Laporan Pagi Hpa Biru Tgl 13-20 Mei

LAPORAN PAGI / SIANG PPDS PA UNAIR

Tanggal : 13 MEI 2013Organ : Head and Neck, Endokrin, Bone and Soft TissueBlok : BiruPPDS : Kurnia Arik (ketua), Fitriana, Rahmi Alia, Ida Septika, Redemptus, Fetty Fatimah, Dewi

GROSSNO NO. PA Dx KLINIS SPESIMEN1. T.3098/13 KNF post Kemo Nasofaring D et S Biopsi2. T.3041/13 Kista Ductus Thyroglosus Operasi Kista3. T.3046/13 Soft Tissue Tumor Operasi Maxilla S4. T.3067/13 KNF post Kemo Nasofaring D et S Biopsi5. T.3069/13 KNF post Kemo Nasofaring D et S Biopsi6. T.3071/13 KNF post Kemo Nasofaring D et S Biopsi7. T.3073/13 Fraktur Patologis Prox Humerus D Biopsi8. T.3095/13 Polip Nasi Cavum Nasi D Biopsi

MIKROSKOPISNO NO. PA Klmn USIA Dx KLINIS SPESIMEN Dx PA KET1 T.2975/13 L 38th Polip KV S Laring Biopsi Jaringan Granulasi Beradang Kronis

Supuratif2 T.2989/13 P 4th Abses Ibu Jari Eksisi Massa Radang Kronis Supuratif3 T.2981/13 L 31th KNF Post Kemo Nasofaring D et S

BiopsiRadang Supuratif. G-

4 T.2946/13 L 67th Malignant Soft Tissue Tumor

Wide Eksisi R/ Antebrachii

Ekstra Skeletal Osteosarcoma High Grade, tumor tumbuh infiltrasi ke kulit disertai ulserasi. Jarak tu-dasar berhimpit, jarak tumor dgn tepi opx terdekat 8mm

5 T.2964/13 P 37th Neurofibroma Colli Schwannoma6 T.2990/13 L 57th S/ KNF Nasofaring D et S Nasofaring D biopsi: Undiff Ca, WHO

Biopsi tipe IIINasofaring S biopsi: G-

7 T.2992/13 P 25th KNF post Kemo Nasofaring D et S Biopsi

Nasofaring D et S: G-

8 T.2944/13 L 1 th Lymphangioma R/ Cheek S Bisa didapatkan pada Lymphangioma9 T.2919/13 P 54th S/ KNF Nasofaring D et S

BiopsiNasofaring D Biopsi: G-Nasofaring S Biopsi: Undiff Ca, WHO tipe III

VC

NO NO. PA P / L USIA Dx KLINIS SPESIMEN KESIMPULAN VC1. - - - - - -

IHC

NO NO. IRS P / L USIA Dx KLINIS SPESIMEN HASIL IHC- - - - - - -

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GROSSNO NO. PA Dx KLINIS SPESIMEN1. T.3085/13 Traumatik cyst dd atheroma Biopsi eksisi r. femur dextra2. T.3087/13 Soft tissue tumor Biopsi eksisi r. thenar dextra3. T.3105/13 Soft tissue tumor Biopsi eksisi r. femur sinistra4. T.3110/13 Soft tissue tumor Biopsi r. nasal5. T.3113/13 KNF Biopsi r. nasofaring d et s

MIKROSKOPISNO

NO. PA Klmn USIA Dx KLINIS SPESIMEN Dx PA KET

1. T.3006/13 L 64 th Suspect Ca Sinonasal sinistra

Eksisi sinonasal sinistra

Inverted papilloma

2. T.3025/13 L 23 th Psoas abses ec suspect TBC

Regio Psoas biopsi Radang granulomatik sesuai tuberculosa

3. T.3029/13 L 51 th Tumor paru Paru forcep biopsi Ganas (-) 4. T.3059/13 L 45 th Suspect KNF Nasofaring dextra

et sinistra biopsiNasofaring dextra et sinistra : Undiff Ca ( WHO tipe III)

5. T. 3060/13 L 39 th KNF rT4N0M0 Nasofaring dextra et sinistra biopsi

Nasofaring dextra : tidak tampak jaringan lymphoepithelial (Ganas -)Nasofaring sinistra : Ganas (-)

6. T.3064/13 L 46 th Ca nasofaring rT4N1M0 Nasofaring dextra et sinistra biopsi

Nasofaring dextra : Undiff Ca (WHO type III)Nasofaring sinistra : Ganas (-)

7. T.3065/13 L 41 th KNF rT4N0M0 Nasofaring dextra et sinistra biopsi

Nasofaring dextra et sinistra : Ganas (-)

8. T.3066/13 L 33 th TB paru Paru forcep biopsi Radang kronis non spesifikC

VC


IHC


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GROSS

NO NO. PA Dx KLINIS SPESIMEN1. T.3113/13 Struma uninodular Thyroidektomy2. T.3135/13 KNF rT4N1M0 Biopsi3. T.3138/13 Septic arthritis genu sinistra Operasi synovium sinistra4. T.3139/13 Soft tissue tumor r.frontalis Operasi r. frontalis5. T.3158/13 Kista thyroid Operasi r subglottis6. T.3153/13 Ca thyroid Biopsi colli r. anterior7. T.3157/13 Susp Tumor paru Biopsi8. T.3118/13 Polyp cavum nasi Biopsi cavum nasi

MIKROSKOPIS

NO


1. T.3067/13 L 56 th KNF T4N0M0 Biopsi nasofaring dextra et sinistra

Nasofaring dextra : ganas -Nasofaring sinistra : ganas -

2. T.3071/13 P 44 th Ca Nasofaring T4N0M0 Biopsi nasofaring dextra et sinistra


3. T.3098/13 L KNF T4N0M0 Biopsi nasofaring dextra et sinistra


4. T.3069/13 P 37 th KNF T4N0M0 Biopsi nasofaring Nasofaring dextra : ganas -

dextra et sinistra Nasofaring sinistra : ganas - 5. T.2977/13 P 59 th Struma multinodosa

nontoxicaPost subtotal tiroidektomi

Follicular carcinoma,minimally invasive.Vascular invasi (-) (pT3NxMx)

6. T.3046/13 P 32 th Soft tissue tumor maksila sinistra

Maksila sinistra Ameloblastoma,plexiform type.Tumor tumbuh sampai tepi reseksi anterior

7. T.3095/13 L 14 th Suspect polip nasi dextra Biopsi cavum nasi dextra

Capillary hemangioma

8. T.3094/13 L 23 th Primary bone tumor Shoulder sinistra,slide S.706/04/13SO

Mencurigakan metastasis carcinoma

VC


IHC


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GROSS

NO NO. PA Dx KLINIS SPESIMEN1. T.3142/13 Struma multinodusa Thyroidectomy2. T.3163/13 Susp. Ca laring Biopsi laring3. T.3168/13 Tumor sinonasal sinistra klinis ganas Biopsi r. fasialis sinistra4. T.3173/13 Susp. Ca nasofaring Biopsi nasofaring d et s5. T.3187/13 Susp. Ca nasofaring Biopsi nasofaring d et s

MIKROSKOPIS

NO


1. T.2929/13 L 15 th Spondilolithesis VC7-Th1

Operasi Vertebra thorakal

Tidak menunjukkan proses spesifik maupun keganasan

2. T.2978/13 P 55 th Susp Ca sinonasal Biopsi palatul & cavum nasi

Malignant tumor dd 1. undiff Carsinoma, 2. NHL

3. T.3014/13 P 42 th Tumor proksimal interphalangeal joint digiti III

Biopsi Sesuai osteoid osteoma

4. T.3032/13 L 62 th Tumor subglottis Biopsi subglottis Tidak menunjukkan keganasan, sesuai inflamatory polyp

5. T.3131/13 P 35 th KNF rT0N0M0 Biopsi Nasofaring Tidak tampak tanda keganasan

d et s

VC


IHC

NO NO. IRS P / L USIA Dx KLINIS SPESIMEN HASIL IHC1. IRS.561/1

3L 60 th Malignant round cell

tumor, kesan rhabdomyosarcoma

T.2651/13 Desmin –Vimentin +Pan CK –Suatu Sarcoma, jenis pasti masih sulit ditentukanSaran: IHC lanjutan dengan S100, HMB45,

Myogenin

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GROSS

NO NO. PA Dx KLINIS SPESIMEN1. T.3215/13 Susp Ca Nasofaring Biopsi Nasofaring2. T.3144/13 Ca laring Laryngectomy3. T.3150/13 Susp ca laring Biopsi laring4. T.3182/13 Sinusitis maksila sin kronis Operasi5. T.3195/13 Ca nasofaring post kemo T4N0M0 Biopsi nasofaring6. T3193/13 Tumor cavum nasi sin Biopsi cavum nasi

MIKROSKOPIS

NO


1. T.3073/13 L 58 th Multiple fraktur patologis

Biopsi Proses radang kronik supuratif

2. T.3041/13 L 45 th Kista ductus thyroglossus

Operasi Kista ductus thyroglossus

3. T.3118/13 L 37 th Polyp cavum nasi Biopsi cavum nasi Inflamatory polyp 4. T.3135/13 P 54 th KNF rT4N1M0 Biopsi nasofaring d

et sMasih tampak sel-sel tumor viable (undiff Ca, WHO type III)

5. T.3138/13 P 41 th Septic arthritis genu sin Biopsi genu sin Radang kronis spesifik6. T.3139/13 L 59 th Soft tissue tumor

frontalis dekstraBiopsi regio frontalis dekstra

Neurofibroma

7. T.3157/13 L 33 th Susp tumor paru Biopsi forsep paru Tidak tampak sel ganas8. T.3158/13 L 59 th Kista thyroid Biopsi sub glottis Tidak tampak sel ganas

VC


IHC

NO NO. IRS P / L USIA Dx KLINIS SPESIMEN HASIL IHC1. - - - - - -

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GROSS

NO NO. PA Dx KLINIS SPESIMEN1. T.3207/13 Struma multinodusa non toxic Thyroidectomy2. T.3177/13 Struma uninodusa non toxic Thyroidectomy3. T.3206/13 Otitis eksterna maligna Operasi meatus acusticus eksternus4. T.3210/13 Efusi pericard dd pericarditis Operasi pericard anterior5. T.3225/13 Susp. Ca sinonasal sinistra Biopsi cavum nasal sinistra6. T.3226/13 Tumor colli sin, curiga ganas Biopsi colli sin7. T.3227/13 Ca paru Biopsi forcep bronkus paru8. T.3228/13 TB milier Biopsi forcep paru9. T.3205/13 Ca laring T4N0M0 Laryngectomy 10. T.3213/13 Struma multinodusa non toxica Subtotal thyroidectomy11. T.3258/13 Susp. polyp nasi dd inverted papilloma Biopsi cavum nasi12. T.3256/13 Susp. KNF Biopsi cavum nasal dextra et sinistra13. T.3252/13 Susp. KNF Biopsi cavum nasal dextra et sinistra14 T.3256/13 KNF rT4N0M0 Biopsi cavum nasal dextra et sinistra

MIKROSKOPISNO


1. T.3087/13 P 16 th Soft tissue tumor Operasi regio thenar

Benign mesenchymal lession, dapat dijumpai pada angiomyolipoma

2. T.3105/13 P 55 th Soft tissue tumor Biopsi femur sinistra

Dd Atypical lypoma, well diff liposarkoma

3. T.3085/13 P 3 th Soft tissue tumor Biopsi femur dekstra

Fibrolipoma

4. T.3187/13 L 60th S/ Ca Nasofaring Nasofaring D et S Bx

NF D Bx: G-, Lymphoepithelial –NF S Bx: Undiff Ca, WHO tope III

5. T.3142/13 P 10th Struma Multi Nodusa Total Thyroidectomy

Adenomatous Goitter dgn Deg Kistik dan Pseudopapil

6. T.3173/13 P 58th S/ Ca Nasofaring Nasofaring D et S Undiff Ca, WHO tipe III7. T.3168/13 L 73th Tumor Sinonasal S R/Sinonasal S Bx SCC8. T.3163/13 L 60th S/ Ca Laring Laring Bx Squamous Papilloma9. T.3153/13 P 58th Ca Thyroid R/ Colli Ant Bx Jaringan Nekrotik10 T.3110/13 L 15th Soft Tissue Tumor

Nasal+MaxillaR/ Nasal Bx Sediaan Kurang Representatif

VC


IHC

NO NO. IRS P / L USIA Dx KLINIS SPESIMEN HASIL IHC1. - - - - - -

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Laporan Pagi Hpa Biru Tgl 13-20 Mei

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