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发布者:鑫达医学翻译 发布时间:2013-09-10 8:50:52 阅读:

原文1

2012.04.11 查体: 全身浅表淋巴结未及肿大. 盆腔于子宫后方偏右侧触及一实性肿物, 约4x3x3cm, 肿物表面凹凸不平, 质较硬, 活动尚可, 无压痛. 直肠指检粘膜光滑, 子宫直肠窝触及一结节样肿物, 大小约2x2x1cm, 质中偏硬, 表面尚光滑, 活动尚可, 无压痛.

译文1

Physician examination performed on April 11, 2012 indicated no lymphadenectasis was reported in the superficial lymph node. A Parenchymatous mass with a size of about 4×3×3cm was touched in right posterior pelvic cavity and uterus, and the tumor surface was unsmooth with hard texture. The movement of mass was satisfactory without tenderness. Digital rectal examination showed that the mucous membrane was smooth. A tuberculiform lump with a size of about 2×2×1cm was found in the cavum douglasi with slightly hard texture and smooth surface. The movement of lump was satisfactory without tenderness.

中文2

彩色多谱勒超声诊断: 1. 子宫右后方混合性占位 (结合临床: 倾向卵巢癌治疗中), 左卵巢含液性改变可能, 建议复查2. 右侧盆腔实性占位(淋巴结转移可能) 3. 右肝高回声(倾向小血管瘤): 倾向肝多发小囊肿. 倾向脂肪肝. 倾向胆囊息肉4. 门脉, 双肾, 膀胱, 子宫, 左卵巢未见明显占位 5. 双侧输尿管未见明显扩张. 未见腹水6. 腹主动脉, 下腔静脉及左侧髂血管周围未见明显肿大淋巴结.  

译文2

Color Doppler ultrasound diagnosis indicated: 1. A mixed density space-occupying lesion in the right rear of uterus[结合临床: 倾向卵巢癌治疗中,这个地方之所以没翻译解释如下:在国内读片的医生是不知道患者的疾病情况的,他们只是根据影像学解答来读片。这里的结合临床是主治医师拿到片子根据患者病情做一个诊断,而这个诊断是文章内已经写明的,做了相应的治疗,所以没必要翻译], and fluidity change in the left ovary. On this basis, recheck was advised; 2. Parenchymatous space-occupying lesion in right pelvic cavity; 3. Hyperechogenicity in right liver. We speculated that the patient may have fatty liver with multiple cysts and gallbladder polyps. 4. No significant space-occupying lesion in the portal vein, bilateral kidney, bladder, uterus and left ovary. 5. No obvious expansion and ascites in the bilateral ureter. 6. No significant lymphadenectasis in the abdominal aorta, inferior vena cava and around the left iliac blood vessel. 

中文3

MRI (下腹+盆腔 平扫+增强) 影像诊断: 1. 卵巢转移癌化疗后改变 (双侧附件区各可见一囊实性混杂肿物影, 左, 右最大截面分别约4.8cmx2.3cm, 2.5cmx2.0cm(3.16, 15)呈T1W1-FSE高低信号, T2W1-FRFSE高低混杂信号, 前者内部可见液平, 以囊性为主, 增强后实性部分见强化. 2. 盆腔淋巴结肿大 (双侧髂血管周围见数枚淋巴结, 大者位于右侧髂总动脉与腰大肌之间, 最大截面约1.2cmx1.2cm(3.30). 未见明显腹水者. 盆腔诸骨未见明显异常信号影.  3. 右肝囊肿可能 4. 腹膜后淋巴结肿大, 建议随访. 全麻下行” 卵巢癌肿瘤细胞减灭术(全子宫+双附件+大网膜+阑尾切除+双卵巢动静脉高位结扎+腹膜后淋巴结摘除+腹盆腔多点活检术)”. 术中冰冻病理诊断: 左卵巢少许恶性肿瘤, 形态上考虑低分化差的腺癌. 右卵巢囊肿. 腹腔冲洗液: 涂片中未见肿瘤细胞.术后病理: 全子宫+双附件+盆腔LN清扫标本: 1.左,右卵巢低分化腺癌, 侵犯子宫浆膜层, 伴中度化疗反应, 标本双宫角及阑尾未见癌. 左髂外LN2/2, 右腹股沟深LN2/5见转移癌, 左髂总, 右髂总, 右髂外未见LN. 另送直肠窝LN, 子宫直肠窝结节, 右结肠侧沟见癌浸润. 另送肠系膜, 左结肠侧沟见砂粒体. 另送肠管表面结节, 大网膜未见癌.2. 增生期宫内膜. 3. 慢性宫颈炎. 4. (右)输卵管系膜囊肿. 明确诊断: 双卵巢低分化腺癌IV期(左侧胸膜, 全身多发淋巴结转移) 化疗后. 

译文3

MRI (inferior belly and pelvic cavity plain CT scan + contrast scan) indicated: 1. Ovarian metastasis after chemotherapy. A cystic and parenchymatous tumor mass was noticed in bilateral appendix. The maximum cross-sections of the mass were 4.8cm×2.3cm, 2.5cm×2.0 cm(3.16, 15) in left and right sides. For the signal intense, the former showed mixed T1W1-FSE signal [T1W1-FSE高低信号] together with fluid level (mainly cystic, and enhanced signals after enhanced scanning), while the latter showed mixed T2W1-FRFSE signal. The maximum of cross section were 4.8cmx2.3cm, 2.5cmx2.0cm, respectively; 2. Lymphadenectasis in pelvic cavity. Several lymph nodes were observed around bilateral iliac blood vessels. The largest one was between right common iliac artery and psoas major with a cross section of about 1.2cm×1.2cm (3.30). No significant ascites was observed. No obvious abnormal signal shadow was noted in the pelvic cavity. 3. Suspicious cyst in right liver. 4. Lymphadenectasis in the retroperitoneal lymph node. Thus, follow-up was suggested. General anesthesia was performed, based on which ovarian cancer cytoreductive surgery (the whole uterus + bilateral appendixes + greater omentum + appendix excision + ovarian artery and vein high ligation + retroperitoneal lymph node removal +multiple punch biopsies of abdomen and pelvic cavity) was carried out. Intraoperative pathologic diagnosis indicated: A few malignant tumors were found in the left ovary, and from its profile we speculated that the patient suffered from poorly differentiated adenocarcinoma. In addition, right ovarian cyst was reported. Irrigation of peritoneal cavity indicated no tumor cells were found in the smear. Postoperative pathology (the whole uterus + bilateral appendixes + pelvic cavity lymph node scan sample) indicated: 1.Poorly differentiated adenocarcinoma was reported in the bilateral ovaries, which invaded serosal layer accompanied with medium chemotherapy reaction. No cancer cells were noted in the bilateral horns of uterus. Metastasis was observed in the lymph node (2/2这里的意思是两个样本均为阳性) of left ilium and lymph node (2/5,5个样本中2个为阳性) of right inguen. No lymph node was found in the left common iliac artery, right common iliac artery and right external iliac artery. Sample of rectal sinuses was submitted to determine the presence of lymph node. Nodules were seen in the rectouterine fossa. Infiltration of cancer cells was identified in the right paracolic sulcus. Mesentery sample was submitted, which revealed psammoma body in the left paracolic sulus. In addition, sample of nodule in the surface of ntestinal canal was sent, based on which no tumor cells were observed in the greater omentum. 2. The endometrium was in a proliferative phase. 3. Chronic cervicitis.  4. Right mesosalpinx cyst. 


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