| Name Of the Patient : |
Mrs. Sulbha NandKumar Walunj |
| Age: |
25 years Female |
| Date: |
15/03/2000 |
| Address : |
Wadgaon, Kashimbag, Taluka.
Ambegaon, District Pune.
Maharashtra India. |
| Diagnosis : |
Known case of CA Bronchus. |
| Biopsy Report :(21/01/2000) |
Bronchial Washing for Malignant cells.
Material : Bronchial washing and brushing for malignant cells.
Microscopic Examination : Multiple smears studied show few scattered
and clumps of bronchial epithelial cells admixed with few clusters
of round to polyhedral cells with pleomorphic, hyperchromatic
nuclei.
The background show abundant polymorphs, eosinophils and necrotic
debris.
IMPRESSION:
Bronchial washing fluid, positive for malignant cells. |
|
|
| Status of the Patient : |
A. No Operation
B. No Chemotherapy
C. No Radition |
| Treatment Given : |
Only on our Homoeopathic medicine after
detection. |
|
Follow Up Investigation : |
CT SCAN OF CHEST(11/01/2000)
CT scan of chest has been done with and without contrast enhancement,
multiple thin sections are taken from apices to the bases. HRCT was done
with minimum 2 mm thin sections.
There is seen a relatively well - defined hypo to isodense lesion in the
left lower lobe and lingula. There are multiple air pockets noted within
this along with the hypodense regions. It shows heterogenous enhancement
with few central non-enhancing hypodense areas and surrounding enhancing
regions. There is minimal left pleural effusion. The right lung appears
clear.
Mediastinal vascular structures show minimal anatomical disposition. The
mediastinal fat planes are well maintained and appear normal. The trachea
and both the main bronchi appear normal. The pre and paratracheal spaces
are well seen and appear normal. There is no evidence of mediastinal
lymphadenopathy. Both the main pulmonary arteries are well seen and
prevascular spaces appear normal. The cardiac size and configuration is
within the normal limits. The aorta looks normal. The bones and soft
tissues are normal.
IMPRESSION:
Large relatively well defined hypo to isodense lesion in the left
lower lobe and lingula, containing few air pockets, showing heterogenous
enhancement. This is probably a large patch of dense consolidation. The
central hypodense regions with surrounding enhancement may herald the
onset of early abscess formation.
Minimal left pleural effusion.
BLOOD EXAMINATION ( 13/12/2001)
Test Name : Carcino Embryonic - CEA.
Method : C.L.I.A.
Values : 0.79 ng/ml
Interpretation :
Normal Range : Non Smokers : 0 - 3.4
Smokers : 0 -
6.2
(Fully autometed chemiluminescence System)
HAEMOTOLOGY REPORT ( 13/12/2001)
| Parameter |
Results |
Normal Range |
Haemoglobin
(By cyanmeth method) |
12.20 gm/dl |
M: 13.0 to 18.0 gm/dl
F : 11.0 to 16.0 gm/dl
C : 10.0 to 14.0 gm/dl |
| R.B.C. Count |
4.10 mill/cu mm |
M : 4.5 to 6.5 mill/cu mm
F : 3.8 to 5.8 mill/ cu mm |
| W.B.C. Count |
8800 / cu mm. |
4000 - 11000 / cu mm |
|
|
|
| DIFFERENTIAL COUNT |
|
|
| Neutrophils |
70% |
40 - 70% |
| Lymphocytes |
28% |
20 - 45 % |
| Eosinophils |
1% |
0 - 6% |
| Monocytes |
1% |
0 - 8% |
| Basophils |
0% |
0 - 1% |
|
|
|
| Pheripheral Smear
Examination |
|
| NormoSytic and normochromic
platelets are adequate |
|
|
|
| E.S.R |
43 mm after 1 hr |
M :0 mm to 9 mm |
|
(By Wintrobe's) |
F : 0 mm to 20 mm |
|
|
|
| BLOOD EXAMINATION
REPORT(13/12/2001) |
| Test Name |
CA 15.3 |
|
| Method |
C.L.I.A. |
|
| Values |
11.9 |
|
| Units |
U/ml |
|
|
|
|
| INTERPRETATION |
|
|
| Normal Range |
Less that 53.0 |
|
| (Fully Automated Chemiluminescence
System |
|
|
| Comment : |
As per as the blood reports and
clinically too, till today patient is completely under control(10/04/2003). |
