22 04 33 502

NATIONAL LEAGUE AGAINST CANCER

INSTITUTO DE CANCEROLOGIA Y HOSPITAL DR. BERNARDO DEL VALLE S.

6th Avenue 6-58, 11 Zone, Guatemala C.A.

PXB: 2417-2100 MEDICAL MANAGEMENT Telefax: 2471-3136 www.ligacancerguate.org

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CANCER CAN BE PREVENTED, DON'T FEAR IT ... FIGHT IT!

POOR QUALITY ORIGINAL

779963109

RAMIREZ, ERICKA

MRN: 220433502

DOB: 6/15/1983 (38yrs)

Adm Date: 7/12/2021

SpknLang: Spanish

PCP: Marcella Torres, MD

INSTITUTO DE CANCEROLOGIA

DR. FERNANDO DEL VALLE S.

NAME: Ericka Ramirez. (illegible) MED: 208299

SERVICE: Unit I DATE: 7-2-02

SURGEON: Doctor Gomez (Illegible): Doctor Quiñones

SECOND ASSISTANT: Doctor Sosa NURSE: Bath

ANESTHETIC: bachan ANESTHETIC: general.

BUSINESS ACCOUNT: complete (Illegible): Cecilia

START OF SURGERY: 8100 hrs END OF THE SURGERY 13:30hrs

(illegible)

INCISION: in bone on previous (illegible) CLOSURE: by planes

(illegible) Doctor Quiñones DRAINS: (illegible)

(illegible): mass that comes into origin in the right iliopubic branch. Takes femoral vein, nerve,
and parietal peritoneum.

(illegible)

With the incision described, resecting the flap, we start looking for the femoral artery, nerve
and vein, the latter being taken by a tumor mass with multiple thrombi in its interior, the
internal femoral and arch of the saphenous are previously ligated as well as its tributaries, later
it is evidenced that the peritoneum is adhered to the mass, or what goes inside peritoneal
cavity, the nerve, artery and vein are identified, they are separated, as well as the bladder,
ureter and urethra, the obturator nerve is evidenced and (illegible), collateral branches of the
iliscal external artery are ligated, it is closed by obturator hole, the union of the iliopublic
branch is subsequently cut from the ubis, a piece of 8 cm in diameter including bone is
extracted, bleeding from the fossa is controlled (illegible)
Separate greater oblique fascia points are placed, a defective mesh is left after peritoneum
closure, a hemovac is placed. Complications, closure of (illegible)

Cardiovascular physicians are located for (illegible) evaluation but they have not answered a
call.

POOR QUALITY ORIGINAL

(illegible) 060055

INSTITUTO DE CANCEROLOGIA

DR. BERNARDO DEL VALLE S.

GUATEMALA. C.A.

LABORATORY OF PATHOLOGY

Department:

Surgeon: DR. JAVIER FIGUEROA

Part:

MACROSCOPIC DESCRIPTION:

SHEET NO. IS RECEIVED 002-91.

DIAGNOSIS:

REVIEW OF A SHEET AS SOFT TISSUES OF RIGHT INGUINAL REGION: FIBROMATOSIS

APONEUROTIC MUSCLE (ONE SLIDE).

Name: ERICKA ELIZABETH RAMIREZ

Medical record: 208299 Unit: II

Report No .: 0415-2002.

Received: 01/22/2002

Delivered: 1/24/2002

Receipt No. 0

MACROSCOPIC DESCRIPTION:

SHEET NO. IS RECEIVED 002-91.

DIAGNOSIS:

REVIEW OF A SHEET AS SOFT TISSUES OF RIGHT INGUINAL REGION: FIBROMATOSIS.

APONEUROTIC MUSCLE (ONE SLIDE).

779963109
RAMIREZ, ERICKA

MRN: 220433502

DOB: 6/15/1983 (38yrs)

Adm Date: 12/7/2021

SpknLang: Spanish

PCP: Marcella Torres, MD

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Dr. HESLER MORALES

PATHOLOGIST

POOR QUALITY ORIGINAL

INSTITUTO DE CANCEROLOGIA

DR. BERNARDO DEL VALLE S.

GUATEMALA. C.A.

(illegible)

(illegible)

(illegible)

(illegible)

(illegible)

Department: SURGERY ROOM

Surgeon: DR. GOMEZ

Part: (illegible)

Report No .: 0822-2002.

Received: (illegible)

Delivered: (illegible)

Receipt No. 0

MACROSCOPIC DESCRIPTION:

A TUMR IS RECEIVED MEASURING 12 X 10 X 8 CM… IN ITS GREATEST DIMENSIONS,

EXTERNALLY A FRAGMENT OF BONE TISSUE OF 4X2 CMS IS OBSERVED… THAT CORRESPONDS
TO THE ILLIOPHEAL INJURY. WHICH MACROSCOPICALLY IS OF NORMAL APPEARANCE. ALSO,
ABUNDANT ADIPOSE TISSUE, MUSCLE TISSUE IS OBSERVED. AT SERIAL CUT THE TUMOR IS OF
STABLE CONSISTENCY AND IS CONSTITUTED OF GRAY WHITE TISSUE WITH AREAS OF PALE RED
FIBROUS ASPECT WHOSE MARGINS ARE SUITABLE SECTIONS FOR STUDY.
ILIOFUSIC HEMIPELVECTOMY: ILIOFUSIC HEMIPELVECTOMY: SURGICAL EDGES WITHOUT
EVIDENCE OF INJURIES.

FEB 18, 2002

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POOR QUALITY ORIGINAL

INSTITUTO DE CANCEROLOGIA
DR. BERNARDO DEL VALLE S.

GUATEMALA. C.A.

(illegible)

(illegible)

(illegible)

(illegible)

(illegible)

MACROSCOPIC DESCRIPTION:

TWO FRAGMENTS OF YELLOW WHITE FABRIC OF SOFT CONSISTENCY ARE RECEIVED AND THE
GREATER MEASURES (illegible) AND THE LESSER (illegible). ON THE WHOLE. ALL FABRIC UNDER
STUDY.

DIAGNOSIS

(illegible)

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POOR QUALITY ORIGINAL

INSTITUTO DE CANCEROLOGIA
DR. BERNARDO DEL VALLE S.

GUATEMALA. C.A.

LABORATORY OF PATHOLOGY

Department: SURGERY ROOM

Surgeon: DR. MAURICIO

Part:

Report No .: 03155-2005.

Received: 6/28/2005

Delivered:

Receipt No. 0

MACROSCOPIC DESCRIPTION:

OVOID SHAPED FABRIC OF 8 X 6 X 3CMS. IN ITS GREATEST DIMENSIONS, EXTERNALLY

COVERED BY ADIPOUS TISSUE. AT SERIAL CUT, WHITE FIBROUS TISSUE AND ADIPOSE TISSUE
CAN BE OBSERVED. SECTIONS UNDER STUDY.

DIAGNOSIS:

TISSUE OF THE RIGHT THIGH: RECURRING MUSCULOAPONEUROTIC FIBROMATOSIS.

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POOR QUALITY ORIGINAL

DATE NOTES TITLES

06-28-05 Doctor Rodas POOR QUALITY ORIGINAL
SURGERY NOTE
In the surgery room A3,
under the effects of general
anesthesia, the following
procedure is carried out:

PROCEDURE: wide resection

of persistent fibromatosis
right thigh.

INDICATION: Fibromatosis
right thigh

FINDINGS: Anterior scar

Multiple fibrosis involving
skin, (illegible), muscle with
probable vein, artery and
nerve involvement. Probable
residual fibromatosis in vein
and artery.
-Uncomplicated procedure
-Closure in 2 planes: Cellular
tissue with (illegible) 20
Skin with dermalon 30

-Pen rose is allowed to drain.

Surgeon: Doctor Carlos
Mauridio Helped: Doctor
Luis Rosada/Rodas

6/23/2005
(illegible)
Doctor Azucena

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signature)

First hours after surgery of

(illegible) extensive
recurrence of fibromatosis in
the right thigh; at the
moment adequate
evolution, (illegible); no pain

(illegible)
INSTITUTO DE CANCEROLOGIA

DR. BERNARDO DEL VALLE S.

Name:

Reg. Med

Service

EVOLUTION NOTES

Date Notes
ESTRADA SURGERY NOTE:
5/9/2002 Patient in the surgery room, supine
decubitus, general anesthesia sterile fields,
proceeded.

INDICATION: Foreign body reaction in the

right groin area.

FINDINGS: Extensive inflammatory reaction,

Extensive fibroysis in inguinal area from
subcutaneous tissue to muscle, firm tissue
difficult to dissect
Mesh was not observed. Difficult to palpate
the path of the femoral artery
5/9/2002
19.40 PROCEDURE:
(illegible) Flap handling
Taking a sample of subcutaneous cellular
tissue
Thorough cleaning of the raw area.
Close by planes. Placement of rigid drain
with negative pressure.

Surgeon: Doctor (illegible)

Helped: Doctor David (illegible)

10 MAY 2020

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V=I

(illegible)

POOR QUALITY ORIGINAL

INSTITUTO DE CANCEROLOGIA
GUATEMALA, C.A.

EXIT AND SUMMARY SHEET

RECORD NO.

28299

RAMIREZ VELASQUEZ ERICKA ELIZABETH

NAME:

DOCTOR

ADMISSION DATE: 4/15/2002

DISCHARGE DATE: 02-26-02

DAYS STAY: 27

SERVICE(S) WHERE YOU WERE ASSISTED AND FROM WHICH YOU WERE DISCHARGED I

DIAGNOSIS AND/OR REASON FOR ADMISSION: Mass (illegible)

DISCHARGE DIAGNOSIS: Fibromatosis (illegible)

STAGING AT DISCHARGE:

DIAGNOSTIC PROCEDURES USED:

DATE DATE
BIOPSY TAC
CYTOLOGY ULTRASONOGRAPHY
TUMOR MARKER MAGNETIC
RESONANCE
X-RAY CENTELLOGRAPHY
OTHERS: ENDOSCOPY

THERAPEUTIC PROCEDURES:

SURGERY (SPECIFY): (illegible)

RADIOTHERAPY (AMOUNT): CHEMOTHERAPY (MEDICATION AND AMOUNT):

IMMUNOTHERAPY:

HORMONE THERAPY (SPECIFY) OTHERS:

FAVORABLE COURSE: WITH COMPLICATIONS: (INFECTION, BLEEDING, STOP)

EVALUATION AT DISCHARGE: CK

FOLLOW-UP PROGRAM INDICATED UPON GRADUATION:

NAME SIGNATURE OF DOCTOR ORDERING DISCHARGE

POOR QUALITY ORIGINAL

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SIGNATURE

INSTITUTO DE CANCEROLOGIA

GUATEMALA, C.A.

EXIT AND SUMMARY SHEET

RECORD NO.

NAME: ERICKA HERNANDEZ

DOCTOR: 208299

ADMISSION DATE: 4/15/2002

DISCHARGE DATE: 02-26-02

DAYS STAY: 7

SERVICE(S) WHERE YOU WERE ASSISTED AND FROM WHICH YOU WERE DISCHARGED I

DIAGNOSIS AND/OR REASON FOR ADMISSION: (illegible)

DISCHARGE DIAGNOSIS: idem

STAGING AT DISCHARGE: idem

DIAGNOSTIC PROCEDURES USED:

DATE DATE
BIOPSY TAC
CYTOLOGY ULTRASONOGRAPHY
TUMOR MARKER MAGNETIC
RESONANCE
X-RAY CENTELLOGRAPHY
OTHERS: ENDOSCOPY

THERAPEUTIC PROCEDURES:

SURGERY (SPECIFY): Abscess drainage

RADIOTHERAPY (AMOUNT): CHEMOTHERAPY (MEDICATION AND AMOUNT):

IMMUNOTHERAPY:

HORMONE THERAPY (SPECIFY) OTHERS:

FAVORABLE COURSE: (ilegible) CON COMPLICACIONES: (INFECTION, BLEEDING, STOP)

EVALUATION AT DISCHARGE: (illegible)

FOLLOW-UP PROGRAM INDICATED UPON GRADUATION: (illegible)

NAME SIGNATURE OF DOCTOR ORDERING DISCHARGE (a signature appears)

SIGNATURE
POOR QUALITY ORIGINAL

INSTITUTO DE CANCEROLOGIA

GUATEMALA, C.A.
EXIT AND SUMMARY SHEET

RECORD NO.

NAME: ERICKA HERNANDEZ

DOCTOR: (illegible)

ADMISSION DATE: 5/6/2002

DISCHARGE DATE: 05-20-02

DAYS STAY: 16

SERVICE(S) WHERE YOU WERE ASSISTED AND FROM WHICH YOU WERE DISCHARGED
(illegible)

DIAGNOSIS AND/OR REASON FOR ADMISSION: Foreign body reaction in right thigh 2)
fibromitosis (illegible)

DISCHARGE DIAGNOSIS: idem

STAGING AT DISCHARGE: -

DIAGNOSTIC PROCEDURES USED:

DATE DATE
BIOPSY 5/9/2002 TAC
CYTOLOGY ULTRASONOGRAPHY
TUMOR MARKER MAGNETIC
RESONANCE
X-RAY CENTELLOGRAPHY
OTHERS: ENDOSCOPY

THERAPEUTIC PROCEDURES:

SURGERY (SPECIFY): (illegible)

RADIOTHERAPY (AMOUNT): CHEMOTHERAPY (MEDICATION AND AMOUNT):

IMMUNOTHERAPY:

HORMONE THERAPY (SPECIFY) OTHERS:

FAVORABLE COURSE: (ilegible) CON COMPLICACIONES: -(INFECTION, BLEEDING, STOP)

EVALUATION AT DISCHARGE: (illegible)

PROGRAMA DE SEGUIMIENTO INDICADO AL EGRESO: cita en 3 semanas a (ilegible)

NAME SIGNATURE OF DOCTOR ORDERING DISCHARGE (a signature appears)

SIGNATURE (there appears a signature)

POOR QUALITY ORIGINAL

INSTITUTO DE CANCEROLOGIA BERNARDO DEL VALLE S.” GUATEMALA, C.A.

NAME: Ericka Elizabeth Ramirez

MEDICAL REGISTRY No. 208299

UNIT: AGE: 23

DATE: 07 JULY 2005

ADDRESS: (illegible)

FINAL DIAGNOSIS: Fibromatosis (illegible) CLINICAL STATUS:

RADIOTHERAPY

No.:

Doctor: (illegible)

OBJECTIVE OF TREATMENT CURATIVE - PALLIATIVE

TREATMENT PRIMARY OR SECONDARY

PREVIOUS RADIOTHERAPY: YES, NO

DETAILS:

GENERAL TREATMENT PLAN

NUMBER OF FIELDS/

25 (illegible)

No FIELDS CMS DF UNIT: FORMUL GIVE SKIN TUMO TIME

.: SIZE P A N DOSE R DOSE
DOSE
1 (illegible 29 X 21 80 V-9 200 4` 24``
)
2
3
4
5
6
7
Measurements (illegible)> (illegible)

(Illegible) - Calibration

FORMULA

K.V

Ma

FILTRATION IN MMS
Sn.

Cu.

Ai.

Th.

O.

CSR.

DFP

Cms

RAD/min (Gy)

HIGH VOLTAGE

SPECIAL CALCULATIONS

(illegible)

Special instructions

(illegible)

POOR QUALITY ORIGINAL

DATE NOTES TITLES

7/7/5 UNIT I (There appears a seal with a
(illegible) signature)
Pathology: Recurrent
aponenmotic muscle
fibromatosis. Due to
macroscopic surgical residual
involving femoral artery and
veins. Sent to radiation
therapy. Starts (illegible)

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07 Jul 2005) the legend EXTERNAL
RADIOTHERAPY)
Doctor Orteha
Doctor Ruiz 23-year-old patient with
10:51 recurrent
musculoaponeurotic
7/9/5 fibromatosis on the right
thigh, 9th day postsurgery,
(illegible) physical examination with
scar in the erythematous
7:15 AM inguinal region, with exit of
clear serous material even
with stitches in the surgery
wound, a hard mass of 10
cm more or less was
palpated. Plan. Teletherapy
treatment with curative
intention is programmed at
200 (illegible) per day, DT
5000 (illegible)
NOTE It will not start until
the surgery wound iss
healed, appointment in a
week to evaluate rt start.

Already known.
Still draining serous fluid
from surgery wound. No
signs of infection
Discharge plan
(illegible)