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1. Miss Fina Amilia F, 14 y.o, MR: C 494400Clinical Data Laboratory Diagnosis

Chief Complain :

Abdominal enlargement

Patient complained abdominal enlargement since 1 year

ago. Nausea (-) decreasing in apetite (+), decreasing in bodyweight (+), 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/dLGDS : 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 XRay

Heart is not enlargedNo 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

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Chest X - Ray

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Gynecology Sonography

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Gynecology Sonography

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Abdominal Sonography

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Abdominal Sonography

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