This 74 y/o woman with the history of 1.lung cancer, adenocarcinoma, RLL, T4N3M1, stage IV with lung to lung, bone&pleural metastasis and malignant pleural effusion s/p (cisplantin+Gemzar) X1, 2. HTN was admitter via OPD because of intermittent abdominal fullness for 2 weeks. Since 2 years ago, the patient had chronic cough with whitish sputum but she didn't pay much attention to it. However because of persisted symptoms, she went to the 彰基 for ordinary health examination, and right side pleural effusion was done and the pathology revealed the adenocarcinoma. The chest CT was done on 0X/XX and RLL lung mass with lung to lung metastasis and pleural metastasis were noted. Under the impression of lung cancer, the patient was admitted on 96XXXX. The brain CT&abd.sonography showed no brain metastasis or liver metastasis. But the bone scan revealed increased uptake on L4-5 spine and bone metastasis was suspected. The left side neck LN aspiration pathology showed the distant metastasis. Thus she was diagnosed as lung cancer, adenocarcinoma, RLL, T4N3M1, stage IV with lung to lung, bone & pleural metastasis and malignant pleural effusion. Then she received regular C/T programe in our hospital and received the 1st C/T with cisplantin+Gemzar on 960XXX. After C/T there were no immediate complications. Since 2 weeks ago, the patient had inermittent abd.fullness and the symptom could relieve itself. ONX/XXshte was admitted for scheduled chemotherapy. However because of ANC< 1500 with anemia(Hb: 7.8), she didn't received the C/T. She was then admitted for the 2nd C/T with cisplantin+Gemzar on X/XX. Afterdischarge, she felt quite well except intermitterm palpitation and dizziness noted.
- 宗啊Lv 41 0 年前最佳解答
有1.lung癌症，adenocarcinoma，RLL，對肺的有肺的T4N3M1，第IV 階段的歷史的這名74 y/o婦女， bone&pleural新陳代謝和致癌的pleural 溢出s/p(cisplantin+Gemzar)X1，2。 HTN因為間歇腹部滿2 周透過OPD是admitter。 自從2 年以前，病患有有帶白色唾沫的慢性咳嗽，但是她沒很多注意它。 因為堅持的症狀但是， 她去 裹膀對普通的健康檢查來說，和右邊的pleural 溢出被做，病理學顯示adenocarcinoma。 胸CT被對肺新陳代謝在0X/XX 和有肺的RLL肺群眾上做，pleural新陳代謝被注意到。 在對肺癌的印象下，病患被在96 XXXX 准許。 大腦CT&abd.sonography 沒有顯示大腦新陳代謝或者肝新陳代謝。 但是骨頭在L4-5脊骨上掃描揭示的增加的舉起，骨頭新陳代謝被懷疑。 左邊的頸LN吸氣病理學顯示遠的新陳代謝。 因此她被診斷為肺癌，對肺的有肺的adenocarcinoma，RLL，T4N3M1，第IV 階段， 骨頭和pleural新陳代謝和致癌的pleural 溢出。 然後她在我們的醫院收到有規律的C/T programe並且收到第1 C/T有cisplantin+Gemzar在960 XXX。 在C/T之后沒有立即錯綜複雜。 自從2 周以前，病患有inermittent abd.fullness，症狀能減少自己。 ONX/XXshte被為計畫的化學療法准許。 因為ANC<有貧血的(Hb︰7.8的1500)但是， 她沒得到C / T.她然後被為第2 C/T 准許有cisplantin+Gemzar在X / XX上。 Afterdischarge，除intermitterm 心悸之外她感到得十分好，頭暈注意到。參考資料： 翻譯軟體
- 1 0 年前