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Anonymous asked in 健康疾病與處置其他:疾病 · 1 decade ago

這篇醫護人員的英文病成紀錄看不懂可以幫我翻譯嗎(急

This 61 year-old woman was quite well before and had no systemic disease.She had habits of betal nut chewing and smoking for many years and had alcohol drinking socially.About two years ago,she noted a small non-tender ulcer over left buccal area and she did not pay any attention to it.However, the ulceration wound got enlarged in these two years and mild painful sensation was noted.Thus she went to local hospital for help,and was referred to our hospital due to suspected malignancy.At our OPD,physical examination showed a deep ulcerative mass over left buccal area about 3x3x1cm. Biopsy was done and showed squamous cell carcinoma, moderately differentiated.Thus she was admitted for tumor survey during 980426~980429,which revealed tumor mass lesion noted over the left side buccal region,and extension to the subcutaneous region,lesion size about 3.5cm in greatest dimension.No mandible invasion or distant metastasis was noted.Under the impression of buccal ca.SCC,T2N0M0,she was admitted for tumor wide excision and free flap reconstruction on 980507 and dischaged on 980519.Then,she got radiotherapy on 980624-980806.She also regular went to our ENT OPD for help and one palpable mass over left submandibular area was noted in recent months.Under the impression of left buccal ca, SCC,moderately differentiated,T2N0M0,stage II s/p tumor wide excision十free flap reconstruction after R/T with left neck mass R/O neck metastasis,she was admitted to our ward for surgical intervention.

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  • 1 decade ago
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    這位61歲女性過去沒有全身性的病史(糖尿病、高血壓等),有抽菸和嚼檳榔以及喝酒應酬的習慣。大約兩年前,她發現在左臉頰內側有無痛的潰瘍,但她並未注意此事。然而,這兩年來潰瘍的範圍逐漸擴大伴有輕微的疼痛感。於是她到地區醫院求診,因懷疑為惡性病灶,病人被轉介到本院。在本院的門診,身體檢查中發現左臉頰有一3x3x0.1立方公分的腫塊並有深部潰爛。切片檢查顯示為鱗狀細胞癌。中度分化。於是病人於98-04-26~98-04-29被收入院做檢查。檢查發現腫瘤位於左臉頰並延伸到皮下層。最大的直徑為3.5公分。未發現下頷骨及遠端 (即臉頰靠近咽喉的方向) 的轉移。初步臆斷為頰癌, 鱗狀細胞癌 T2M0N0(侵犯到皮下層,沒有淋巴轉移及對側轉移)。她在98-05-07被收入院接受"腫瘤廣泛切除及自由皮瓣重建手術"。並於98-05-19出院。 在98-06-24~98-08-06之間,病人接受放射線治療。並規律到本院耳鼻喉科門診追蹤。 在最近幾個月。在左側頸部頷下區發現有一可觸及的腫塊。初步臆斷為頰癌, 鱗狀細胞癌 中度分化,T2M0N0,第二期,行腫瘤廣泛切除及自由皮瓣重建手術術後及放射線治療。併左頸腫塊疑似頸部轉移。病人被收住院以接受外科處置。

    Source(s): 小護士的臨床經驗
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  • 1 decade ago

    這名61歲的婦女以前相當很好並沒有任何系統疾病。她有吃檳榔習性和抽烟許多年並且有喝酒習慣。大约二年前,她注意了在左頰區域的非疼痛潰瘍,並且她沒有處理它。然而,潰瘍創傷在這兩年擴大,並且感覺得到疼痛。因而她去當地醫院尋求幫助.懷疑是惡性的。在我們的門診,檢查顯示了在左頰區域的深刻的潰瘍的大量大约3x3x1cm。 切片檢查法完成並且顯示了扁平上皮癌,適度地被區分。在980426~980429期間,因而為她作腫瘤调查,顯示左頰區域和引伸皮膚下區域,損害最大大约3.5cm。未轉移下顎骨入侵或遙遠的地區。在頰ca.SCC之下印象, T2N0M0,她為腫瘤寬切除和在980507的自由擋水板重建在980519.Then被录取了並且dischaged,她得到了在980624-980806耳鼻喉科的門診接受常規的放射療法,並且在左下頜下的區域的一可觸知的大量幾個月來被注意了。在左頰, SCC,適度地被區分, T2N0M0,寬切除十在與左脖子大量疑似脖子轉移的R/T以後任意拍動重建的階段II 術腫瘤,她成了我們的外科手術的病人。

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  • 1 decade ago

    這名61歲的婦女以前相當很好沒有並且有系統疾病。她有betal堅果習性嚼和抽烟許多年並且有酒精社會上喝。大约二年前,她注意了在左頰區域的小非嫩潰瘍,並且她沒有給予任何注意對它。然而,潰瘍創傷在這兩歲月得到了擴大,並且溫和的疼痛感觉被注意了。因而她去幫助的地方医院和提到了我們的醫院由于被懷疑的敵意。在我們的OPD,体格检查顯示了在左頰區域的深刻的潰瘍的大量大约3x3x1cm。 切片檢查法完成並且顯示了扁平上皮癌,適度地被區分。在980426~980429期間,因而她為腫瘤调查,顯露肿块損害被注意在左边頰區域和引伸皮膚下區域,損害大小被录取了大约3.5cm在最了不起的維度。下顎骨入侵或遙遠的轉移未被注意。在頰ca.SCC之下印象, T2N0M0,她為腫瘤寬切除和在980507的自由擋水板重建在980519.Then被录取了並且dischaged,她得到了在980624-980806.She正規兵的放射療法也去我們幫助的耳鼻喉科的OPD,並且在左下頜下的區域的一可觸知的大量近幾個月來被注意了。在左頰加州之下印象, SCC,適度地被區分, T2N0M0,寬切除十在與左脖子大量R/O脖子轉移的R/T以後任意拍動重建的階段II s/p腫瘤,她被承认了我們的外科手术的病區。

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