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病例诊断翻译

发布者:鑫达医学翻译 发布时间:2012-11-13阅读:

Patient information
A tissue mass with a diameter of 4cm was noted in her right breast six months before admission. The tissue mass was not adherent with the chest wall and peripheral tissues. No pain, itching, stomach cold, cardiopalmus, night sweat, magersucht and coughing was noted. No significant difference was noted between left breast and right breast. No flare, ulcer, orange peel sign and galactorrhea were noted. No swelling of bilateral axillary lymph nodes and supraclavicular lymph nodes. She was diagnosed with invasive breast cancer after admission. Modified radical mastectomy was performed. Then one cycle of chemotherapy was given.

Diagnosis and Treatment
Routine blood test indicated the amount of white blood cells was 2.76G/L. Chemotherapy (CA) was performed after stable hemogram was obtained after 3 subcutaneous injections. The second round of chemotherapy was given on Feb 13th, 2009. No adverse events were noted.
Discharged diagnosis
Invasive breast cancer (T3N0M0).
Comments
Have enough rest.
Routine blood test is necessary 1 week after discharge.
 


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