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BHARAT VIKAS PARISHADCHARITABLE MEDICAL CENTRE

Indira Holiday Home, Sector 24-8, Chandigarh Ph. 2727171,6544528,2728171(A Sewa Project of Bharat Vikas ParishadCharitable Trust, Chandigarh)

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(NameRec. No

"H;m;esh Kaur .'-[53fe-';' '-:-WO6/20112719! Age/Sex: GO/female

InvestigationCA-125

Result11.85

Normal Ref. Value0.0-35.0 U/ml

I TUMOUR MARKERI ONCOLOGYYThe AxSYMTotal CA~125assay is based on Microparticle Enzymeimmunoassay(MEIA) technology.

The AxSYM,CA-125assay is a Microparticle Enzyme Immunoassay (MEIA)for the quantitativemeasurement of CA-125 assay values inhuman serum: The AxSYMCA-125assay values are used as anaid in monitoringresponse to therapy for patients withepithelialovarian cancer. Serial testing for patientCA-125assay values should be used in conjunctionwith other clinicalmethods used for monltoringovariancancer.

Persistentlyrising CA-125 assaly values may bp.associated with malignantdisease and poor msponse 10l'lerUi'Y,whereas decreasin((CA-125 assay values may inaicatc a favourable response to therapy.

A CA-125assay value greater than or equal to 35 U/mlwas found indicativeof the presence of residualtumor .However,a CA-125 assay value below 35 Ulmldoes not indicate the absence of residual ovariancancer because patients with histopathologic eVidenceof ovarian cancer may haVeCA-125 assay-valueswith in the range of normal individuals. 'Elevations of CA-125assay values have been reported in 'approximately1-i % of healthy individuals,and inindividualswithnonmalignant conditions such as cirrhosis,hepatitis,endometriosis,first tirmester pregnancyovarian cysts, and pelvic inflammatory disease. Elevations of CA-125 assay values during the menstrualcycle have been reported. Non-ovarian malignancies io whichelevated CA-125assay values have beenreported includecervical,liver,pancreatic, lung,colon,stomach, biliarytract, uterine,fallopiantube, breast.and endometrial carcinomas. ;,' , C, F,../"/

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Or.Madhavi KulkarniMD. Pathology

Bharat Vikas Parishad

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This report is not valid for medico legal purpose. If the report Is unexpected or do not matchwith case history, the patient is. advls~d to contact our Radiologist I PathologisUmrnediately;

Facilities available :- .Ultrasound Rs. 1201- on'ly .ECG on 12 Channel Machine Rs. 50/. only' Digital X-Ray Rs. 70/- Per film

.'Digital Mammography Rs. 350/- only' Doppler Rs. 600/- only" TMT/Echocardlography Rs. 600/. only "Stress Echo Rs. 1400/- only,. Free con~ultatlon by Sr. Doctors' ENT Consultanq . Eye Hoapita'- (Catraet &Cornia ,Suru.",) . Pl1y_IQII1..r."y ,.Ortl1oConsultancy' Gastro Consultancy' .'Child Clin;~ . Gyna..Consulta1W:y .D..ntiliClinic. All Clinical Test at no profit no loss bases. TIME: 8.00 A.M.TO 6.00 P.M. (SUNQAYCLOSED)"""",.. .oow '" fi~' ' "',

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Harmesh Kaur271

DateAge/Sex:

14/06/2011SO/female

InvestigationMETHOD :MEIA(AXSYM)

Ref,Range

SICO <1.0 NEGATIVE>1.0 POSITIVE

AxSYM HBsAG 0/2) is a third generation microparticle enzyme iml11unoassayfor the

qualitative detection of Hepatitis B Surface Antigen (HBsAg) in human serum Of plasma '~:

"Samples nonreactive by AxSYM HBsAg 0/2) afe considered negative for HBsAg and

need notto be tested futher . A reactive sample should be retested by AxSYM HBsAg (V2)

to determine wt)ether it is repeatedly reactive. A sample which isfound to be repeatedly: '

reactive should be confirmed by neutralization procedures utilizing human anti-HBs,such as

the AxSYM HBsAg Confirmatory assay. If the sample is neutralized in a confirmatory assay,

the sample is considered positive for HBsAg and does not need to be t~sted further.'{'. ~ Ii /,-..,

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This report Is not valid for medicolegal purpose. 1fthe rep<>rtIs unexpected or do not matchwith case history, the patient is advised tq contact our Radiologist J Pathologist immediately.

Facilities available ;- "Ultrasound Rs. 120/- only. ECG 'on 12:Channel Machin.. Rs. SO/- oilly "'Dil/itat X-Ray Hs, 701- Per film.Dig.tal Mammography RIO.3501. only. Doppler R.. 6001-only. TMTJecn<xoardiogrephYR". eool-""'Y" Stre1u,EchoR4. 1400/-""Iy

. Free consultation by Sr. I)octo". "ENT Consultancy. Eye Hospital (Catract & Cornia Su/gety) "Phy..lotherap~'. Ortho Consultancy" Gastro Consultancy. ChildClinic" Gyna..Consulla,>cy . Den~1 Clinic. All Clinical Test at no profit no loss bases. TIME: 8.00 A.M. TO 6.00 P.M;tSUND'AYCLOSED}""'",,' "'",oj.. ..~.., ,",

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BHARAT, VIKASPARISHAD, CHARITABLE MEDICAL CENTRE

Indira Holiday Home,Sec.t9r 24-B,Chandigarh Ph. 2727171, 6544528, 2728171(A Sewa Project of Bilarat VikasParishadChari~ble Trust, Chandigarh)

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InvestigationCA-125

Resu.lt889.6

Normai; Ret: Va{:ueO.O-35:dUlml

I TUMOUR MARKER I ONCOLOGYY ,

TheAxSYM TotalCA-125assay' is based on Micropartlclel:nzymeImmunoassay(MEIA) technology.

The AxSYM CA-125 assay is a Microparticle'Enzyme Immunoassay (MEIA) for the quantitative 4',', ,", , . " , ," .'

measurement of CA-,125 assay value~ in human serum. The AxSYM CA~125 assay' values,areu'sed as an

aid in monito~ng response to therapy for patients with epithelial, ovariim cancer. Serial testing for patientCA-125 assay values should be used in conjunction with other cliniCalmethods used for monitoring ovariancancer.' ' ,

Persistently rising CA-125 assay values may be associated with malignant disease and poor response to '

t"~f~Y"'\'~:t¥;~sd""..~e<i,$i!')9 GA-1?5B$S.ilY values'may indicate a favourable response, to therapy.

A CA-125 assay value greater than or equal to 35 U/ml W,"isfound indicative'ofthepre~er:~ ot'i"esiqi31. , " " ' , " '

tumor .However,a CA-125 assay value below 35 Ulml does not indicate the absence of residual ovariancancer because patients with 'histopathologic evidence'of ovarian c,ancer may have CA-125 assay v?lue~

withintherangeofnormalindividuals. '

Elevations of CA-125 assay values have been reported in approximately 1-2 % of healthy individuals,and in

individuals with nonmalignant conditions such as cirrhosis, hepatitis;endometriosis,first tirmesterpregnancy'

ovarian cysts, !lnd pelvic inflammatory disease. Elevations of CA-125 assay values during the menstrual

cycle have been reported. Non-ovarian malignancies in which elevated CA-,125 assay values have been

reported include cervical,liver,pancreatic,lung,colon,stomach, biliary t~act, u\erine,fallopian tube, breast,and'endometrial carcinomas. '

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(Dr. CharanJi!Chawla)M.D. pathOtogy

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This report is notvalid formedlc;c:flegalpurpose.ttthere-port Is-unexpected or do not matchwith ~ase history, the patient is advised to contact our Radiologist I Pathologist immediately.

Facilities available :-. Ultrasound Rs. 120/- only' * ECG on 12 Channel Machlne'Rs. 50/- only * Dlgltll X-Ray Rs.70/~ Per film* Digital Mammography ~Rs.350/-only * Doppler Rs. SOO/-onlf * TMT1EChocardiography Rs. SOO/-oniy,.O'StreSS EthoRs.UOO/-only.Ft.. oon.ulta1l0nlIy't. Oootor. .iHT Con.ultancy O', iy.Ho.pltal' (Cattalot&Cornia Surgeryl * Physiotherapy.Ortho Consultancy. Gastro Consultancy . ChildClinic" l1ynaeConsultancy. De,fltdClinic '

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OEPJlIRTMENT ~:r-.RADIO DIAGNOSIS & IMAGINGP.G,I.M.E.R., CHANDIGARH

~"T" SCAN REPORT

Name: Harmesh Kaur

Age: 605~x: FNo. of films us~d -

C.R No. 1010159Adm. NO.

OPDfWD:-

CT N 0.594/11 .

Previous CT No.,Ref.byDate 06.01.:011

. IClinical history and findings: Pain abdomen with distension

LOA + LOW presentProvisional Diagnosis: USG- Fatty liver with ascites

Ascetic fluid cytology - AlIeno Carcinoma

Relevant investigation: Biphasic CECT Abdomen

Report:- Biphasic CECT abdomen study was done by taking 5mm helicalSE'ctions with a pitch of 0.75 of upper abdomen in hepatic <uteri"l ph<lseand lOmnl helical sections with a pitch of 1.5 from domes of diaphragm tillpubic symphysis in portal venOus phase.

+ Liv~r is enlarged (-16cm in craniocaudal span), normal ill shJIW' ,lndattenuation. It is shov,'ing mild surface irrl'gularity. No focal ksion isnoted. THBRare not dilated: HV's and PV .,wenormal.

+ Gall bladder is \-velldistended and normal. CBD is not dilated.+ Pan('rea~, spleen and bilateral kidne)'s are normal. . MPD is prominent,

.Tiny corticul cysts seen in Idt kidney. .

..' urinary t11add~rit>,.velldis!0nci,:d t1ildilormnl .

+ \'lasgi\'e asci.tes seen in' abdominal \A:l.vity ',nth 'Uinc;nt;11 ~':~"il ':s. '!'h,~;'\' is.

sheet like deposit~ seen in parietal peritoncum in the pelvis. .. Uterus is norma] in bulk and attli'nuation. Bilaternl o\'ari~s me ,~nL:tr~l'd '

'with heterogeneous t'nhancement containing both solid and cysticcomponent. No eviden~ of calcification/fat attl'nuation is sel'n in tlW:-'l~masses? ovarian mets (C-~Th'Ji:tit3gtumors). . .. Sma11subcentin1eteric lymph nodes in mesentery.'

+ Opacified gut loops are unremarkable.. AortCl,IVC SMA, S!'\'1V,SPA and SV an:"nofmaL+ Visualised bones shm",'s osteoporotic changes. .

+ Note made of mild pericardial effusion with mild rigbt pleural ('ffusion.

Impression:- F/S/ 0 Peritoneal carcinomatosis and ovarian metastasis.-Mild pericilrdialeifusion with mild right pleural effusion.

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DCI)artment of Cytolog)' & Gynaecologic Pat~ologyPostgraduate Institute of Medif;al Education and Research, CluU1"<Hgarh.India

FLUID REPORT

.Report .No.: 000062/2011

Naj1U~: Sl;c: FHarmesb Kaur .-I.ge: (",I) CR No.: lOlu15;1

Clinicifm: Dr Bhansali M.OPDWard: Bed No.:

A.ddress: SpL Clinic No.: ,05-01-11l?'eljul:?U Date:

Clinical Diagiwsis:

Previous Report No:

NaJUre of Specimen:

Report:Ascitic f1uid smears are ceUular and ~hCJw s~~att.e{"d 'nnd .;:h~t~tar"0f J:ityplcnl c'..lk with m..ri. .J'"nleomornhism. The cells have high NC ratio. hV'JerchroniaLic nue;ki :~,,:':c.?$;~1n.J.l'~I;':;fi"l";;1(.::~.::_:k\.L,Y . .' . ~t' .. .

and occasional c)l.oplasmic vacuolation. In addition ~nanyly111phocyt~s,histiocyte,;:; and mesotn.'l:iicells arc seen in a haemorrhagic background .'

Fe,aturesare that. 0 f adenocarcinoma.

Diagnosis:ASCITIC fluid Adcnocardu9iua NOS

Remarks.Advice:

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(DJ~E»? 1.D. FRC Pathj)ak: ()6-UI-11

TPO 1691'181403

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