1. Miss Fina Amilia F, 14 y.

o, MR: C 494400
Clinical Data Laboratory Diagnosis
Chief Complain :
Abdominal enlargement

Patient complained abdominal enlargement since 1 year
ago. Nausea (-) decreasing in apetite (+), decreasing in body
weight (+), defecation disorder (-) and micturition disorder
(-)

History of Menstruation : LMD : 27 August 2014
History of Marriage : has not been married
History of Obstetric : P0A0
History of contraception : -
History of asthma (), Hypertension (-), Diabetes mellitus (-),
heart disease (-), operation (-)

Generalis status
BP : 110/70 mmHg RR: 22x/m
P : 88 x/m T : 36,7 C
Abd : Abdominal enlargement (+) ~ aterm pregnancy

Gynecology status
Insp / RT : flx (+), flr (-)
v/u/v : Within normal limit
C. Uteri : ~ chicken egg
AP : Cyst mass with solid part palpated ~
aterm pregnancy, pain (-), limited
mobility
CD : Within normal limit

Lab
Hb : 11,9 gr%
Leu : 7.450 mm3
Platelet : 252.000 mm3
Ur/Cr : 21/ 1 mg/dL
GDS : 115 mg/dl
SGOT/PT : 19/28 U/L
Ca 125 : 78,65 U/mL
LDH : 355 U/L ( 120-246 )
AFP : < 0,05 IU / ml ( 0-8,5 )
Albumin : 3,8 g/dl

ECG ~ Normo Sinus Rhytme
Chest X Ray
Heart is not enlarged
No metastatic sign in pulmo and bones
Gynecology Sonography
-Uterus size 4,8x3,6x3,4 cm, with normal
conture and homogen texture. EL (+) 0,2` cm
-Hypoechoic mass with hyperecoic part on
adneksa with size > 14,8 x 12,8 x 6,4 cm
unreachable by transducer, Wall thickness 0,35
cm, septum (+) 0,30 papil (+)
Neovascularisation (+) RI : 0,23 PI : 0,52.
STT : 3/3/3/4 = 13
-Intraabdominal free fluid (-)
Abdominal Sonography
-Cyst mass with solid part, with size > 25 cm
unreachable by transducer,
-Mild hidronefrosis Right Ren
-No nodul metastatic sign in liver, spleen, and
paraaorta lymph
P0A0, 14 yo
Ovarian Cyst Neoplasm with
solid part malignancy
suspected
Mild hidronefrosis right ren
Procedure
Unilateral Salpingo-
oophorectomy + FS +
Conservatif Surgical Staging
Preparation
~ aterm pregnancy
~ chicken egg
1. Miss Fina Amilia F, 14 y.o, MR: C 494400
Chest X - Ray
Gynecology Sonography
Gynecology Sonography
Abdominal Sonography
Abdominal Sonography
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