英文版病例汇报.ppt

《英文版病例汇报.ppt》由会员上传分享，免费在线阅读，更多相关内容在PPT专区-天天文库。

1、CasereportCaseReportHarbinMedicalUniversitycancerhospitalAcaseconsultation:LivermetastasisafterresectionofrectalcancerHeiLongJiangtumorhospital.ChinaHarbinMedicalUniversitycancerhospitalName:XingXXGender:maleAge:63yearsoldECOG:0PersonalprofileHarbinMedicalUniversitycancerhospitalCh

2、iefcomplaintResectionofrectalcancerbefore6years,withlivermetastasisfor1month.HarbinMedicalUniversitycancerhospitalPresenthistoryExtendedradicalresectionforrectalcancer(Miles)wasperformedbefore6yearsinthishospital.Thetumorwaslocatedundertheperitonealfold,withasizeof6*5*7cm,invadingw

3、allofintestine.HarbinMedicalUniversitycancerhospitalPresenthistoryThepathologicdiagnosisRectal:moderatelydifferentiatedadenocarcinomaandmucinousadenocarcinomawithdiscprotrudetypeInvadingwallofintestineAnegativeuppermarginofresectionNumberofpositivelymphnodes0/22HarbinMedicalUnivers

4、itycancerhospitalPresenthistoryClinicaldiagnosisbasedonthepathologicstageRectaladenocarcinomaafterresectionpT4aN0M0ⅡBHarbinMedicalUniversitycancerhospitalPresenthistoryAdjuvantChemotherapyaftersurgeryFOLFOX*8CyclesOxaliplatin200mgd1ivgtt;Leucovorin300mgd1-5ivgtt;5-Fu1gd1-5ivgtt;Rep

5、eatedevery2weeksHarbinMedicalUniversitycancerhospitalPresenthistoryFollowup2009.08-2014.05CEAandCA199monitoringandroutineCTscanningwereconductedevery3monthwithin2yearsand6monthswithin5yearsafterthesurgery.Colonoscopywasperformedeveryyear.HarbinMedicalUniversitycancerhospitalPresent

6、historyRecurrence2015-05-23UpperAbdominalEnhancementCT:LiverMetastasis.HarbinMedicalUniversitycancerhospital肝转移病灶HarbinMedicalUniversitycancerhospitalAmetastaseswithamaximumdiameterof14cmdiameter)wasobservedintheleftlobeoftheliver2015.05.23PlainCTPortalPhaseHepaticarterialphasePres

7、enthistoryRecurrenceTumormarkers：CEA113.2ng/ml(0-5)CA199135.3U/ml(0-37)NSE23.77ng/ml(0-15.2)AFP4.24ng/ml(0-7)HarbinMedicalUniversitycancerhospitalPresenthistoryRecurrence2015-06-01Leftliverlesionbiopsy:Poorlydifferentiatedcarcinoma,consistentwithmetastaticcarcinoma.HarbinMedicalUni

8、versitycancerhospitalPrese