Patient Information
- Name: [Patient Name]
- Date of Diagnosis: [Date]
- Medical Record Number: [MRN]
Diagnosis Details
- Cancer Type: [Epithelial/Germ Cell/Stromal]
- Stage: [FIGO Stage]
- Grade: [Grade]
- Genetic Testing Status: [BRCA1/2 Results]
Treatment Plan
Primary Treatment
-
Surgery
- Type: [Procedure Name]
- Scheduled Date: [Date]
- Surgeon: [Name]
-
Chemotherapy
- Regimen: [Drug Names]
- Frequency: [Schedule]
- Duration: [Time Period]
- Oncologist: [Name]
Maintenance Therapy
- Medication: [Drug Name]
- Duration: [Time Period]
- Monitoring Schedule: [Frequency]
Follow-up Care Schedule
First Year
- Physical exams every 2-3 months
- CA-125 testing every visit
- CT scans every 3-6 months
Years 2-5
- Physical exams every 3-6 months
- CA-125 testing as indicated
- Imaging studies as needed
Symptom Management
Key Symptoms to Monitor
- Abdominal pain or bloating
- Changes in appetite
- Fatigue
- Nausea/vomiting
Support Services
- Nutrition consultation
- Physical therapy
- Psychological support
- Social work services
Emergency Contact Information
- Oncology Office: [Phone]
- After Hours: [Phone]
- Emergency Department: [Phone]
Additional Resources
- Support groups
- Patient education materials
- Online resources
- Financial counseling
Notes
[Additional specific instructions or notes]