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小哲 發問時間: 社會與文化語言 · 6 年前

一篇有關RT的醫囑需要翻譯成中文

Squamous cell carcinoma of the right retromolar region, probably stage cT4bN2cM0, s/p induction chemotherapy. 2. Squamous cell carcinoma of right lower gingiva s/p operation and radiotherapy at TSGH(in 2010).

S: The patient was consulted for radiotherapy due to second SCC of right retromolar area with bone invasion s/p induction chemotherapy.

PI: This 62 year-old male patient had personal history of smoking for 20+ years, quit of betel nut chewing and drink wine about 4 years. He had SCC of right lower gingiva s/p OP and RT(2010) at TSGH. Then he was followed by in TSGH. He had second SCC of right retromolar area with bone invasion. He received induction chemotherapy with TPF since 2014/02/27~2014/05/08. His treatment plan was induction chemotherapy followed by surgery. Recently, he refused surgical treatment. Thus he was consulted for further evaluation and suggestion.

Previous RT Hx (+): at TSGH in 2010.

O: neck and bif SCF: s/p flap reconstruction over right facial area, surgical scars of right neck dissection; oral cavity (by NP scopy due to trismus): suspicious tumor over right retromolar-buccal area.

Pathology (S2014-01508, 2014-02-06): oral cavity, right retromolar, biopsy---squamous cell carcinoma.

CXR(2014-02-XX):Unremarkable of costophrenic angles and diaphgram. Port-A catheter insertento(這單字有錯) SVC via left subclavian vein.

MRI, Nasopharynx (2014-02-26):1. An infiltrative mass lesion in the right retromolar, region with invasion to the right masticator space and right maxillary bone. 2.enlarged and necrotic lymph nodes in the left carotid space. 3. Unremarkable change in the skull base. Imp: recurrent tumor in the right retromolar region. 2.post-OP change in the right upper neck and right face.

Bone scan (2014-02-26): 1. A hot spot in the right aspect of the maxilla, the nature is to be determined dental problem, early bone mets or other nature?

Echo for abdomen(2014-02-27): negative finding.

1 個解答

評分
  • 鴕鳥
    Lv 5
    6 年前
    最佳解答

    2010因右下牙齦鱗狀細胞癌,其分期為cT4bN2cM0,因此在三總開刀切除腫瘤並作皮瓣重建,並作化療及電療

    六十二歲的男性患者吸煙史超過20年,己戒菸嚼檳榔,喝酒大約4年。2014/2/6病理檢查發現右後臼齒後方有腫瘤復發,目前病人正在進行,核磁共振發現腫瘤有向四週擴散現象,骨掃描疑有轉移現象

    目前病人在進行化療中,但病人拒絕再開刀,因此請求會診,對病人再次評估並給建議

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