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Physical Exam

04/28/XX

No breast masses. No abd masses.

   
X-Rays & Scans

04/28/XX

CXR normal
04/28/XX Abdom CT: Reveals a 2.5 cm mass on R side of bladder wall, confined to the bladder
05/03/XX Bone scan: NEG
   
Scopes/Lab 04/28/XX WBC + plts: High; anemic
04/28/XX Urinalysis: Gross blood visible and massive volume of RBCs present in urine
   
Operative
Findings

04/28/XX

Exploratory; bx of obvious R bladder wall carcinoma, grossly confined to bladder wall; patient refused recommended resection
05/26/XX Bx of enlarged R inguinal LN
   
Pathological Reports

04/28/XX

Bx of bladder wall: Undiff. carcinoma

05/26/XX R inguinal LN: Undiff carcinoma, most likely metastatic from known bladder ca
   
Treatment 04/28/XX Chemotherapy, multiple agents: Platinol, Methotrexate, Vinblastine, Adria

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