PRADER, BRACKER, & ASSOCIATES A Complete Health Care Facility 159… PRADER, BRACKER, & ASSOCIATESA Complete Health Care Facility159 Healthcare Way ? SOMEWHERE, FL 32811 ? 407-555-6789 PATIENT: CHARLES, KARENACCOUNT/EHR #: CHARKA001DATE: 08/11/21 Attending Physician: Renee O. Bracker, MD Patient, a 43-year-old female, presents today to discuss pathological findings of recent exploratory laparotomy. Patient is 4 days’ status post lysis of adhesions; total abdominal hysterectomy; bilateral salpingo-oophorectomy; partial omentectomy; excision of small and large bowel implants; pelvicabdominal peritoneal stripping; placement of intraperitoneal port-a-cath; and enterolyses. The ovaries were found to be poorly differentiated; serous carcinoma extended to the left fallopian tube. The right fallopian tube was found to have serosal fibrosis consistent with tubo-ovarian adhesion. A broad-based endometrial polyp was found in the endometrium while the myometrium showed leiomyomata, adenomyosis, and multifocal serosal implants of poorly differentiated ovarian serous carcinoma. The specimen from the omentum was found to be metastatic adenocarcinoma consistent with ovarian origin. Lastly, the specimens from both the small and large bowel were positive for metastatic, poorly differentiated ovarian serous carcinoma. The histomorphologic features of poorly differentiated ovarian serous carcinoma closely resemble that of a poorly differentiated fallopian tube primary adenocarcinoma. The bilateral ovarian involvement supports the primary ovarian origin of the neoplasm. ASSESSMENT: Metastatic adenocarcinoma of the omentum; metastatic carcinoma of the small and large intestines. ORP/pw D: 08/11/21 09:50:16 T: 08/13/21 12:55:01 Health ScienceScienceNursing HIM 140

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