Oncologist advisory opinion — Trabectedin proposed
Ministry of health of Ukraine
Medical clinic “Innovation” LLC
07352, Ukraine, Kyiv region, Vyshhorods’kyi district, Lyutizh, Vitryanoho Street, 69A
Code for the Unified State Register of Enterprises and Organizations of Ukraine 36076865
MEDICAL DOCUMENTATION
Form of primary accounting
documentation No. 028/0
APPROVED
Order of the Ministry of Health
of Ukraine of February 14, 2012
No. 110
Advisory opinion of an oncologist
The name of the health care facility that referred the patient for consultation
Patient's name:
Zherlitsyna Anastasia StanislavivnaDate of birth: 25.04.1976 .
Specialty, last name, first name of the consulting physician:
Oncologist Oksana Mykolaivna LatsinnikovaResults of laboratory study:
Results of functional, X-ray and other special studies:
Specialist's conclusion (established diagnosis):
Main: Uterine leiomyosarcoma T2NxM1 (liver, peritoneum). Condition after 4 cycles of chemotherapy according to the protocol Gemcitabine + Docetaxel + Avastin with progression in the liver (CT scan 01.12.2022). Kit and MET mutations were detected ( ONCOMINE, 12.2022)
Treatment with Pazopanib from January 5 to January 12, 2023, with the development of posterior reversible encephalopathy syndrome.
Associated diagnosis: Iron deficiency anemia. Hypovitaminosis D.
Recommendations:
1. Chemotherapy according to the Trabectedin-mono protocol with control of effectiveness after 2-3 cycles of treatment.2. Continue taking Sorbifer 1 tab 2 times a day 30 minutes before meals for 2 months, then the control of the general blood test.
3. Continue treatment with Dekristol 4000 unit/day until April inclusive.
February 2, 2023
Doctor consultant _______________________________
/Latsinnikova Oksana Mykolayivna/
Head of polyclinic or inpatient department _______________________________