Ovary (Adenocarcinoma)

Ca (primary) – Ovary (Adenocarcinoma)

Date- 09th Aug 2008, Mrs. U.P. = Sex - F

Status at diagnosis – Ca ovary with metastasis to Omentum and pouch of douglous in July 2003

Operated in July 2003 followed by Chemo therapy

Response to 1st Chemotherapy- Complete regression

Recurrence – 1st recurrence on 16th Aug. 2004, (one year)

(Operated for Local recurrence in August 2004 followed by Chemotherapy)

Response to 2nd Chemotherapy (Aug 2004) - regression

Recurrence in April 2005 –( one year)- para-aortic nodes, nodes between IVC and aorta detected

Nodes further enlargement - since Aug 2005 till 2006 gradually enhancing.

On Homoeopathic treat since - 13/10/2006 till date

Operative procedure required

Further Mets

Development of complication

Clinical status on 1st visit

Clinical status today

General improvement

Investigations

Nil

Nil

Nil

Severe pain in lower abdomen, Cramp pain, mild persistent fever , Bloating abdomen, swelling feet and arms,  fatigue +++

Wt. maintained, vital status maintained with mild fluctuations , no new complaint, no recurrence, no new lesions,

QOL range 70 To 80

Functional Score-good

CT abdomen & pelvis, Histopathology, CA 125, CT thorax,

 

Investigation type

Date

Para aortic

Sub carinal

Para tracheal

Between IVC & Aorta

Pre sacral

mass

Fluid

Mode of treat.

CT thorax
Post Op.

21 Oct. 2003

NA

2

----

NA

 

 

 

 

CT abdo/pelvis
Post op.

10 Feb 2004

------

NA

NA

------

 

 

 

 

USG abdo. Pre Op.

16 Aug 2004

-------

------

-----

-----

 

5.0 * 4.4 * 3.7

-----

 

CT abdo & pelvis

17 Aug 2004

-------

--------

--------

--------

 

4.7 * 3.7.

------

Operated & Chemo

USG Abdo.

18 Apr 2005

1.3 , & 0.9

NA

NA

1

 

nil

-----

 

USG Abdo.

3 Aug 2005

1.7 & 1 , 1.2

NA

NA

1.4

 

Nil

------

 

USG Abdo.

27 Oct 2005

1.7 & 1

NA

NA

1.4

 

Nil

------

 

USG Abdo.

6 Jan 2006

1.9 & 1.1, 0.8

NA

NA

1.7 & 1.1

 

NIL

------

 

USG Abdo.

24 Mar 2006

1.9, 1.1, 0.8

NA

NA

1.7, 1.1

 

NIL

-----

 

USG Abdo.

30 May 2006

2.1, 0.9

NA

NA

1.6, 1.1

 

NIL

----

 

Homoeopathic Treatment started on 13/10/2006

CT Chest & abdo

14 Apr2007

3 * 2.2

2.9 * 2.7

2

-------

2* 1.7

Nil

----

Homoeopathic

USG abdo

30 May 2006

2.1, 0.9

NA

NA

1.6, 1.1

----

Nil

----

Homoeopathic

USG abdo

10 Aug 2007

1.6

NA

NA

Regressed

------

Nil

-----

Homoeopathic

CT chest/ abd/pelvis

19 Apr. 2008

2.7*2.4

3.6*3.1

------

----------

------

5.1*3.6*4.8

------

Homoeopathic

USG abdo

7 Aug 2008

1.8, 1.1

NA

NA

----------

------

8

 

Homoeopathic


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