tokens: 348301810 CTMC 65055310 421501 2/19/1991 12:00:00 AM Discharge Summary Unsigned DIS Admission Date : 02/19/1991 Report Status : Unsigned Discharge Date : 02/25/1991 ADMISSION DIAGNOSIS : ENDOMETRIAL CANCER . OPERATION : Total abdominal hysterectomy , bilateral salpingo oophorectomy 2-19-91 by Dr. Lako Coma . HISTORY OF PRESENT ILLNESS : This is an 81-year-old who presented with postmenopausal spotting and had an endometrial biopsy which was read at the Etearal Etsystems/ Hospital as showing grade I adenocarcinoma . Accordingly she presents for operative therapy at this time . PAST MEDICAL HISTORY : Negative . PAST SURGICAL HISTORY : None . MEDICATIONS : None . ALLERGIES : None . PHYSICAL EXAMINATION : She is somewhat obese elderly female . HEENT unremarkable . Lungs clear . Abdomen obese , no scars . Pelvic exam showed a small mobile uterus . Extremities show no edema . LABORATORY DATA : All within normal limits . HOSPITAL COURSE : The patient was brought to the Operating Room on 2-19-91 where she had an exploratory laparotomy , TAH / BSO , and omental biopsy . She had a normal abdominal exploration of a small uterus with superficial invasion on gross examination , normal ovaries . Washings were sent . A subfascial J-P was left . The patient did well postoperatively and had a regular diet by the third postoperative day . Subfascia drain was discontinued . The patient &apos;s postoperative Hct was 34 . DISPOSITION : She will have follow-up with Dr. Lako Coma . YM263/3597 LAKO C. COMA , M.D. TH0 D : 02/25/91 Batch : 4620 Report : A5427C65 T : 02/27/91 Dicatated By : TA K. JESC , M.D.