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医学翻译样例—脐尿管癌临床表现

发布者:鑫达医学翻译 发布时间:2013-06-05 8:50:52 阅读:

原文:

Most patients present with locally advanced disease at diagnosis. Since the bulk of the tumor is frequently outside the bladder lumen, the disease may be clinically silent until sufficient growth has occurred to penetrate the bladder, thereby causing local symptoms. More frequently presenting with symptoms of gross hematuria and irritative voiding symptoms, patients have also reported voiding mucous-like material, consistent with the frequent mucinous enteric elements seen on histopathology.Since urachal carcinomas can develop anywhere along the urachal ligament, patients may report a suprapubic or umbilical mass. Some patients have also reported umbilical pain and umbilical discharge. One patient described initially being diagnosed with an umbilical infection; however, after it proved unresponsive to antibiotic therapy, radiographic imaging led to the appropriate diagnosis. Peritoneal carcinomatosis and pseudomyxoma peritonei may also be present on radiographic imaging.


 

译文:
多数患者确诊时为局部晚期病症。由于肿块常位于膀胱腔外,初期该肿瘤无临床症状,肿块长大穿透膀胱后,出现局部症状。更频繁地出现血尿和排泄刺激症状时,患者也报告排泄粘液状物质,与组织病理观察中频繁出现肠道黏液一致。由于脐尿管癌可沿脐尿管韧带发生于任何地方,患者可能会出现耻骨上或脐肿块。部分患者还报道脐痛和脐出脓。一例患者最初诊断为脐感染,抗生素治疗无效后,X片检查后才做出了正确诊断。X片也显示存在腹膜扩散和腹膜假粘液瘤可能。


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