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    Referral Letter To Hsijb Ortho Onco Jurimi

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    Lee Chee Seng
    This document is a referral letter from the Orthopedic Department of Hospital Sultanah Nora Ismail in Batu Pahat, Johor, Malaysia to the Orthopedic Department (Oncology) of Hospital Sultan Ismail in Johor, Malaysia. The letter provides details about a 64-year-old male patient who presented with a swelling on his left elbow for over 5 years that has been increasing in size. Imaging found a subcutaneous soft tissue tumor possibly a liposarcoma or fibrosarcoma. The patient is referred for further expert management by an oncologist orthopedist.

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    Referral Letter To Hsijb Ortho Onco Jurimi

    Uploaded by

    Lee Chee Seng
    172 views2 pages
    This document is a referral letter from the Orthopedic Department of Hospital Sultanah Nora Ismail in Batu Pahat, Johor, Malaysia to the Orthopedic Department (Oncology) of Hospital Sultan Ismail in Johor, Malaysia. The letter provides details about a 64-year-old male patient who presented with a swelling on his left elbow for over 5 years that has been increasing in size. Imaging found a subcutaneous soft tissue tumor possibly a liposarcoma or fibrosarcoma. The patient is referred for further expert management by an oncologist orthopedist.

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    Referral Letter to Hsijb Ortho Onco Jurimi

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    This document is a referral letter from the Orthopedic Department of Hospital Sultanah Nora Ismail in Batu Pahat, Johor, Malaysia to the Orthopedic Department (Oncology) of Hospital Sultan Ismail in Johor, Malaysia. The letter provides details about a 64-year-old male patient who presented with a swelling on his left elbow for over 5 years that has been increasing in size. Imaging found a subcutaneous soft tissue tumor possibly a liposarcoma or fibrosarcoma. The patient is referred for further expert management by an oncologist orthopedist.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    172 views2 pages

    Referral Letter To Hsijb Ortho Onco Jurimi

    Uploaded by

    Lee Chee Seng
    This document is a referral letter from the Orthopedic Department of Hospital Sultanah Nora Ismail in Batu Pahat, Johor, Malaysia to the Orthopedic Department (Oncology) of Hospital Sultan Ismail in Johor, Malaysia. The letter provides details about a 64-year-old male patient who presented with a swelling on his left elbow for over 5 years that has been increasing in size. Imaging found a subcutaneous soft tissue tumor possibly a liposarcoma or fibrosarcoma. The patient is referred for further expert management by an oncologist orthopedist.

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    HOSPITAL SULTANAH NORA ISMAIL

    JALAN KORMA
    Tel : 07-4363000
    83000 BATU PAHAT, JOHOR.
    Fax : 07-4322544

    Orthopedic Department,
    Hospital Sultanah Nora Ismail,
    Jalan Korma, 83000 Batu Pahat
    Johor, Malaysia.

    Specialist/ Medical Officer


    Orthopedic Department (Oncology),
    Hospital Sultan Ismail
    Johor, Malaysia. 20 Mac 2017

    Dear Dr,

    Re: For further management

    Name : Md Juraimi bin Kamsin


    Age : 64.6
    Ic No : 520612015879
    Diagnosis : 1. Subcutaneous soft tissue tumour

    Thank you for seeing this patient. A 64 years old Malay man, presented with swelling over left
    elbow for more than 5 years. Initially started with 20 cents size then rapidly increased in size for
    5-6 months into a tennis ball size. It is painless and localised. Otherwise, no constituitonal
    symptoms, no history of PTB contact or prolonged cough, no family history of malignancy.

    USG left elbow was done on 22/1/17 showing exophytic subcutaneous heterogenous solid lesion
    with calcification at the posterior aspect of left elbow, differential is liposarcoma.

    Then, proceed with MRI on 23/2/2017. Finding suggestive of subcutaneous soft tissue tumour
    with differential includes liposarcoma or fibrosarcoma.

    *USG and MRI report attached

    BERSATU KE ARAH KECEMERLANGAN PERKHIDMATAN HOSPITAL


    HOSPITAL SULTANAH NORA ISMAIL

    JALAN KORMA
    Tel : 07-4363000
    83000 BATU PAHAT, JOHOR.
    Fax : 07-4322544

    On examination

    GCS full, alert and conscious

    BP 138/80 HR70 T. 37 RR 20

    Left elbow examination


    Swelling at elbow 7cm x 8 cm
    Hyperpigmentation over the tip
    Non tender
    Multiloculated firm
    Non pulsatile
    ROM 0-180

    X-ray elbow periosteal reaction over left olecranon

    Case was referred to Dr. Salleh (Mo Onco Ortho HSIJB). Case and progress noted. TCA clinic on
    21 Mac 2017.

    Kindly see this patient and offer your expert management. Thank you.

    Sincerely,

    -------------------------------------
    Medical Officer,
    Orthopedic Department,
    Hospital Sultanah Nora Ismail
    Batu Pahat, Johor.

    BERSATU KE ARAH KECEMERLANGAN PERKHIDMATAN HOSPITAL

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