Diagnosis:- AS PER THE DISCHARGE SUMMERY JAN 19 ‘06
1. CARCINOMA of left breast - Operated (May 2004) Secondaries - Tumor over left upper back and left side of chest - wide excision of TUMOR with SSG done on January 4th, 2006
2. Urinary tract infection - CANDIDIASIS
3. ANAEMIA
History:-
A case of Ca. Left Breast - Mastectomy done in May 24th, 2004 given CT and RT
Taken up for surgery in June 1st, 2004 for removal of regional lymph nodes under field block.
H/o hyperglycemia in 2004. No history of HTN
On Feb 2005, noticed a lump on left upper back - proven Malignancy (in April 2005) with accelerated growth. Notice a lump on left side of chest in June 2005
Given CT since 2005
Planned wide Excision of Tumor with SSG
ON EXAMINATION
Conscious, Oriented, afebrile PR: 78/mt BP: 110/80 mm Hg
Local Examination:
Tumor left upper back, lateral to left scapula 12 x 10cms HARD+ no warmth
Tumor left side of chest 2×2cm
Left Mastectomy scar+
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