ONCOLOGY FOLLOWUP HPIP NOTE
Patient Name: PEACE, Samuel Tyler
Referring Physician: Jennifer Hutto, MD
Date of Visit: April 19. 2023
Sex/Age: M/59
DOB: 01/11/1964
Patient ID: 000157
HISTORY: Mr. Peace, 59-years-old, is hold position of tumor bed of high grade, soft tissue sarcoma of
posterolateral chest wall. He has done quite well at home. His appetite is good. He is having no pain or
no problems with functions of either extremity. He has not yet returned to work.
Physical Examination: On exam his scar is well healed, nontender, animal bite. There are no superficial
masses or ecchymoses.
IMPRESSION: Final pathology shows residual sarcoma. Extensive fibrosis.
PLAN: I explained to Mr. Peace that the margins of position are clear. The discussion of whether he
would be prudent to adjuvant chemotherapy. Given that a relatively small primary tumor and complete
excision, I would find it difficult to justify conventional chemotherapy for soft tissue sarcoma. He is going
to follow up again with Dr. Hutto in her clinic to discuss chemotherapy. I would like to see the patient
again with a repeat X-Ray. My recommendation would be with monthly follow up with repeat chest X-
Ray and physical examination. I am releasing Mr. Peace back to work on light duty next month. He is not
to lift more than 10 lbs. Return to see me in six weeks.
______________________________________________
Savant Oswalt, MD, Hematology/Oncology
SO:MJ
D: 10/31/2023
T: 10/31/2023
C: Jennifer Hutto, MD, Cardiac Surgery
Johnson, Mallory 7-4
