Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [abdominal distension/pain/palpable mass]. Onset: [Date/Duration]. Associated symptoms: [nausea, vomiting, weight loss, jaundice, or failure to thrive]. Pertinent negatives: [fever, hematochezia]. History of [Beckwith-Wiedemann syndrome/FAP]. Current performance status: [ECOG/Karnofsky].
Clinical Examination Findings
Abdominal exam: [Palpable, firm, non-tender/tender epigastric or RUQ mass]. Hepatomegaly: [Present/Absent]. Bowel sounds: [Normal/Hypoactive]. Skin: [Jaundice/Pallor/Café-au-lait spots]. Lymphadenopathy: [Supraclavicular/Inguinal]. Vitals: [Stable/Tachycardic/Hypertensive].
Treatment Protocol
Multidisciplinary approach initiated. Surgical intervention: [Complete surgical resection/R0 resection]. Chemotherapy regimen: [Cisplatin/Doxorubicin-based neoadjuvant or adjuvant therapy]. Monitoring: [Serum Alpha-fetoprotein (AFP) levels, serial abdominal MRI/CT]. Supportive care: [Nutritional support, pain management].