Name Of the Patient : Mr Balwant Ramchandra Diwakar
Age: 62 Years. Male
Date: 16-06-2002
Address :  S No 2, Bhagyashri Apt Dhankawadi Pune. 43, Maharashtra India
Diagnosis Spindle cell sarcoma.
Biopsy Report: (15-06-2002) FNAC of lump (left) scapula. Positive for malignant cells i.e. spindle cell sarcoma ? malignant fibrousystrosarcoma. ?Rhabdomyosarcoma.
Status of the Patient: A. No Operation
B. No chemotherapy.
B. No Radiation
Treatment Given: Only on our Homoeopathic medicine after detection.
Follow Up Investigation: CT SCAN OF THORAX(21-06-2002)
Known case of spindle cell sacroma.
CT Scan of thorax has been done. Multiple sections at 10 mm interval have been taken before and after injection of intravenous contrast.
Mediastinal vascular structures show normal anatomical disposition. The trachea is central, both the main bronchi are well seen and appear normal.
The pre and para tracheal spaces and subcarinal spaces are well seen and appear normal.
There is no evidence of lymphnode enlargement.
Both the main pulmonary arteries are well seen and pre vascular spaces appear normal.
There is no evidence of hilar or para hilar lymphnode enlargement noted.
The mediastinal fat planes are well maintained and appear normal.
The cardiac size and configuration is within the normal limits.
Both the lung fields appear normal. There is no evidence of any parenchymal lesion.
The bones appear normal.
IMPRESSION:
Study is within normal limits.
No lung metastasis/ lymphadenopathy/ pleural effusion.

CT SCAN OF ABDOMEN AND PELVIS(21-06-2002)
IMPRESSION : 
Study is within normal limits.
No liver metastasis/ lymphadenopathy/ ascites.

CT SCAN OF THORAX(27-09-2002)
Known case of spindle cell sacroma of left scapula.
CT Scan of thorax has been done. Multiple sections at 10 mm interval have been taken before and after injection of intravenous contrast.
Mediastinal vascular structures show normal anatomical disposition. The trachea is central, both the main bronchi are well seen and appear normal.
The pre and para tracheal spaces and subcarinal spaces are well seen and appear normal.
There is no evidence of lymphnode enlargement.
Both the main pulmonary arteries are well seen and pre vascular spaces appear normal.
There is no evidence of hilar or para hilar lymphnode enlargement noted.
The mediastinal fat planes are well maintained and appear normal.
The cardiac size and configuration is within the normal limits.
Both the lung fields appear normal. There is no evidence of any parenchymal lesion.
No evidence of ascites.
No definable lesion noted.
IMPRESSION:
Study is within normal limits.
No lung metastasis/ lymphadenopathy/ pleural effusion.

HAEMATOLOGY REPORT : 
(21/06/2002)
Parameter Results
HAEMOGLOBIN  12.60 gm/dl
R.B.C. COUNT 4.20 mill/cu mm
W.B.C. COUNT 8200  /cu mm

DIFFERENTIAL COUNT
 
Neutrophils 56%
Lymphocytes 43%
Eosinophils 0%
Monocytes 1%
Basophils 0%

Pheripheral Smear Examination:
 
Normocytic and normochromic
Platelets are adequate.
 
   
E.S.R. 17 mm. after 1 hr. 
   
BLOOD EXAMINATION  
Test Name Carcino embryonic antigen -cea
Method C.L.I.A.
Values 1.4 ng/ml
Comment :  As per the result of CT Scan and blood investigation - tumour marker i.e. CEA clinically too patient is completely under control till today (10/04/2003).
Cancer Patients by Appointment               


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