BAGIAN BEDAH ONKOLOGIFAKULTAS KEDOKTERAN UNIVERSITAS GADJAH MADA

RSUP DR. SARDJITO YOGYAKARTA

LAPORAN KEGIATAN RESIDEN BEDAH UMUM

STASE BEDAH ONKOLOGI

Nama : dr. Kelik WagiyantoProgram : Bedah UmumStase : Bedah DasarPeriode : 9 September s/d 3 November 2013

NO RM NAMA L/P UMUR TGL MASUK RUANG DIAGNOSIS TINDAKAN KETERANGAN

1 1429728 Firman Watora L 40 *4/9/2013 C2/1 Soft tissue tumor a/r cruris D pro eksisi luas Merawat

2 1593371 Iin Sri Rahayu P 41 *4/9/2013 C2/6 Ca Mammae S Merawat

3 1650527 Clara Karyani P 49 *7/9/2013 B2/10 Ca Mammae S, Anemia Kemoterapi Merawat

4 1583485 Hendro Bayu Aji L 40 *6/9/2013 A2/7 Ca Lidah pro Kemoterapi Merawat

5 1587046 Nur Handayani P 32 09/09/13 A3 Tumor Mammae Bilateral pro Eksisi Luas Bilateral Merawat

6 672686 Praptining S P 41 09/09/13 A3 Tumor Mammae Sinistra pro eksisi luas Merawat

7 1597648 Tumirah P 57 09/09/13 D2 Struma Nodusa, Limfoma Lateral Endoscopic Tyroidektomi Merawat

pro Radikal Mastektomi + diseksi Axilla S

8 1625461 M. Mustabiin L 31 09/09/13 E2 Diffuse NHL pro kemoterapi V Merawat

9 1631022 Suryani P 38 10/09/13 IGD Ca Mammae Bilateral Endoscopic Tyroidektomi Merawat

10 1122921 Warni P 11/09/13 THT/B7 Ca Mammae pro kemoterapi 5 Merawat

11 1650820 Darmi P 11/09/13 B2/10 Ca thyroid Total Thyroidektomi Merawat

12 1638923 Sugiyono L 11/09/13 E2/7 NHL pro Kemoterapi 2 Merawat

13 1654520 Musiyam P 50 21/10/13 B2 Ca Duktal invasive S T4N0M0 Post mastektomi Pro Kemoterapi I Merawat

14 1654032 Safitriyani P 41 21/10/13 B2 Ca duktal residif D post mastektomi Pro mastektomi ulang Merawat

15 1625780 Ponirah P 69 21/10/13 B2 Pro Kemoterapi III Merawat

16 1618757 Tumiyem P 60 21/10/13 B2 NHL Pro Kemoterapi V Merawat

17 1652082 Parjinem P 48 21/10/13 A2 Tumor Mammae S Pro MRM S Merawat

18 1638473 Sriwidowati P 53 21/10/13 A2 Ca mammae S T4bN0M0 Pro MRM S Merawat

19 1656649 Ana Windyawati P 45 21/10/13 A3 Tumor mammae dextra et sinistra Merawat

20 1359110 Sri Istiyani P 42 21/10/13 A3 Tumor mammae dextra et sinistra Pro eksisi luas bilateral Merawat

21 1555396 Risdianto L 20 21/10/13 A3 STT Pro Eksisi luas Merawat

Tumor bulbi S post eksisi luas + eksentrasi bulbi, Limfoma maligna

Pro Eksisi luas + multiple bilateral

22 1627597 Suratiwiningsih P 29 21/10/13 A3 Neoplasia Folikuler Tiroid Pro ismulobectomy Merawat

23 1604362 Wisnu wijaya L 33 29/10/13 E2 Ca sel skuamosa maxila S Pro Kemoterapi V Merawat

25 1656029 Poniyem P 48 29/10/13 A2 Ca Duktal mammae D T4b N1 M0 Pro MRM D Merawat

26 1455058 Ari Supeno L 58 29/10/13 E2 Ca folikulare tiroid sekunder Pro Kemoterapi II Merawat

27 1649411 Dian Amelia P 34 29/10/13 A2 Pro Kemoterapi I Merawat

28 1652439 Tarminah P 57 29/10/13 B2 Ca Mammae S T3bN2Mx post mastektomi Pro Kemoterapi II Merawat

29 1656755 Sumiyati P 41 29/10/13 B2 Pro Kemoterapi I Merawat

30 1636904 Warsini P 56 *3/9/2013 A2/10 Ca Mammae S Merawat

31 1647243 Ngadinah P 49 *4/9/2013 A2/10 Ca Mammae D T4dN3M1 Merawat

32 1631022 Suryani P 38 *10/9/2013 A2/10 Ca Mammae Bilateral Perbaikan KU Merawat

33 1650687 Purwanti P 37 *13/9/2013 A2/10 Ca Mammae Dx Pro Kemoterapi I Merawat

34 1645654 Sri Rahayu P 53 *13/9/2013 A2/10 Metastase Ca anaplastik Pro kemoterapi I Merawat

35 1594975 Rubingah P 48 *12/9/2013 A2/8 Ca Mammae Bilateral, Efusi Pleura Perbaikan KU Merawat

36 1335060 Parni P 54 *18/9/2013 A2/10 Merawat

37 1652661 Ngatinem P 46 *21/9/2013 A2/10 Ca Mammae dx T4dN2mx Kemoterapi I Merawat

38 1641573 Eliza Holbala P 32 *21/9/2013 A2/10 Ca Mammae dextra T4dN2M1 Perbaikan KU Merawat

39 1625780 Ponirah P 69th *25/9/2013 A2/10 Tumor bulbi sinistra, limfoma maligna Pro kemoterapi Merawat

40 1647388 Erna Sukma P 42 *1/10/2013 A2 /10 Ca mammae sn Pro Kemoterapi I Merawat

Ca Duktal infiltratif T4bN3M1 Post simple mastektomi

Ca Mammae lobular infiltratif S T4N0M0 post mastektomi

kemoterapi 3: Doxorubicin 80mg, Cyclofosfamide

800mg, 5FU 800mg (6/9/2013)

kemoterapi 1: Cyclofosfamide 800mg,

Doxorubicin 80mg (6/9/2013)

Ca Mammae dx T4cNoMo, SNH dd/ SH,Hemiparese dx

MRM(24/9), STSG (16-10-13)

41 1652778 Wariyati P 46 *4/10/2013 A2/10 Ca mammae dx T4bN2Mx,anemia Perbaikan KU Merawat

42 1484861 Sorep L 43 *27/9/2013 A2/9 BCC reg nasal ,Condiloma accuminata Merawat

43 1649884 Pandiyem P 44 *19/9/2013 A2/8 Tumor Phyloides dx Simple mastektomi Merawat

45 1242073 Maryati P 45 *19/9/2013 A2/10 Hodgkin lymphoma Pro Kemoterapi I Merawat

46 1593371 Iin Sri Rahayu P 41 *20/9/2013 A2/8 B2+H526 Pro Kemoterapi I Merawat

48 1650285 Sunarti P 35 *23/9/13 A2/8 Struma Nodusa Non Toksik Merawat

49 1620378 Murdiyah P 39 *2/10/2013 A2/8 Fibrous displasia os maxillaris dx Pro Eksisi luas Merawat

50 1299905 Zulianto L 30th *16/9/2013 A2/7 Neurofibroma regio gluteal dextra eksisi luas(3/10) Merawat

51 1637768 Heru Pratopo L 54 *18/9/2013 A2/9 Limfoma maligna Colon pro Kemoterapi 5 Merawat

52 1638473 Sri Widowati P 53 *18/9/2013 A2/10 Ca Mammae sn pro Kemoterapi 5 Merawat

53 1631760 Entik P 60 *3/10/2013 A2/8 Basal Sel karsinoma facial post eksisi Merawat

54 1609718 Suci wahyuningsih P 23 41465.00 A2/10 Ca Rekti Pro Kemoterapi IV Merawat

55 1648389 Rohmat L 37 *3/10/2013 A2/9 Soft Tissue tumor regio Lidah Merawat

56 1655530 Rofingah P 39 16/10/2013 A2/10 Ca Duktal Mammae S T4b N1 M0 + Anemia MRM S (28-10-13) Merawat

57 1637768 Heru Pratopo L 54 17/10/2013 A2 Limfoma Maligna Colon Pro Kemoterapi VI Merawat

58 1605714 Karmini P 50 17/10/2013 A2 Ca Mammae D Post MRM Pro Kemoterapi I Merawat

59 1653325 Akhiyadi L 54 18/10/2013 A2 STT Colli Biopsi (22-10-13) Merawat

60 1652082 Parjinem P 48 21/10/2013 A2/10 Ca Duktal Mammae S T4 N0 M0 MRM S (24-10-13) Merawat

Eksisi luaa, rotation flap, FTSG (4-10-13)

endoscopic thyroidectomy(30/9)

Eksisi ulang s/d oclusi bulbi (18-10-13)

Eksisi luas dg Harmonic Scalpel (14-10-13)

61 1638473 Sriwidowati P 53 21/10/2013 A2/10 Ca mammae S T4bN0M1 MRM S (25-10-13) Merawat

62 1242073 Maryati P 45 23/10/2013 A2/10 Limfoma maligna + CKD St V on HD Kemoterapi II (25-10-13) Merawat

63 26094 Sumbuk P 81 25/10/2013 A2 ca mammae D + Anemia perbaikan KU Merawat

64 1299905 Zulianto L 31 26/10/2013 A2 Giant Neurofibroma + Aemia Perbaikan KU Merawat

65 1652661 Ngatinem P 46 28/10/2013 A2 Ca Mammae D Post mastektomy Pro kemoterapi II Merawat

66 1647388 Erna Sukma P 42 28/10/2013 A2 Ca Duktal S post MRM Pro Kemoterapi I Merawat

1354614 Burhani L 38 27/8/2013 B2/9 NHL pro kemoterapi 4 Merawat

67 1594975 Rubingah P 49 *2/9/2013 B2/10 Ca Mammae D T4cN1Mx et S Merawat

73 1618757 Tumiyem P 60 *24/9/2013 B2/10 NHL kemoterapi IV Merawat

70 1649292 Asih Susilowati P 42 *29/8/2013 B2/10 Cystosarcoma pylloides mammae dx Merawat

71 1651372 Martha Jitmau P 56 *14/9/2013 B2/8 Ca mammae dx cT4dN1Mx, Efusi pleura dextra Perbaikan KU, kemoterapi Merawat

72 1649411 Dian Amelia P 33 *30/9/2013 B2/10 Ca Mammae dextra T4bN3M1 Merawat

73 1641940 Barsinem P 39 *4/10/2013 B2/10 Struma Nodusa Non Toksika Merawat

74 1619611 Sugiarti P 38 *30/9/2013 B2/8 Merawat

75 1403366 Kismorejo L 62 *4/9/2013 B2/7 Amputasi Merawat

76 1650527 Clara Karyani P 49 *7/9/2013 B2/10 Ca Mammae D cT4dN1Mx, Anemia Merawat

77 1403366 Kismorejo L 62 *4/9/2013 B2/7 Amputasi Merawat

pro kemoterapi 1: Cisplatin 70mg, Doxorubicin 50mg

Simple mastectomy (25-9-13)

Simple Mastektomi paliative (10-10-13)

Isthmolobektomi (11-10-13)

Cyste mammae bilateral dd Fiboadenoma mammae

Eksisi luas bilateral (4-10-13)

Soft tissue tumor a/r femur S posterior curiga ganas, DM2NO

Perbaikan KU,pro kemoterapi

Soft tissue tumor a/r femur S posterior curiga ganas, DM2NO

78 1650820 Darmi P 53 *11/9/2013 B2/6 Ca thyroid,HNP, Efusi pleura dextra Pro Total thyroidektomi Merawat

79 1638957 Poniyem p 40 *17/8/2013 B2/12 Ca mammae dx cT4bN1Mx Pro kemoterapi III Merawat

80 1627979 Sumini P 67 *17/8/2013 B2/10 Pro kemoterapi IV Merawat

81 1618628 M.Arif Faturahman L 15 *22/9/2013 B2/3 MNST,tumor retroperitoneal,efusi pleura sn Perbaikan KU Merawat

82 1548743 Jariyah Ny P 44 *1/10/2013 B2 Ca Mammae sinistra Pro Kemoterapi I Merawat

83 1122921 Warni P 38 *3/10/2013 B2/10 Ca Mammae dextra kemoterapi I (6-10-13) Merawat

84 1650960 Muhyono L 55 *3/10/2013 B2/7 Limfadenopati regio colli sn Pro Biopsi Merawat

85 1582737 Sri amah P 46 2/10/2013 B2/10 Ca Mammae Sinistra residif T3N0M0 Merawat

86 1627979 Sumini P 73 10/10/2013 B2/10 Ca Mammae S Post mastektomi Pro Kemoterapi V Merawat

87 1650949 Sudiyem P 46 10/14/2013 B2/8 Ca Mammae D Pro Kemoterapi I Merawat

88 1654294 Suyadi L 60 10/14/2013 B2/6 NHL Biopsi insisi (21-10-13) Merawat

89 1655000 Fauziyah P 37 16/10/2013 B2/8 Struma Hashimoto Nodusa Residif Merawat

90 1647243 Ngadinah P 50 17/10/2013 B2/10 Ca Mammae Dextra T4bN2M1 Kemoterapi III (21-10-13) Merawat

91 1654869 Haryanto L 34 18/10/2013 B2/7 Struma koloides tyroid Bilateral Merawat

Ca mammae bilateral,dx cT4bN2Mx,sn cT4CN3Mx

Radical mastektomi + diseksi axila sinistra (16-

10-13)

Tyroidectomy Near Total (21-10-13)

Sub Total tiroidectomy (22-10-13)

92 1654520 Musiyam P 50 21/10/2013 B2 Ca Duktal invasive S T4N0M0 Post mastektomi Kemoterapi I (22-10-13) Merawat

93 1654032 Safitriyani P 41 21/10/2013 B2 Ca duktal residif D post mastektomi Merawat

94 1625780 Ponirah P 69 21/10/2013 B2 Kemoterapi III (24-10-13) Merawat

95 1618757 Tumiyem P 60 21/10/2013 B2 NHL Kemoterapi V (22-10-13) Merawat

96 1548743 Jariyah P 44 22/10/2013 B2 Kemoterapi II (24-10-13) Merawat

97 1624940 Sumiyati P 45 23/10/2013 B2 Ca Duktal Invasive mammae S post MRM Kemoterapi III (25-10-13) Merawat

98 1499625 Sri Uhrowiyah P 57 23/10/2013 B2 Ca mammae S T4b N1 Mx Kemoterapi I (25-10-13) Merawat

99 1657088 P 40 23/10/2013 IGD Ca mammae dextra + Anemia Perbaikan KU Merawat

100 1645654 Sri Rahayu P 54 25/10/2013 B2/10 NPC Kemoterap III (28-10-13) Merawat

101 1655714 Ovin Setiawati P 16 10/13/2013 D2 Abses Mammae D Merawat

102 1548023 Sri Intan Darini P 45 23/10/2013 C2 Pro Kemoterapi Merawat

103 1652967 M Galih Pratama L 2 24/10/2013 D2 Tumor Gluteal Merawat

104 1625461 M. Mustabiin L 31 09/09/13 E2/8 Diffuse NHL Merawat

Mastektomi ulang (28-10-13)

Tumor bulbi S post eksisi luas + eksentrasi bulbi, Limfoma maligna

Invasive ductal carcinoma mammae S post MRM

Agathonica Ari Setyo

Insisi drainase (13-10-13)

Ca Mammae Bilateral T4b N3 M1 + Efusi pleura bilateral

Pro CT Scan, Pro rewide exicion

kemoterapi V: Doxorubicin 80mg, Cyclofosfamide

700mg, Vincristine 2mg, Prednison 12mg-8mg-0

(10/9/2013)

105 1638923 Sugiyono L *11/9/2013 E2/7 NHL pro Kemoterapi 2 Merawat

106 1650841 Sukinem P 62 *9/9/2013 E2/7 Soft Tissue Tumor colli DD abses colli, Anemia Pro Debridement Merawat

107 1637768 Heru Pratopo L 68th 11/07/2013 E2 Limfoma Maligna kemoterapi III Merawat

108 1354614 Burhani L 39 *17/8/2013 E2 NHL pro Kemoterapi 2 Merawat

109 1455058 Ari Supeno L 58 *20/9/2013 E2 Adeno Ca Pro Kemoterapi Merawat

110 1645646 Sunardi nardi L 57 *20/8/2013 E2 NHL Pro kemoterapi Merawat

111 1638923 Sugiyono L 61 3/20/6387 E2/11 Non Hodgkin Lymphoma kemoterai III Pro kemoterapi ke III Merawat

112 1646637 Suminten P 45 *24/9/2013 E2/6 Tumor mammae sinistra eksisi luas(30/9) Merawat

113 1648865 Riyadi L 41 23/9/13 E2 NPC Pro Kemoterapi Merawat

114 1649854 Sunarso L 58th 9/25/2013 E2 NHL Pro biopsi dgn GA Merawat

115 1647243 Ngadinah P 50 *27/9/2013 E2/5 Ca Mammae dextra cT4dNoM1 kemoterapi I Merawat

116 1624940 Sumiyati P 45 *1/10/2013 E2 Ca mammae sinistra Pro Kemoterapi I Merawat

117 1652437 Tarminah P 57 *4/10/13 E2/6 Ca mammae sn Pro kemoterapi Merawat

118 1593371 Iin Sri Rahayu P 41 10/9/2013 E2 Ca Mammae sinistra post MRM Kemoterapi (10-10-13) Merawat

119 1645854 Sri Rahayu P 54 *4/10/2013 E2/7 Nasopharing Ca Pro Kemoterapi II Merawat

120 1648865 Riyadi L 41 10/10/2013 E2 Nasopharing Carcinoma Pro Kemoterapi III Merawat

121 1645646 Sunardi Nardi L 57 10/11/2013 E2 NHL Pro Kemoterapi III Merawat

122 1620058 Sukarti P 58 10/16/2013 E2 Ca Mammae Pro Kemoterapi 12 Merawat

123 1650258 Hadi Prayitno L 57 22/10/2013 E2/13 Ca sel squamosa lidah Kemoterapi (24-10-13) Merawat

124 1638923 Sugiyono L 61 25/10/2013 E2/10 Limfoma Hodgkin Kemoterapi IV (28-10-13) Merawat

125 1654265 Sri Meiyati P 56 *2/10/2013 A3/4 Tumor mammae Dx curiga ganas Eksisi luas (4-10-13) Merawat

126 1286742 Desi Suprihatin P 27 *2/10/2013 A3/5 Struma nodusa thyroid bilateral Merawat

127 1652509 Muryani P 35 10/2/2013 A3/5 Struma Nodusa non Toksika Merawat

128 1090767 P 28 10/9/2013 A3/4 Mammari aksesori axila D Eksisi luas (11-10-13) Merawat

129 1655232 Fahrila raifatul P 18 10/9/2013 A3/8 Tumor mamae S multiple Eksisi multiple (11-10-13) Merawat

130 1654420 Widada L 46 07/10/2013 A3/9 STT Multiple Eksisi Luas (9-10-13) Merawat

131 1654894 Wasito L 49 07/10/2013 A3/12 SNNT D Ismulobektomi (10-10-13) Merawat

132 1654853 Siti Purnami P 77 07/10/2013 A3/3 Ca Mamae Sinistra Mastektomi (9-10-13) Merawat

134 1654860 Juminten P 52 07/10/2013 A3/3 Ca Mamae Sinistra Merawat

135 1654953 Ngatiyem P 40 07/10/2013 A3/4 Ca Mamae Dextra post mastektomi simple Diseksi axila (11-10-13) Merawat

136 468583 Marsiyam P 63 10/10/2013 A3 Tumor mammae Dextra Eksisi luas + FZ (11-10-13) Merawat

137 1655580 Annisa Nur P 23 10/11/2013 A3 Tumor Mammae S Pro Eksisi luas Merawat

138 1221206 kasmiyati P 52 th 16/07/2013 A3 struma bilateral Merawat

139 1637081 Poniasih P 45 th 15/07/2013 A3 skin lost post MRM post FTSG (17/07/13) Merawat

140 552629 Tuminah P 55 14/10/2013 A3/1 SNNT S Ismulobectomy (16-10-13) Merawat

141 1482348 Siti saodah P 65 14/10/2013 A3/4 Abses submandibula D Insisi drainase (17-10-13) Merawat

Ismulobektomi D + Ismulobektomi S (4-10-13)

Endoskopik tyroidektomi (7-10-13)

Erna nurul wahyuningrum

Radical mastektomi + diseksi axila (9-10-13)

sub total tiroidektomi S, Ismolobektomi D

(18/07/13)

142 1655773 Djumartini P 87 14/10/2013 A3/8 Tumor Coli Merawat

143 1653474 Suliyah P 52 16/10/2013 A3 Ca Duktal infiltratif S T4b N1 M0 MRM S (18-10-13) Merawat

145 1654265 Sri Meiyati P 56 18/10/2013 A3 Ca Duktal infiltratif D T4 N0 M0 Merawat

146 1654228 Tukinah P 40 10/18/2013 A3 Struma koloides Tiroid D Tyroidectomy (22-10-13) Merawat

147 1656649 Ana Windyawati P 45 21/10/2013 A3 Tumor mammae dextra et sinistra Merawat

148 1359110 Sri Istiyani P 42 21/10/2013 A3 Tumor mammae dextra et sinistra Merawat

149 1555396 Risdianto L 20 21/10/2013 A3 Kista retensi buccal Eksisi luas (23-10-13) Merawat

150 1627597 Suratiwiningsih P 29 21/10/2013 A3 Neoplasia Folikuler Tiroid Ismulobectomy (22-10-13) Merawat

151 1656968 Tri Mince P 36 23/10/2013 A3 SNNT Ismulobectomy (25-10-13) Merawat

152 1565630 Ngadi L 74 25/10/2013 A3/11 STT sterno clavicula Eksisi Luas (29-10-13) Merawat

156 1643213 Aripah P 56 28/10/2013 A3 Adeno ca parotis D Pro Radioterapi Merawat

157 1655118 Sri sukilah P 35 28/10/2013 A3 Multiple FAM S Pro Eksisi multiple Merawat

158 928051 Rondiyati P 40 *12/9/2013 A3/2 Tumor Mammae Bilateral Merawat

159 1651736 Becher Yermyn L 38thn 16/09/2013 A3 STT reg nuchae Pro eksisi luas Merawat

160 1650212 Parju L 50thn *16/9/2013 A3 Soft tissue tumor poplitea sinistra Pro eksisi luas Merawat

161 1652112 Tuginah P 51 *23/9/13 A3 Ca tiroid Toral tiroidectomy Merawat

162 1650949 Sudiyem P 46 23/9/13 A3 Tumor mammae dextra Eksisi luas Merawat

Neck diseksion + debulking axila (16-10-13)

Mastectomy dan diseksi axila (21-10-13)

Eksisi luas + multiple bilateral (22-10-13)

Eksisi luas bilateral (23-10-13)

Pro Eksisi Luas Bilateral + frozen section s/d

BCT(13/9/2013

163 1650879 Musyarowah P 53 23/9/13 A3 Tumor mammae sinistra Eksisi luas Merawat

164 1652366 Hadi Wuryoto L 57 *19/9/2013 A3 Tumor leher sn,DM Biopsi tumor Merawat

167 1652329 Erwin Ardiyanto L 19 *20/9/2013 A3/1 Limfadenitis colli Pro eksisi luas Merawat

168 1652521 P 22 *20/9/2013 A3/3 Tumor mammae dx et sn Pro eksisi luas bilateral Merawat

169 1431694 P 41 *20/9/2013 A3/3 Tumor mammae bilateral Pro eksisi luas bilateral Merawat

170 1653601 Saidjah P 73 *30/9/2013 A3 Ca mammae dx Merawat

171 1286742 Desi Suprihatin P 27 *2/10/2013 A3/5 Struma nodusa thyroid bilateral Merawat

Residen

dr.Kunta Setiaji, Sp.BOnk(K) dr. Kelik Wagiyanto

Nurohmah Jati Safitri

Ratnawati dwiningsih

Pro Simple mastektomi dan diseksi axilla

Ismulobektomi D + Ismulobektomi S (4-10-13)

Mengetahui, Kepala Sub-Bagian Bedah

Onkologi