Journal Of Case Reports
Rajshree Dayanand Katke
From
the Department of Obstetrics & Gynaecology, Grant Government
Medical College & Sir J. J. Group of Hospitals, Mumbai, Maharashtra,
India.
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Introduction:
Conservative
and functional surgeries are increasingly being used in surgical
oncology, with an aim to preserve the organ function. The evolution of
new surgical procedures to reduce radical resection in oncological
gynaecological surgery is a perfect example. Although radical surgery
remains the `gold standard’ in the treatment of ovarian cancers, a
conservative approach can be considered in patients with early-stage
disease and in a young patients, in order to preserve their fertility
function.
Around
2-3% of masses removed during pregnancy are found to be malignant and
this is a key issue to be considered when counselling the patient [1,2].
Despite this fact, the great majority of high suspicion adnexal masses
excised during pregnancy are in fact borderline ovarian tumors. Ovarian
tumors of low malignant potential comprise 10-20% of all ovarian
malignancies [3,4]. They carry an excellent prognosis with 95-99% long-term survival [3]
Case Report:
26-year-old
young girl, married since two years was referred to us for abdominal
pain and irregular menses (4-5 days /15-40 with moderate blood flow)
since one year. Her past medical history was insignificant except she
underwent medical termination of pregnancy at 10 weeks in view of CT
scan radiation exposure. On general examination, she was afebrile, with a
blood pressure of 120/78 mmHg and a pulse of 74 beats/min. Her
per-abdominal examination revealed fullness in the right lower abdomen,
12x10x10 cm firm to cystic ill-defined mass, with restricted mobility.
Per-speculum examination was normal. Per-vaginal examination revealed
normal cervix and vagina with anteverted, anteflexed and normal size
uterus. The above described mass could be felt through the right fornix.
Left fornix was normal and rectal mucosa was free. The patient’s
hematologic and biological workups were within normal limits except
hypoproteinemia. Ultrasound investigation revealed a cystic mass
measuring 7x6x6 cm in right ovary. This cystic formation had multiple
thick nodular areas at periphery with a possibility of neoplastic
etiology. Doppler study revealed anechoic cystic lesion measuring 8x7 cm
with mural nodules and irregularity in right adnexa. No evidence of
calcification/internal septations/echoes was seen. Minimal vascularity
was seen in mural thickening, right ovary not visualized separately with
features suggestive of complex right ovarian cyst. CT scan whole
abdomen confirmed the ultrasound findings. Her CEA was within normal
limits but CA-125 was raised above normal (1040.5 U/mL). Staging
laparotomy revealed right ovarian tumor with normal left ovary on gross
examination (FIGO stage Ia). Frozen section of right ovary revealed
serous (cystic) tumor: borderline malignant potential. The decision
regarding preservation of fertility was taken hence she underwent
unilateral removal of tumor with ovary. Peritoneal washing cytology,
sampling biopsies from the staging surgery were negative. Slides and
paraffin blocks were reviewed at Tata hospital which was reported as
serous (cystic) tumor: borderline malignant potential. Patient tolerated
surgery well and post-operative period was uneventful. Patient was
asymptomatic and was on regular follow up for 2 years. She was evaluated
for infertility. Follicular study revealed lack of progressive
development of follicles. Ovulation was induced with tablet clomiphene
citrate 50 mg once daily for five days from second day of menses and
follicular growth was monitored with the follicular study from 9th day
of menses for 2 cycles and planned relationship was advised. She
conceived after induction of ovulation. During her antenatal period she
was admitted twice for threatened preterm labour which was managed
conservatively with tocolysis and bed rest. Patient delivered full term
healthy 2.7 kg male child. Postpartum period was uneventful and patient
discharged on 4th day with healthy baby after vaccination. Her CA-125
tumor marker value was within normal limits postoperatively and on
follow up at one year.
Discussion:
Borderline
ovarian tumors (BOT) are a distinct histological entity and account for
nearly 10-20% of all ovarian epithelial tumours [3-5].
Majority of borderline ovarian tumors are diagnosed in women of
childbearing age (<40 years); however little is known about the
epidemiology and management of these tumors diagnosed during pregnancy.
According to the literature, borderline ovarian tumors are frequently
diagnosed during the first trimester incidentally in routine ultrasound
exams. When symptomatic, patients may refer to unspecific abdominal pain
[3,6]. Pelvic ultrasound remains the mainstay for evaluating the adnexa.
Surgical staging is important issue in the management of borderline ovarian tumors [7-9].
Laparoscopic restaging surgery reduces the risk of postoperative
adhesions and mechanically induced infertility. However, the harmless
nature of this surgery in patients with ovarian cancer remains the
subject of debate, and restaging surgery using midline laparotomy
remains the current the `gold standard’. Conservative treatment provides
good results for fertility, and does not affect the survival of
patients with borderline ovarian tumour. This approach should be
considered for young women desiring fertility, even if peritoneal
implants are discovered at the time of the initial surgery. In case of
infertility, the use of assisted reproduction techniques may be
suggested to patients with stage I borderline ovarian tumor, with a
limited number of stimulation cycles. In patients with epithelial
ovarian cancer, conservative surgery of an ovary and the uterus can only
be considered in adequately stratified patients with serous, mucinous
or endometrioid tumor, excellent prognostic factors (stage IA, grade 1
or perhaps 2) and a careful follow-up. Removal of the ovary should be
carried out when childbearing is complete.
In
our case fertility sparing surgery was carried out in view of patient
being young lady with borderline ovarian tumor and no living issue. The
patient withstood surgery well and her tumor markers returned to normal
during follow-up. Patient conceived after induction of ovulation. Her
antenatal period was monitored closely and she successfully delivered a
healthy 2.7 kg baby.
Conclusion:
Borderline
ovarian tumors represent a rare clinical entity. Each case needs
individualized management based on the risk benefit ratio. While in
women with a complete family- total abdominal hysterectomy with
bilateral salphingo-oophorectomy is recommended, young women should
undergo fertility sparing surgeries with close follow-up.
References:
PDF Link for Downloading: www.casereports.in/filedownload.aspx?id=376 | ||||||||
Thursday, 16 October 2014
Successful Outcome of Pregnancy in Borderline Malignant Ovarian Tumor
Monday, 13 October 2014
Biodata
Dr
Rajshree Katke (Sonkawde)
[M.D, FICOG]
Medical Superintendent,
Cama And Albless
Hospital, Mumbai.
Associate professor and
Unit Head,
Grant Medical College,
Mumbai
Dhanvantri Building , Bldg. No. 2, 2nd floor, flat No.5, J. J.
Hospital Campus ,Byculla,
Mumbai - 400 008
91-9869917830
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Dr.
(Mrs.) Rajshree Dayanand Katke (Nee Sonkawde) ,Medical Superintendent of Cama
& Albless Hospital, Mumbai is a Obstetrician and Gynecologist of par
excellence, also working as Associate professor and Unit Incharge, who has
done many obstetrical and gynecological surgical procedures with special
interest in gynecological oncology. She has gold medal in Medicine. She is
dedicated towards patients with HIV and is Incharge of PPTCT/ICTC program – MDAC
and on the State level Committee Member of Advisory Committee of PCPNDT. She is an academician with teaching
experience of more than 16 years and also a post graduate teacher in
obstetrics and gynecology.
She
has been chairman and examiner for M.B.B.S. & M.D. examinations.
Appraiser for National Board of Examinations. She is devoted to teaching
having delivered lectures at various training program for lecturers and
paramedical staff. She has
publications in national and international journals to her credit. Numerous
paper presentations at national and international conferences have won rave
reviews and awards under her authorship. She has chaired sessions at
international conferences of FOGSI FIGO. She has been invited as faculty at
national conferences. She was chairman for enquiry committee for medico legal
cases as an expert. She is committed to community health having done many
diagnostic and operative camps at rural and tribal areas including camps for
HIV positive patients.
Personal Details:
Nationality
: Indian
Language Known :
English, Marathi, Hindi
Gender
: Female
Status : Married
Location:
·
MAHAPALIKA MARG,MUMBAI GPO, MUMBAI – 400001
Education Qualification (MBBS, MD (OBGY),FICOG), FMAS:
·
MBBS From Government Medical College, Aurangabad(1987)
·
M.D. (OB-GY) from Government Medical College, Aurangabad (1993)
·
F.I.C.O.G in 2011
·
Fellowship in minimally Access Surgery in 2013
·
Training in Ultrasound Obstetric & Gynecological
and Foetal Heart Monitoring
·
Diploma in Acupuncture
·
Computer Training MS CIT
Present Appointment:
·
Incharge of PPTCT /ICTC/Programmer -
MDAC & NACO
·
Incharge of STI /
RTI - MDAC
·
Ex-Member of Advisory
committee of PCPNDT (State Level Committee)
·
On Scientific Advisory Committee
of All India Medical Women In India (AMWI)
·
Member of Manodharya Yojna
-Committee for Rehabilitation of Sexually Assaulted Cases and Acid Attack Victims.
Teaching Experience as an
Undergraduate & Postgraduate(M.D./M.S.OBGY) TEACHER:
·
MBBS Undergraduate Teaching - 17 Yrs
·
Postgraduate Teacher
Since – 9 Yrs
·
Nursing BSc, MSc,
Midwifery
Clinical Experience as a Obstetrician and Gyanecologist:
·
Working as Assistant
Professor of Obstetrician and Gynecologist
since 1997-2005
·
Associate professor and Chief of Unit - Since 2008
·
Keen Interest in Cancer
Surgeries , has operated difficult cases
·
Huge number of patients benefitted by the service given by us
·
Social camps of Diagnosis and operation done in rural area and
Tribal area of Maharashtra.
Honours And Awards:
•
Appreciation Letter from The General Secretary (United Nations) Hon. Shri BAN Ki-Moon visited Cama hospital and
admired about our hospital administration and patient’s treatment carried out
in year May 2012.
•
Appreciation Letter from Additional Chief Secretary Maharashtra (Chief Secretary of Government of Maharashtra) Mr. Jayant Kumar
Bantiha also admired the Hospital and the arrangement made regarding the
visit of the UN Secretary.
•
Padmashree Dr. T.P. Lahane, Dean
Grant Government Medical College, Mumbai gave an Award for Best
Associate Professor. year Jan 2012
•
Rajiv Gandhi Excellence Award and
Gold Medal for outstanding achievements
yr. 2012
•
National Mahila Ratna Gold Medal
Award for outstanding achievements
yr. 2012
•
AMWI (Association of Medical
Women India, Mumbai Branch) Achievement Award yr. 2012
•
Best Superintendent in charge
award was given by Human Rights
Association of India.
•
Under my primary Authorship
papers presented in various OBGY conferences got prizes.
•
Felicitates by Giant Group of
Ulhasnagar Saheli on Women’s Day Celebration.
•
Appreciation Certificate by Member of Parliament Shri. Milind Devara for Conducting the Camp at Colaba.
•
(NIC) National & International Compendium, New Delhi, Eminent Educationalist Award
For
Outstanding Achievement yr.2012.
•
Award given by MDAC on World AIDS Day 1st December 2012 for bet work in the
RTI/STI-HIV Infections.
•
Name conclude in who is who booklet by International Compendium, New Delhi. yr.2012
•
Photon Research Award 2014 for outstanding scientific contribution in September 2014
•
Breast Cancer CME presented by
Department of Radiotherapy and Oncology from Grant Government Medical College
& Cama and Albless Hospital, Mumbai in August 2014.
•
Appreciation award from
association of Fellow Gynecologists in May 2014
•
Bharat Vibhushan Samman Puraskar presented by the Economic and human resource development
association(EHRDA),New Delhi in Dec 2013
•
International Education Excellence
award for outstanding achievements in
the field of education by Indian Solidarity Council in May 2013
•
Award from MDAC on worlds AIDS Day from National AIDS Control
organization(NACO) in December 2012
•
National Mahila Rattan Gold Medal
Award from International Institute of
Education & Management (New Delhi) in Oct 2012
•
Achievement Award by Association
of Medical Woman in India (Mumbai) for Duty and Devotion IN April 2012
•
Appreciation award for Best
Superintendent IN charge of CAMA & Albless Hospital from human rights
Association of India in April 2012.
•
Appreciation letter from
Secretary of Woman's State commission in May 2012.
·
Member Of Scientific committee
of MEDICON 2011 By the fourth international medical students research
conference in May 2011
•
Gold Medal in Medicine in 3rd
M.B.B.S.
•
Received School Prize for Best
Handwriting.
Digital Media Glare On National TV Channel:
•
Invited as a Guest in TV Program
HELLO SAKHI (Family Planning)
•
Invited as a Guest in TV Program
on Door Darshan " Shayadri" as a SWASTA BHARAT 2014
•
Invited as a Guest in TV Program
on Door Darshan " Shayadri" as a SWASTA BHARAT 2014
•
Invited as a Guest in TV Program
on Door Darshan " Shayadri" as a SWASTA BHARAT 2014
•
Invited as a Gusted in TV
Program on Jai Maharashtra "Pregnancy Care" , 5th September, 2014
•
Interviewed by SAHARA SAMAY on Adoption Program
•
News on Sahara Samay after delivering of baby of 4.5
K.g normally.
•
Program on Monuments of
terrorist attack 26/11/2008 Martyr Build at Cama Hospital.
As An Author:
•
Has written a chapter on
Postpartum collapse in a text book published by JP Prakashan
•
A Chapter written on 1st Trimester MTP in FOGSI FOCUS book,
January 2012
•
Cytology Booklet article on
CIN(Cervical Intraepithelial Neoplasia) -colposcopy
·
Contribution to the articles of
Maternal Mortality booklet AMOGS
Scientific
Paper Presentation at National & International Conferences:
· Scientific Paper presentation on Jan- 2010 Central Asia Regional
Conference AMWI, Mumbai
(Topic - Contraception in Per menopausal women)
· The International Conference (Topic
Poster presentation on chronic Inversion).
· Lecture given scientific paper in the
AMWI Conference
Lectures
Given:
•
UNICEF Programme FOR Nurses -
Management of Emergency Obstetric at Cama & Albless Hospital
•
Refreshers Course lectures
given for Selection of grade
lecturers
Topic of speech -
DO & Don’ts of Documents at Grant Medical College
•
Lectures given Topic of Speech -
menopause at Grant Medical College
•
Unicef Programme State
Level Nursing at Cama & Albless
Hospital
•
Emergency Management in Obstetric
•
Lecturer in
TOT Programme Cama & Albless Hospital, Mumbai
•
Lecture given on Emergency
Management in Obstetric at Arogyabhavan
Trainers
For Trainee:
•
As a faculty for COLPOSCOPY
training for the Doctors.
•
Trainers for Trainee National
Aids Control Organization, Govt. of
Maharashtra
•
Trainers for Trainee supervisor
for RT/STI Centers
•
Trainers for Trainee in the
State Level TOT, Cu
Professional Membership:
•
Life member of All India Medical
Women’s Association
•
Life member of FOGSI
•
Life member of MOGS
•
Life member of AMASICON
NATIONAL AND INTERNATIONAL JOURNAL PUBLICATIONS:
Chairpersons
& National Faculty in Various Conference:
·
5th Marathwada Regional
Conference of Obstetrics & Gynecology Invitation as faculty /Speaker for
MOCOG -07 Chairperson on 9/12/2007.
·
International FOGSI,
FIGO 2011 Conference.
·
Invited as a Chairperson
at AMOGS Conference.
·
Chairperson at the
programme of the Menopause at Cama & Albless Hospital, Mumbai.
·
Chair person for Medicon
9th April 2011. The forum for medical
Students & Research India (FORMER).
·
Chair person for Medicon
12/05/2011 top 13/05/2011 held at GMC & Sir J. J. Group Hospital.
·
As Faculty for Symposium
on Population Stabilization & Reproductive Health held at Yashwantrao
Chavan Pratisthan Auditorium, Mumbai on 22nd April 2012.
·
Association of Fellow
Gynaecologists - Participated in the forthcoming CME on Topics - Carcinoma of
Cervix, 15 June 2014.
·
At Wadia Hospital -
Judge for the paper presented (2014).
·
As a Chairperson during
CME on "Fetal Medicine Update" held at Sion Hospital, Mumbai 2014.
·
Female Urology
Conference - faculty, chairperson. (2014)
·
As a faculty in the 42nd
Annual Conference of the Mumbai Obstetric and Gynecological Society held at
Andheri, Mumbai 2014.
Extraordinary Work & Special Duties:
·
Expert Committee
member on Examination
of Inmates of Home mentally
deficient Home Mankhurd 157 female examined 22/03/2011
·
National Board of Examination Appointment as
Appraiser
·
Organized Disaster Management Sessions in Cama & Albless Hospital
·
Faculty Member for the
Supervisory visits. As per NACO directive
·
Sub. Liaison Officer for the MH-CET Exam.
·
Worked as expert Gynecologist in women’s Jail, Byculla Sept.
·
M.P.S.C. Question Bank.
Administration
Work under My Superindentship:
·
Machine started Linear
accelerator – A very Important project in Cancer Treatment
·
Memorable Erected for the martyr of 26/11 Terrorist attack
·
Up gradation of the Hospital Renovation
·
Up gradation done of the equipment in the operation theatre.
·
Implemented Fully Computerized HMIS Project for improvement of medical services
and hospital
management
·
Implementing of Rajiv Gandhi Jeevandayee Arogya Yojana.
·
Successfully
implementing the Janani
Suraksha Yojna and the Janani Shishu Suraksha Yojna
News article:
1.
Three Doctors used special techniques during a three-hour
procedure A heavy baby is born – 4.5 kg in DNA Mumbai on 24th November 2011.
2.
Doctors are seeing an increase in the number of couples, who
already have a child, having trouble conceiving the second time around in DNA Mumbai on 15th June
2013.
3.
Breastfeeding ‘stressful, tiring’ for working moms in Hindustan Times on 31st July
2012.
4.
Breastfeeding Important Issue in column in DNA India on 27th May
2013.
5.
Docs cure woman of fatal infection in The Asian Age on 15th May
2009.
6.
Cama patients cheat Cancer in The Asian Age on 2nd April 2009.
7.
Rare case of post-delivery complication operated on in Mumbai
city in The Indian Express on 19th June 2007.
8.
Doctors who have made our city Proud in Doctor Times on September 2011.
9.
Lack of contraceptive awareness at the root of Melghat
malnourishment in DNA on 05th July 2013.
10.
Meet a baby heavyweight: 5kg+ at birth, hale & hearty in DNA Mumbai on 2nd March
2013.
11.
Yemeni woman gets tumor removed at government hospital in city
in DNA,
Navbharat Times, Mumbai Sakal on 22nd August 2014.
12.
Dumped by hubby, turned away by hospitals, woman finally
delivers at Cama in DNA Mumbai on 11th June 2013.
13.
City docs fix inside-out uterus, discuss case at global meet in DNA Mumbai on 18th
April 2011.
14.
Pregnancy-induced hypertension on the rise; lifestyle, stress to
blame in DNA Mumbai on 12th April 2013.
15.
Thane doctors new device bags global honor in DNA Mumbai on 2nd May
2013.
16.
Triplets Born at Cama Hospital, discharged in healthy condition
in Doctor
Times on December 2011.
17.
Woman conceives 8 yrs after tubectomy in Mumbai Mirror on 2nd July
2010.
18.
Cama to wipe off terror imprint in DNA City on 28th
November 2011.
19.
Government Hospital change 1088 workers in Saamna in 16th
August 2014.
20.
Mumbai girls hooked ‘Morning after’ Pills in The Age Mumbai on 29th July
2009.
21.
UN Secretary General in city visits Cama and JJ in Mumbai Mirror on 29th
April 2012.
22.
11/11/11 babies keep doctors on their toes in DNA City on 12th
November 2011.
23.
Cama Rugnalyane Kaat taakli article in Saamna on 17th June
2014.
24.
Those favorite pair of jeans can give you UTI in DNA Mumbai on 04th
September 2014.
25.
Milk of Human Kindness in Telegraphicindia on
13th August 2014.
26.
More than 10000 babies
benefited from milk center in city in The Asian Age
Mumbai on 05th August 2014.
27.
Media vital to promote
breastfeeding in The Afternoon DC on
01st August 2014.
28.
The Mother of all banks in The
Afternoon DC on 12th May 2012.
29.
NCW wants abortions to be
allowed till 24th week in News Bharti on
02nd Feb 2013.
30.
Woman loses 5 liters of
blood, Survives in DNA Mumbai on
07th February 2013.
31.
Woman with Bleeding Disorder
Delivers baby at Cama Hospital in Mumbai in DNA on
17th February 2011.
32.
Abortion: Self-medication can
kill you in Daily Bhaskar on 16th April
2011.
33.
Rarest of rare: Mumbai
doctors remove 20kg tumor from 50-yr-old in DNA
Mumbai on 10th January 2014.
34.
Induction of labour versus
expectant monitoring in women with pregnancy induced hypertension or mild
preeclampsia at term: the HYPITAT trial. (Study protocol) In highbeam.com on
27th June 2007.
Conferences Attended:
·
Central Asia Regional
Conference - 2010 organized by Association of Medical Women in India on
30/-1/2010 to 31/01/2010 for participation.
·
38th Annual MOGS
Conference held on 13 & 14 February 2010 at ITC Grand Central, Mumbai as
Delegate.
·
The D. K. Tank ,
Memorial Conference held on 17-19 September2010
at Renaissance
Hotel &
Convention Center as Faculty / Delegate.
·
39th Annual Conference
of Mumbai Obstetric & Gynecological Society, 4th-5th December 2010 at
Mumbai Maharashtra Medical Council grants2 (Two) credit Points to this
delegate.
·
International Seminar on
Gynecological Endoscopy 0n 6th to 8th March 1998 as Delegate and participated
in the Scientific Sessions.
·
FOGSI - FIGO
International Congress on Recent Advances in Obst. & Gyna. Congress on
Recent Medical Council grants 12 (Twelve) credit hours participated as
delegate. (ITC Maratha) Mumbai on 8th,
9th & 10th April 2011.
·
Attended the CME on
“Hospital Infection Control “as delegate.
·
55th All India Congress
of Obstetrics and Gynecology Varanasi –AZMGARH on JAN. 26TH -30TH 2012 as
Faculty.
·
MOGS-FOGS Symposium on
Population Stabilization & Reproductive Health at Yeshwantrao Chavan
Pratisthan Auditorium, Mumbai on 22nd April 2012 as Faculty.
·
PNDT Training Session on
in 2011 at Pune.
·
Attended 2 days workshop
organized by Dy. Commissioner ,Health & Family Welfare, New Delhi on 21st April 2011 on Post Partum IUCD Services , Experience Sharing and
strengthening PPIUCD
·
Attended HIV / AIDS
Training workshop held on 10th to
12th 2001 jointly organized by
Grant Medical College & J. J. Group of hospital and Mumbai
District AIDS Control Society at Grant
Medical College, Byculla, Mumbai 400 008
·
Mumbai Districts Aids
Control Society, Brihanmumbai Mahanagar
Palika had attuned and actively
participated in the training workshop on STI/RTI held o n 11th, 12th, 13th,
Aug- 2010
·
Perinatal workshop 1996
·
Gynecological
Laparoscopic (Advanced) ETICON
INSTITUTE of Surgical Education August 2004
·
56th All India Congress
of Obstetrics and Gynecology participated between 18-20 January, 2013 at
Mumbai.
·
ISC "International
Education Excellence Award, Certificate of Education Excellence at Bangkok on
11th May, 2013 (Indian Solidarity
Council)
·
Certify "27th AMASI
Skill Course & FMAS Examination" Conducted by Grant Government
Medical College, Mumbai from 2nd - 4th May, 2013
·
Participated as a
Faculty in the 42th Annual Conference of "The Mumbai Obstetric &
Gynecological Society" held at Mumbai on January 4th & 5th, 2014.
·
National Conference of
AMWI 2014 on "Enhancing Health Care of Humanity" Participated as
Faculty held in Mumbai from 18th - 19th January 2014.
·
Participated as
Faculty/Delegate in Scientific Deliberation between 3rd - 5th Feb 2014 at
57th AICOg (All India Congress of Obstetrics & Gynecology) 2014, Patna.
·
Participated as Faculty
/Chairperson during CME on "Fetal Medicine Update" held on Tuesday,
1st July 2014 at L.T.M. Medical College & General Hospital, Sion, and
Mumbai.
·
Participated as a
Faculty/Delegate in the CME on Breast Cancer on 23rd August, 2014 at Grant
Govt. Medical College and Sir J.J. Group of Hospitals, Mumbai
Social work & Health Camps:
·
Camp in Tribal &
Rural area
·
Rotary Lion Club Camp at Gavdevi Police
Station22/10/1992
·
Special Camp of Cytology
·
Screening HIV
Patients
·
Ganeshpuri Camp Cytology
Screening for Pap smear HIV Patient (120 Pt.)15/03/2009 Prasad Chikitsa
·
Disaster Management Camp at Mithi River
·
Health Camp at Dharavi.
·
Cytology Screening camp
385 patients examined at the camp at
Colaba 2010
·
Diagnostic camp at
Nandurbar 400 patients Examined.
·
Operative Camp at Nandurbar 06 major surgeries done at in
one day Huge 3 kg- fibroid tumor removal
·
Urban Health Center
Cheeta Camp STIRTI Clinic Visit, 29/3/2011
·
Nandurbar Shahda & Interior camp
·
Health camp on
07/03/2012 at Maharashtra Rajya
Women’s Commission
·
Diagnostic And Operative camp at
Muktainagar, Jalgaon 2014
Social Article Contribution
To MBBS Student Magazine:
Special Training Completed:
·
Participated the State
Level Training Of Trainers (TOT)
in " Alliterative Methodology of Training in IUCD Services " for District
Gynaecologists & ANMTC faculty
from 28/07/2009 to 02/08 /2009
organized by Cama & Albless Hospital, Mumbai
·
Obstetrics &
Gynecological Ultrasound and Foetal Heart Rate Monitoring held at the
Nowrorosjee Wadia Maternity Hospital, Mumbai from 01/02/1998 to 28/02/1998.
·
IPAS training - New Delhi
·
NSV training - Training
Centre Family Welfare Centre F- South] Parel, Mumbai
Past
Experience:
·
Ex. Registrar of Breach
Candy Hospital
·
Ex. Clinical Assistant in Hinduja Hospital
Judge Cultural
Activity:
·
Invited as a Judge for
the Singing Competition , Marathi Sahitya Programme Antarang
·
Invited as a Judge for
the Arts & Paintings
·
Invited as a guest in
PRERANA PROGRAM at ISCON
·
Invited as Lamp
Lightning program at Brama Kumaris
Paper
Presentation Under Authorship Of Dr Rajshree Katke:
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