CASE SUMMARY NAME : MARHUMA LEBU IC : 410512-12-5002 DIAGNOSIS : CA CERVIX STAGE V COMORBID : SUBFERTILITY NEVER BEEN INVESTIGATED TREATMENT

T DAT PRESENTAT IX RESULTS DATE TREATMENT E ION 29/07/09 Completed 4 cycles of carboplatin & 06/09/09 Seen in radiotherapy O&G HPE Poorly & clinic differentiate Defaulted subsequent follow up 22/7/09 d carcinoma c/o lower squamous back pain for cell origin 2 to 3 weeks and ambulating with aid & pv bleed post menopausal 29/7/09 Seen in H.LIKAS - p/w pv bleed post menopausal for 2weeks HPE Poorly differentiated adenocarcinom a Possible cervical carcinoma (3b4a) 06/09/10 T/T to H.Tawau for follow up came thru A&E to O&G c/o Suprapubic pain, poor oral intake, low, bedbound 2/52 HB TWBC PT/PTT BUSE Upon Discharge , HB TWBC PT/PTT BUSE 8.6 33.3 25/71.3/2.24 122/4.1/10.8

REMARKS VE Cx hard & irregular growth, fixed posteriorly & left lateral wall of vagina, upper 1/3 of vagina + contact bleeding Referal to H.Likas

CT TAP

Completed 4 cycles of carboplatin & radiotherapy Defaulted subsequent follow up in H. Likas (logistic problem)

S/B O&G specialist H. Tawau to refer to PCU as already in stage 4 Was transfused 2 pint packed cell IV vit K 10mg OD 3/7 IV cefoperazone 1g bd & IV metronidazole 500mg tds for 1/52

19/8/11

13.7 16.6 17.7/48.3/1.46 142/3.9/4.0