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Tumour board
• 49y/f
• 239212200526251
• Resident of bhopal , MP
• Patient consulted AIIMS Bhopal , surgery dept
• With c/o pain abdomen x 1 month (march
2023)
Investigations(10/04/22)
• Serum markers:
• CA-125 : 1106.8 U/ml(^)
• CA-19.9 : 1.28 (n)
• CEA: 84.60 (^)
• B-HCG: 1.42 (n)
• LDH: 221 (^)
• After thorough evaluation , Patient was
diagnosed as carcinoma ovary
• Patient was operated ( TAH + right pelvic and
para-aortic lymphadenectomy ) on 13/04/22
Post op HPE(S-1778/22) : 27/04/22
• Bilateral high grade serous carcinoma , Poorly
differenytiated without evidence of fallopian
tube or omental involvement or Lymph node
metastasis.
• pT1bN0Mx, FIGO stage IB
• 00/17 LN positive .
• Ascitic fluid negative for malignant cells.
• Patient consulted RT OPD for further
management .
• Patient was planned for adjuvant
chemotherapy with 6 cycles of Paclitaxel and
carboplatin
• Patient received last (6th) cycle of
chemotherapy on sep 2nd ,2022.
• Patient was put on close follow up
• On recent follow up after 8 months (from last
chemo on sep 2022)
• Patient had
• USG abdomen: (02/05/23): Small hyperechoic
lesions measuring 5x 5 mm and 5 x 4 mm
noted in segement VII and VI of liver
?hemangioma ? Mets
• CA -125 : (10/05/23): 38.70 (increased)
• What to do next ?
TUMOR BOARD MEETING OF ONCOLOGY DEPARTEMENT
TUMOR BOARD MEETING OF ONCOLOGY DEPARTEMENT

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TUMOR BOARD MEETING OF ONCOLOGY DEPARTEMENT

  • 2. • 49y/f • 239212200526251 • Resident of bhopal , MP
  • 3. • Patient consulted AIIMS Bhopal , surgery dept • With c/o pain abdomen x 1 month (march 2023)
  • 4. Investigations(10/04/22) • Serum markers: • CA-125 : 1106.8 U/ml(^) • CA-19.9 : 1.28 (n) • CEA: 84.60 (^) • B-HCG: 1.42 (n) • LDH: 221 (^)
  • 5.
  • 6.
  • 7. • After thorough evaluation , Patient was diagnosed as carcinoma ovary • Patient was operated ( TAH + right pelvic and para-aortic lymphadenectomy ) on 13/04/22
  • 8. Post op HPE(S-1778/22) : 27/04/22 • Bilateral high grade serous carcinoma , Poorly differenytiated without evidence of fallopian tube or omental involvement or Lymph node metastasis. • pT1bN0Mx, FIGO stage IB • 00/17 LN positive . • Ascitic fluid negative for malignant cells.
  • 9. • Patient consulted RT OPD for further management . • Patient was planned for adjuvant chemotherapy with 6 cycles of Paclitaxel and carboplatin
  • 10.
  • 11.
  • 12. • Patient received last (6th) cycle of chemotherapy on sep 2nd ,2022. • Patient was put on close follow up
  • 13.
  • 14.
  • 15. • On recent follow up after 8 months (from last chemo on sep 2022) • Patient had • USG abdomen: (02/05/23): Small hyperechoic lesions measuring 5x 5 mm and 5 x 4 mm noted in segement VII and VI of liver ?hemangioma ? Mets • CA -125 : (10/05/23): 38.70 (increased)
  • 16.
  • 17.
  • 18. • What to do next ?