Anonymous
Anonymous asked in 健康疾病與處置癌症 · 1 decade ago

請問病理報告內容(英翻中)

因要申請保險理賠,但保險公司人員對於診斷證明書沒有直接指出為癌症而刁難。

麻煩相關專業人士幫忙一下,以下的病理報告有指出其為惡性腫瘤嗎?

感激不盡,謝謝!

組織由來:Anterior mediatinum

臨床診斷:R/O lymphoma

器官:Soft / tissue

器官描述:mediastinum, labeled as A

方法:echo-guided biopsy

組織學診斷1:thymoma

組織學診斷2:inadequate specimen

器官:Soft / tissue

器官描述:mediastinum, labeled as B

方法:echo-guided biopsy

診斷描述1:

The specimen submitted consists of two bottles labeled as A and B fixed in formalin and normal saline, respectively.

The specimen labeled as A consists of one tissue fragment measuring 0.8 * 0.1 * 0.1 cm. in size fixed in formalin. Grossly, it is yellowish white and soft.

The specimen labeled as B consists of one tissue fragment measuring 0.4 * 0.1 * 0.1 cm. in size fixed in formalin. Grossly, it is yellowish white and soft.

檢查報告:

All for section and labeled as A, B. Jar 0

Microscopically, the section A shows clustered small blue cells with monotonous, small-sized round nuclei and inconspicuous cytoplasm. By IHC, most of these cells are CD3(+)T cells in a meshwork formed by cytokeratin(+) epithelial cells. It is consistent with a thymoma (type B1).

The section B is inadequate for evaluation due to tiny tissue specimen.

Update:

謝謝樓下的回覆。

因我們申請理賠時,診斷證明書上面有記戴為胸腺瘤;卻被保險公司質疑可能是良性的胸腺瘤...並非為癌症。除非診斷證明書有直接戴明為癌症...

之後回診我們想請醫生修改診斷證明書,直接增加備註為”癌症”。

但醫生說已開立的診斷證明書無法更改。又說他在病理報告上有註明是惡性的胸腺瘤...

所以我才想請專業人士幫忙解答。

但這樣看來似乎醫生寫的仍然不合格,只好再跟保險公司詢問看看...

感激不盡!!!

1 Answer

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  • 1 decade ago
    Favorite Answer

    這是病理報告

    臨床診斷:R/O lymphoma

    是指不排除為淋巴瘤

    但還是沒有確定診斷

    而檢查報告第二段在描述胎組織分段檢驗出來與 thymoma 胸腺瘤"相符",而且還將它分類了

    問題出在這份"報告"並非醫師做"診斷"之完整陳述

    所以如果確診為腫瘤

    建議您請腫瘤科的醫師為您另行開立診斷書(最好告訴醫師是要申請保險理賠的)

    內文不要用模擬兩可的字句(不排除,疑似,可能)

    通常只要是確診無誤

    醫師都會願意幫忙的!!

    2009-02-09 11:50:25 補充:

    請醫師不要寫"和什麼證據符合"等描述性字句

    是什麼病就直接寫出來~

    2009-02-09 14:21:34 補充:

    惡性胸腺瘤不完全等於胸腺癌Thymic carcinoma(=type C thymoma)喲

    或許是三寶媽前面沒有描述清楚!!

    如果是保險理賠

    當然是要有確定的診斷

    所以應確認當時保險合約上對於診斷名詞的定義及要求

    有時候就是這些小差異沒有看清楚造成無法理賠!!

    2009-02-09 14:35:57 補充:

    在中文胸腺瘤的惡性與良性有時候是指侵襲性的或非侵襲性(invasive non-invasive)

    在應用上和英文有差異

    英文的惡性(malignant)就比較明確

    2009-02-09 14:36:22 補充:

    您可以參考這篇文章

    http://www.cancerbackup.org.uk/Cancertype/Thymus/T...

    2009-02-09 14:36:30 補充:

    Types A and AB are considered to be non-cancerous (benign).

    A 和AB型 是良性的,非癌症

    Types B1 to B3 are classed as low-grade (slow-growing); on the borderline between being benign or malignant.

    B1到B3型是低度的、緩慢成長的;介於良性與惡性之間

    Type C is definitely cancer

    C型絕對是癌症

    Source(s): 醫護背景
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