12
jam
2. DAFTAR PASIEN ONKOLOGI RDP 24 Sept 2019 (RAJAWALI 1-5A)
-pengawasan TTv dan
tanda kejang
posterior kanan disertai
perifocal edem
nodul metastasis
4. RIKA
AGUSTINA /
23 th/ C768821
20/9 6.1 BYT Invasive ductal carcinoma of
NST, grade III Mammae dextra
T2N0M0
BiopsiAgustus 2018
KT 6x (cyclo, doxo pacli)
BCS lan LD flap
(Selasa, 24/9/19)
PA (20/8/19) Invasive ductal
carcinoma of NST, grade III,
invasi tumor ke pembuluh
limfe (+)
Lab (21/9/19)
Hb:11,8/Ht:35,5/AL:
4,7/AT:185/GDS:86/
Ur:11Cr:0,8/Alb:4/Na:139/K:
3,4/Cl:107/PPT:14,7/PTTK:38
,9
R3A
R2A
5. JAMINEM/37
th/ C776370
19/9 1.3 YAN Pasca total thyroidecomy
(20/9/19) H+4 ec Papillary
Thyroid Carcinoma T4aN1M0
Drain cc
6. KONIPAH/48
th/ C774051
HbsAg +
10/9 1.4 BYT Anaplasticthyroid carcinoma
(T4aN1bM0)
Isthmolobectomy dekstra
(July 2019) di Brebes
Perbaikan KU 2 kolf
cek Hb post 10.6
Totalthyroidectomy
Koreksi albumin 4
kolf 20% 100 cc 20
tpm
NaCl 3% 10 tpm
KSR 60 mg/12 jam
TotalThyroidektomi
Lab (3/9/19)
TSHs: 3.03, FT4:8.42
USG (17/7/19) thyroid sinistra
ukuran membesar, lesi
isoekoik , oval batas tegas,
tepiireguler 7x8x3 cm
thyrads 2 adenoma
PA(9/8/19)
AnaplasticThyroid Ca
CT-Scan(13/9/19)
Massasolid lobulated, tepi
irreguler disertai are nekrotik
dan kalsifikasi di dlm nyapd
thyroid ka-ki, pendesakan
trakea ke kanan
(6,8x8,8x6,87), menempel pd
musculus sternohyoid ka-ki,
sternothyroid ka-ki, platysma
ka-ki, scm ka-kicarotid space
ka-ki, carotis comunis ki
(T4aN1bMx)
Ro-thorax (11/7/19)
Tak tampak
nodul/infiltrat
Lab (14/9/19)
10,6/33.7/17,4/694
Inj. Ampi 1,5/8
MST 10mg/12
Lab (17/9/19)
10,3/32,6/16,9/534
128/3,3/93
Alb:1,8
FT4:8,42
TSHs:1,38
7. HERLIYANTI 22/9 2.2 UUD Isthmolobektomi + FS (23/9/19)
H+1 ec SNNT dextra T2N1bM0
Isthmolobektomi +
FS, bila ganas Total
thyroidektomi
(23/9/19)
Ro-Thorax(9/8/19):
Tak tampak infiltrat/ nodul
USG colli (8/8/19):
Lobus thyroid ka-ki tdk
membesar
Nodul solid inhomogen pd
lobus thyroid ka (2x1x1 cm,
hipervascularisasi peri-
intranodul)
Multipellimfadenopati colli
Drain cc
3. DAFTAR PASIEN ONKOLOGI RDP 24 Sept 2019 (RAJAWALI 1-5A)
1b,2,3,4 kanan dan 1b2,3 kiri
8. NGATINAH/50
/C766351
7/9 4.4 UUD Pasca wide eksisi + Diseksi axilla
Sn + rekons STSG + VAC
(10/9/19) H+14 ec Mixed Ca
ductus invasive medullary feature
& lobular Ca (WHO gr III)
T4cN3cM1 (pleura,tulang)
Biopsi(24/2/17) RSI SA
Mammae sin
Biopsi(24/4/19) RSI SA
ln. supraclavicular
KT 6 x (novelbin+5-
FU+folic acid)
KT (Tamofen)
ER 8 pro ER 9
VAC: produksicc
Koreksi albumin 2
kolf 20% 100 cc 20
tpm
Cek lab ulang + foto
thorax
Perbaiki imbalance
elektrolit + WSD
PA
-MS(24/2/17)Mixed Ca ductus
invasive medullary feature &
lobular Ca (WHO gr III)
-Ln.supraclavicular(24/4/19):
metastasis Ca ductus invasive
PA (11/9/19)
Mixed invasive carcinoma of
NST with lobular carcinoma
gr II MS
Ro-Thorax (27/7/19)
pneumonic typemetastasis,
efusi pleura dupleks, destruksi
posterior costa5&6 (c/ bone
metas)
IHK(8/8/18) : ER-,
PR-, Her2 –
USG (26/7/19): efusi
pleura D,tak tampak
nodul dan
limfadenopati
Lab (16/9/19)
11,5/35,3/10,4/276
9. SITI
KOMARIYAH/
36/
22/9 5.3 BYT IC MD of NST gr III disertai
DCIS gr III T2N0M0
MRM dextra
10. SUDARNI/28/C
734343
22/9 6.2 UUD Pasca eksisi biopsy + FS
(23/9/19) H+1 ec Tumor
mammae dextra c/ ganas TN0M0
PA(25/5/17):
Mastitis tuberculosa
USG mammae(26/7/19):
Lesi kistik pada jam 12
periaerola mammae kanan
(0,35x0,26 cm) dan pada jam
9 periaerola mammae kiri
(0,46x0,34 cm) benign finding
(BI-RADS MASS 2)
Tak tampak limfadenopati kgb
axilla
BTA (5/6/17): Negatif
Ro-Thorax (7/8/19):
Tak tampak nodul/infiltrat
FS
TMD:jinak, mastitis
kronik granulomatik
TMS:jinak,
fibrocysticchange
11. HARIYANTI/
56 TH/
C372290
18/9 7.1 YAN Pasca MRM sinistra(20/9/19)
H+4 ec Invasive breast carcinoma
of NST gr II MST4aN2aM0
Op 1:RST:Nov 2018:wide
eksisi
Op 2: RST:Agustus 19:
insisi biopsi + PA
Drain cc
12. MURYATI// 22/9 7.4 YAN SNNT dextra T4bN1bM0 Rencana total
thyroidectomy
Ro- thorax
13. MUGIARTI/37/
C777445
21/9 7.6 BIS TMSc/ ganas T4dN3cMx Insisi biopsi(Selasa,
24/9/19)
Lab:
Ur: 75, Cr1.5 Ca:3
