寻求名医!!!寻找医疗问题的翻译专家!!!
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xwxie 于 2000/03/07 19:28:43 发表在 汉英
翻译专家:
您好!
拜托您帮忙翻译一下下面的内容!!!
谢谢!
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专家:
您好!
本人,男62岁,因声嘶一月,住院。
19年前,因乳突状甲状腺癌,行左侧甲状腺全切+右侧甲状腺次全切+左颈淋巴结清扫术,术后长期服用甲状腺素片,每日两片,3年前,改为每天1片,无其它不适。既往体健。
体查:左锁骨上窝上二到三厘米处,气管食管沟内扪及一约2x2厘米大小肿块,质硬、固定,边界清楚,无触痛,未扪及淋巴结,左声带瘫痪,喉部未见新生物。
颈部B超示:右侧甲状腺大小35x9毫米,形态欠规则,实质回声中等,光点部分尚均匀。
于左侧颈部左锁骨上颚以上2到3厘米处,可见一18x17毫米肿块,形态不规则,表面不平整,回声强弱不等,光点粗,分布不均,以低回声为主,后方回声略有衰减。
诊断:甲状腺癌复发。
肝、胆、脾、肾,B超及CT均未见异常。
SPECT骨扫描,左第三、六肋骨见浓聚点,右第十肋骨、右肩锁关节上方见浓聚点,左甲状腺区至胸骨柄上端见浓聚区。四肢骨及骨盆均未见异常。
意见:全身骨扫描示,甲状腺癌多发骨转移。
请问:
1)请确诊是否甲状腺癌症复发并转移?还是其它问题?
2)碘131治疗疗效如何?计量多大?有没有副作用?治疗后有何不良反应?
3)做碘131治疗总共要治疗几次?每次要住院几天?两次治疗之间间隔多长时间?
4)治疗前有何注意情况?是否要停服甲状腺素片?要停多久?是否要停用碘盐?还要做哪些准备?
5)全国哪些医院能做碘131同位素治疗?哪所医院治疗效果好一些?请告诉我们详细地址?治疗前是否要预约?能否去了就进行治疗?病床紧张不紧张?
6)有什么更新更好的治疗方法?治愈率如何?
7)另外,我们准备手术切除原发病灶和右侧剩余甲状腺,请问做治疗之前是否要停止服用甲状腺素片?停用多久?
8)能否去了就进行治疗?病床紧张不紧张?
9)做碘131治疗费用为多少?是否在做完癌细胞切除手术后就要立即做碘131治疗?不立即做碘131治疗是否会加速癌细胞转移?
10)请问抗肿瘤新药“康逆灵”是否真能逆转癌细胞?疗效如何?
因为得病的是我的父亲,而我们做子女的却又由于不懂医学而无所适从,实在为此手术而担心万分!盼您能在百忙中抽出时间给我们回信!
致
衷心感谢!
恭候您的答复
请回信至:xwxie@163.net
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建议汉英搞点电子商务.
作者:吉 - 2000/03/07 20:17:34
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不知是要看病还是要翻译, 看病请--
作者:回应 - 2000/03/07 20:53:29
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挂: 024-23256666转5494找邢大夫.
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I think this task need "zu3zhi1 gong1guan1" My good will is beyond my power. my
作者:Fang Hu Zhai - 2000/03/07 21:18:54
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I hope this helps.
作者:laoliu - 2000/03/07 21:38:19
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Warning: This is an extremely coarse translation provided for your information only. You're advised to seek the help of a qualified health professional for accuracy.
Male patient, 62 years of age, admitted upon complaint of raspy, broken voice.
Nineteen years ago, after a diagnosis of "XXX cancer of the thyroid glands," the following procedures were done: complete removal of left thyroid gland, "sub-complete" removal of right thyroid gland, and "sweep" removal of lymph nodes in left neck area. "Thyroxine" pills were prescribed post-operation for two pills per day. One pill per day is taken since about three years ago. Patient is generally in good health and complains of no other discomfort.
Physical examination: A lump 2x2 cm in size is felt 2-3 cm above the "left clavicular depression" and in the "bronchial-tracheal 沟." Such lump is firm and immobile, has clear borders or boundaries and is not painful upon touch or light pressure. Lymph nodes are not felt. Left vocal cord appears "paralyzed." No new or abnormal growth observed in the larynx.
Ultra-sonic examination of the neck shows that the right thyroid gland is 35x9 mm in size and irregular in shape. "Echo level" medium in body of gland. "Illuminated spots" appears to be uniform.
Two or three cm above left clavicular 上颚 a growth of 18x17 mm in size is observed, with irregular shape and rough surface. "Echo level" inconsistent. "Illuminated spots" are coarse and unevenly distributed, with mainly "low echo level." "Rear echo" is slightly reduced.
Diagnosis: Relapse of the cancer of thyroid glands.
Ultrasonic and CAT scans show no abnormalities in liver, gall bladder, spleen and kidneys.
Bone scan (SPECT) shows "areas or spots of high concentration or opacity" in left ribs No. 3 and 6, right rib No. 10, the area above right "shoulder-clavicular joint," and the area between left "thyroid gland area" and the upper tip of the sternum. No abnormalities observed in bones in the extremities and 骨盆.
Comment: Bone scan of whole body shows multiple bone metastases of the cancer of the thyroid glands.
Questions:
1) Is this clearly a case of relapse and metastases of the cancer of the thyroid glands? Are there other possibilities?
2) Is I-131 treatment any good? What is the dosage? Any side effects? What adverse reactions should be expected?
3) As to I-131 treatment, how many cycles of treatments are recommended? How many days of hospitalization are expected per cycle? How long do we wait between cycles?
4) Any precautions before I-131 treatment? Does the patient have to stop taking "thyroxine" pills? How long before the treatment should he stop taking the medicine? Or how long should he stop taking the medicine? How about iodides? Any other preparations?
5) At which hospitals are this I-131 treatment available? Which ones are better? Their addresses? Are appointments or special prior arrangements required? Will treatment start upon admission? Is it hard to get a bed?
6) Any other alternative treatments? With better "cure rates?"
7) An operation to surgically remove the "original cancer site" and the remaining right thyroid gland is planned. Any precautions before I-131 treatment? Does the patient have to stop taking "thyroxine" pills? How long before the treatment should he stop taking the medicine? Or how long does he have to stop taking the medicine?
8) Will treatment start upon admission? Is it hard to get a bed?
9) How much does I-131 treatment cost? Is this treatment advised immediately after the surgical removal of cancerous tissue? If not, will metastasis actually accelerate?
10) Is it true that the new anti-cancer drug 康逆灵 could reverse the malignant growth? Is it good?
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Thank you and to add a few more...
作者:渔夫 - 2000/03/07 22:38:27
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thyrocarcinoma
complete thyroidectomy
parathyroidectomy
complete lymphadenectomy
focus
pelvis
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谢谢,现在才可以交卷了
作者:laoliu - 2000/03/09 19:15:38
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