C09974652 / invoice 10000

Appointment Reason: Check Lump, Appointment Notes: * With GHIn with NatHistory:Going well in herself Still taking a while to urinate, but otherwise seems well in herself The lump in her groin has grown Energy levels are good, eating and drinking normal Objective:BAREyes/ears/nose - nad MMs pink and moist, CRT<2Thorax - nadAbdo - bladder empty, can feel urethral mass, doesn't feel as though it has grown LNs - nad1.5cm raised red dermal mass in R groin Assessment:Urethral carcinoma - symptoms well controlled on piroxicam Mass in groin carcinoma seeded from FNA Plan:Continue on piroxicam Monitor mass in groin for now - if becoming ulcerated or bothering her, but otherwise well could consider surgical excision as a palliative measure. Nat happy to leave it and monitor for now, as it doesn't appear to be bothering her. 02/03/2026 4:40:54 PM TJ:Insurance claim    Vital Signs    Weight: 14.61;