{"id":33687,"date":"2023-03-15T13:57:45","date_gmt":"2023-03-15T05:57:45","guid":{"rendered":"https:\/\/www.landeservice.cn\/?p=33687"},"modified":"2023-04-13T16:48:18","modified_gmt":"2023-04-13T08:48:18","slug":"%e4%b8%8a%e6%b5%b7%e5%a4%8d%e6%97%a6%e5%a4%a7%e5%ad%a6%e5%8c%bb%e5%ad%a6%e6%8a%a5%e5%91%8a%e7%bf%bb%e8%af%91%e8%ae%a4%e8%af%81%e7%9b%96%e7%ab%a0%ef%bc%88%e5%87%ba%e9%99%a2%e5%b0%8f%e7%bb%93%ef%bc%8c","status":"publish","type":"post","link":"https:\/\/www.landeservice.cn\/archives\/33687.html","title":{"rendered":"\u4e0a\u6d77\u590d\u65e6\u5927\u5b66\u533b\u5b66\u62a5\u544a\u7ffb\u8bd1\u8ba4\u8bc1\u76d6\u7ae0\uff08\u51fa\u9662\u5c0f\u7ed3\uff0c\u8bca\u65ad\u4e66\uff09"},"content":{"rendered":"\n
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seg<\/td><\/tr>
\u4e0a\u6d77\u4e2d\u533b\u836f\u5927\u5b66\u9644\u5c5e\u9f99\u534e\u533b\u9662\u51fa\u9662\u5c0f\u7ed3<\/td><\/tr>
Discharge Summary of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine<\/td><\/tr>
\u59d3\u540d\uff1a***   \u79d1\u522b\uff1a\u80bf\u7624\u4e03\u79d1    \u75c5\u533a\uff1a\u4e8c\u5341\u516d\u75c5\u533a   \u5e8a\u53f7\uff1a14\u4f4f\u9662\u53f7\uff1a0823817<\/td><\/tr>
Name: *** Department: Oncology the 7th Department Ward No.: 26 Bed No.: 14 Hospital No.: 0823817<\/td><\/tr>
\u66f4\u8bca\u65f6\u95f4\u53ca\u540e\u7eed\u6cbb\u7597\uff1a\u95e8\u8bca\u968f\u8bbf\uff0c\u5b9a\u671f\u590d\u67e5\uff0c\u8054\u7cfb\u7535\u8bdd64385700-8163\uff08\u533b\uff09,8168 \uff08\u62a4\uff09\uff1b\u6211\u79d1\u6765\u7535\u663e\u793a\uff1a02133324000<\/td><\/tr>
Time in service of hospital and follow-up treatment: outpatient follow-up, and regular review, Contact Number 64385700-8163 (medical), 8168 (nursing); Tel. Number of our department: 02133324000<\/td><\/tr>
\u76f8\u5173\u533b\u751f\u95e8\u8bca\u5b89\u6392\uff1a<\/td><\/tr>
Outpatient Arrangements of Related MD :<\/td><\/tr>
\u7279\u9700\u95e8\u8bca\uff1a\u6768\u91d1\u7956 \u5468\u4e09\u5168\u5929\uff08\u603b\u9662\uff09<\/td><\/tr>
VIP Clinic:  Jinzu Yang all day on Wednesday (General Hospital)<\/td><\/tr>
\u4e13\u5bb6\u95e8\u8bca\uff1a\u6768\u91d1\u7956 \u5468\u4e8c\u4e0b\u5348\uff08\u603b\u9662\uff09\uff1b\u6768\u91d1\u7956 \u5468\u56db\u4e0a\u5348\uff08\u603b\u9662\uff09\uff1a\u6b66\u6e05 \u5468\u4e00\u4e0b\u5348\uff0c\u5468\u4e09\u4e0a\u5348\uff08\u603b\u9662\uff09<\/td><\/tr>
Specialist clinic: Yang Jinzu Tuesday afternoon (General Hospital); Yang Jinzu Thursday morning (General Hospital): Wuqing Monday afternoon, Wednesday morning (General Hospital)<\/td><\/tr>
\u666e\u901a\u95e8\u8bca\uff1a\u5468\u4e09\u4e0b\u5348<\/td><\/tr>
General clinic: Wednesday afternoon<\/td><\/tr>
\u75c5\u623f\u6284\u65b9\u65f6\u95f4\uff1a\u5468\u4e09\u4e0b\u5348<\/td><\/tr>
Time for copying prescriptions in the ward: Wednesday afternoon<\/td><\/tr>
\u8f6c\u5916\u9662\u6cbb\u7597\uff1a<\/td><\/tr>
Transfer to another hospital for treatment:<\/td><\/tr>
\u540e\u7eed\u533b\u7597\u670d\u52a1\u673a\u6784\u540d\u79f0\u53ca\u5730\u5740\uff1a<\/td><\/tr>
Name and address of follow-up medical service institution:<\/td><\/tr>
\u4e2d\u533b\u8c03\u62a4\uff1a\u907f\u98ce\u5bd2.\u8c03\u996e\u98df,\u7545\u60c5\u5fd7\uff0c\u614e\u8d77\u5c45<\/td><\/tr>
Traditional Chinese medicine care: avoid wind and cold, adjust diet, smooth emotions, and be cautious in daily life<\/td><\/tr>
\u7d27\u6025\u5c31\u533b\u7684\u60c5\u51b5\uff1a\u5982\u51fa\u73b0\u53d1\u70ed\u3001\u6076\u5fc3\u5455\u5410\u7b49\u4e0d\u9002\u75c7\u72b6\uff0c\u8c19\u7acb\u5373\u81f3\u6025\u8bca\u5c31\u8bca\u3002<\/td><\/tr>
Emergency medical treatment: If symptoms such as fever, nausea, or vomiting occurs, go to the emergency department immediately.<\/td><\/tr>
\u6cbb\u7597\u7ed3\u679c \u597d\u8f6c<\/td><\/tr>
Treatment results: Improved<\/td><\/tr>
\u4e3b\u6cbb\u533b\u5e08:<\/td><\/tr>
Attending Physician:<\/td><\/tr>
\u65e5\u671f\uff1a2023-03-10<\/td><\/tr>
Date: Mar. 10, 2023<\/td><\/tr>
\u4f4f\u9662\u533b\u5e08:  \u65e5\u671f\uff1a2023\u5e7403\u670810\u65e5<\/td><\/tr>
Residency Physician: Date: Mar. 10, 2023<\/td><\/tr>
\u7228\u626b\u63cf\u5168\u80fd\u738b\u521b\u5efa<\/td><\/tr>
<\/td><\/tr>
\u4e0a\u6d77\u4e2d\u533b\u836f\u5927\u5b66\u9644\u5c5e\u9f99\u534e\u533b\u9662\u51fa\u9662\u5c0f\u7ed3<\/td><\/tr>
Discharge Summary of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine<\/td><\/tr>
\u59d3\u540d\uff1a***   \u79d1\u522b\uff1a\u80bf\u7624\u4e03\u79d1   \u75c5\u533a\uff1a\u4e8c\u5341\u516d\u75c5\u533a   \u5e8a\u53f7\uff1a14\u4f4f\u9662\u53f7\uff1a0823817<\/td><\/tr>
Name: ***  Department: Oncology the 7th Department  Ward No.:26  Bed No.: 14 Hospital No.: 0823817<\/td><\/tr>
umol\/L ,\u5c3f\u7d20\uff08\u5e72\u5f0f\uff095. 01 mmol\/L ,\u5c3f\u9178\uff08\u5e72\u5f0f\uff09307 umol\/L\uff0c\u94be\uff08\u5e72\u5f0f\uff094. 1 mmol\/L\uff0c\u94a0\uff08\u5e72\u5f0f\uff09 132.9 mmol\/L  .<\/td><\/tr>
umol\/L, urea (dry) 5.01 mmol\/L, uric acid (dry) 307 umol\/L, potassium (dry) 4.1 mmol\/L, sodium (dry) 132.9 mmol\/L.<\/td><\/tr>
\u7279\u6b8a\u68c0\u67e5\u7ed3\u679c\u53ca\u4e3b\u8981\u4f1a\u8bca\uff08\u6ce8\u660e\u65e5\u671f\u4e0e\u68c0\u67e5\u53f7\uff09 \u65e0<\/td><\/tr>
Special inspection results and major consultations (specify date and inspection number) : None<\/td><\/tr>
\u75c5\u7a0b\u4e0e\u6cbb\u7597\u7ed3\u679c\uff08\u6ce8\u660e\u624b\u672f\u65e5\u671f\u3001\u624b\u672f\u540d\u79f0\u3001\u8f93\u8840\u4ee5\u53ca\u62a2\u6551\u60c5\u51b5\uff09<\/td><\/tr>
Disease course and treatment results (indicate operation date, operation name, blood transfusion and rescue status)<\/td><\/tr>
\u60a3\u8005\u56db\u6708\u524d\u56e0\u53cd\u590d\u8179\u90e8\u9690\u75db\u4e0d\u9002\uff0c\u9042\u4e8e2022.<\/td><\/tr>
The patient had abdominal pain and discomfort repeatly in four months ago, and then<\/td><\/tr>
9\u6708\u81f3\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\u5c31\u8bca\uff0c2022.09. 15\u80bf\u7624\u6807\u5fd7\u7269:CA199:7459U\/ml, CA125:79. 2U\/ml, CA153:4. 94U\/ml, CA724:2. 32U\/ml, CA50: >500IU\/ml, CA242: > 200U\/ml.<\/td><\/tr>
visited Fudan University Shanghai Cancer Center on Sept. 15 2022. Tumor markers: CA199: 7459U\/ml, CA125: 79. 2U\/ml, CA153: 4. 94U\/ml, CA724: 2. 32U\/ml, CA50: > 500IU\/ml, CA242: > 200U\/ml.<\/td><\/tr>
AFP:2.43ng\/ml, CEA: 165ng\/ml.<\/td><\/tr>
AFP: 2.43ng\/ml, CEA: 165ng\/ml.<\/td><\/tr>
2022-09-15 \u67e5\u3010PET-CT\u3011\u62a5\u544a\u793a\uff1a1.\u80f0\u4f53\u90e8\u8f6f\u7ec4\u7ec7\u80bf\u5757\u5f71\uff0cFDG \u4ee3\u8c22\u589e\u9ad8\uff0c\u8003\u8651\u4e3aMT\u53ef\u80fd\u5927\uff0c\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1\u3002<\/td><\/tr>
2022-09-15 [PET-CT] report showed: 1. Soft tissue mass shadows in the body of the pancreas, increased FDG metabolism, it is considered that the MT possibiity is high, invading the left adrenal gland and the back wall of the stomach.<\/td><\/tr>
2022. 09. 20\u884c\u8d85\u58f0\u5f15\u5bfc\u4e0b\u80f0\u4f53\u5c3e\u80bf\u7624\u7a7f\u523a,2022- 09-21\u7a7f\u523a\u7ec6\u80de\u75c5\u7406\u8bca\u65ad\u793a\uff1a\u89c1\u817a\u764c\u7ec6\u80de,\u9042\u4e8e\u80bf\u7624\u533b\u96622022-09-22\u81f32023-01-12\u884cAG\u65b9\u6848\u5316\u7597\uff08\u7d2b\u6749\u9187 170mg dl+\u5409\u897f\u4ed6\u6ee81.4g dl\uff09 4\u7a0b.2023-01-31\u4e8e\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\uff3bPET-CT\uff3d\u793a\uff1a1.\u80f0\u817a\u764c\u5316\u7597\u540e\uff0c\u80f0\u4f53MT\u8f83\u524d\u76f8\u4eff\uff0c\u4ecdFDG\u4ee3\u8c22\u5f02\u5e38\u589e\u9ad8\uff0c\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1\uff1b\u65b0\u89c1\u80f8\u9aa8\u3001\u53f3\u4fa7\u80a1\u9aa8\u4e0a\u6bb5\u8f6c\u79fb\uff1b\u65b0\u89c1\u4e24\u4fa7\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u53ef\u80fd\u3002<\/td><\/tr>
2022.09.20 Ultrasound-guided pancreatic tail tumor puncture, 2022-09-21 Puncture cytological diagnosis showed: adenocarcinoma cells were seen, and AG chemotherapy was performed in the Cancer Hospital from Sept. 22, 2022 to Jan. 12, 2023 (Paclitaxel 170mg dl + Gemcitabine 1.4g dl) 4 courses. On Jan. 31,2023 at Fudan University Cancer Hospital, the [PET-CT] showed: 1. After pancreatic cancer chemotherapy, pancreatic MT was similar as before,  FDG metabolism was still abnormally increased, Invading the left adrenal gland and the posterior gastric wall; new metastasis to the sternum and right upper femur; new possible metastasis to supraclavicular lymph nodes on both sides.<\/td><\/tr>
2023-02-09\u30012023-03-02\u6211\u79d1\u884cAG\u65b9\u6848C5\u6cbb\u7597\uff1aAG\u5316\u7597\u65b9\u6848\uff08\u767d\u86cb\u767d\u7d2b\u6749\u9187200mg +\u5409\u897f\u4ed6\u6ee8L 4g ivgtt dl\uff09,\u6b64\u6b21\u5165\u9662\u540e\u5b8c\u5584\u76f8\u5173\u68c0\u67e5\uff0c\u60a3\u8005\u75c5\u7406\u8bca\u65ad\u660e\u786e\uff0cECOG\u8bc4\u5206\u5408\u683c\uff0c\u5fc3 \u7535\u56fe\u53ca\u751f\u5316\u68c0\u67e5\u5408\u683c\uff0c\u6392\u9664\u76f8\u5173\u7981\u5fcc\uff0c\u7ecf\u4e3b\u4efb\u540c\u610f\uff0c2023-03-09\u884c\u8179\u8154\u5e72+\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\u5316\u7597\u672f\uff08\u767d\u86cb\u767d\u7d2b\u6749\u9187100mg+\u5409\u897f\u4ed6\u6ee80.4g IA\uff09,\u5e76\u5b50\u67a2\u661f\u6b62\u5455\uff0c\u7231\u4e3d\u5b89\u62a4\u80c3\uff0c\u7f8e\u80fd\u62a4\u809d\u3002<\/td><\/tr>
on Feb. 9, 2023 and Mar. 2, 2023, Our department performed C5 treatment of AG program: AG chemotherapy program (nab-paclitaxel 200mg + gemcitabine L 4g ivgtt dl), relevant examinations were completed after admission, the patient\u2019s pathological diagnosis was clear, and the ECOG score was qualified, the electrocardiogram and biochemical examination were qualified, and the relevant contraindications were excluded. With the consent of the director, celiac trunk + superior mesenteric artery chemotherapy (nab-paclitaxel 100mg + gemcitabine 0.4g IA) was performed on March 09, 2023, with Granisetron Hydrochloride Tablets for relieving vomiting, Ilaprazole Enteric-coated Tablets  for protecting the stomach, and SNMC for protecting liver.<\/td><\/tr>
\u4f59\u6cbb\u7597\u4e8e\u95e8\u51ac\u80f0\u5c9b\u7d2030\u65e912u-\u665a 11u\u76ae\u4e0b\u3002<\/td><\/tr>
Insulin aspart 30 was given with 12u in the morning and 11u in the afternoon as treatment by subcutaneous injection<\/td><\/tr>
\u67e5\u60a3\u8005\u820c\u6de1\u7ea2\uff0c\u82d4\u8584\u767d\uff0c\u8109\u7ec6\uff0c\u8bc1\u5c5e\u201c\u80f0\u764c\u813e\u6c14\u865a\u8bc1\u201d\uff0c\u5b50\u901a\u5173\u85e4\u3001\u5eb7\u827e\u6e05\u70ed\u89e3\u6bd2\u6297\u80bf\u75db\uff0c\u6b63\u5f97\u5eb7\u80f6\u56ca\u6276\u6b63\u6297\u80bf\u7624\uff0c\u914d\u5408\u8033\u9488\u76ca\u6c14\u6276\u6b63\u3002<\/td><\/tr>
The patient had a pale red tongue, thin white fur, and thready pulse. The syndrome belongs to “pancreatic cancer with spleen deficiency syndrome”.  Medicines of Marsdeniae Tenacissimae Caulis\uff0cKang\u2018ai Zhusheye\uff0cZhengdekang capsule  and acupunctur threapy are given for cancer treatment.<\/td><\/tr>
\u7ecf\u6cbb\u7597\uff0c\u60a3\u8005\u75c7\u60c5\u7f13\u89e3\uff0c\u7ecf\u4e0a\u7ea7\u533b\u5e08\u540c\u610f\uff0c\u51c6\u4e88\u51fa\u9662\u3002<\/td><\/tr>
After that, the patient’s symptoms were relieved, and the patient was allowed to leave the hospital with the consent of the superior physician.<\/td><\/tr>
\u5408\u5e76\u75c7<\/td><\/tr>
Complications<\/td><\/tr>
\u65e0<\/td><\/tr>
None<\/td><\/tr>
\u51fa\u9662\u65f6\u60c5\u51b5\uff08\u75c7\u72b6\u4e0e\u4f53\u5f81\uff09 \u51fa\u9662\u65f6\u60a3\u8005\u5de6\u4fa7\u8179\u90e8\u80c0\u75db\u8f83\u524d\u7f13\u89e3\uff0c\u65e0\u660e\u663e\u4e0d\u9002\uff0c\u4e4f\u529b\u8f83\u524d\u7f13\u89e3\uff0c\u80c3\u7eb3\u53ef\uff0c\u4e8c\u4fbf\u8c03\uff0c\u591c\u5bd0\u4e00\u822c\u201c\u67e5\u4f53:\u795e\u6e05\uff0c\u7cbe\u795e\u53ef\uff0c\u5168\u8eab\u76ae\u80a4\u7c98\u819c\u672a\u89c1\u9ec4\u67d3\uff0c\u65e0\u6c34\u80bf\u53ca\u76ae\u4e0b\u51fa\u8840\u70b9\u53ca\u7ed3\u8282\uff0c\u6d45\u8868\u6dcb\u5df4\u7ed3\u672a\u53ca\u80bf\u5927\uff0c\u5de9\u819c\u6b63\u5e38\uff0c\u53e3\u5507\u65e0\u7d2b\u7ec0\u3002<\/td><\/tr>
Health status at discharge (symptoms and signs) When discharged from the hospital, the left abdomen pain of the patient was relieved without obvious discomfort, fatigue was relieved, appetite was acceptable, night soil and urine were normal, and night sleep was normal. No jaundice was found on the skin or mucous membranes of the whole body, no edema, no subcutaneous bleeding points or nodules, superficial lymph nodes were not enlarged, the sclera was normal, and the lips were not cyanotic.<\/td><\/tr>
\u53cc\u80ba\u547c\u5438\u97f3\u6e05\uff0c\u672a\u95fb\u53ca\u5e72\u6e7f\u5570\u97f3\u3002<\/td><\/tr>
Breath sounds in both lungs were clear. Dry or wet rales were not heard.<\/td><\/tr>
\u5fc3\u738776\u6b21\/\u5206\uff0c\u5f8b\u9f50\uff0c\u5404\u74e3\u819c\u533a\u672a\u95fb\u53ca\u75c5\u7406\u6027\u6742\u97f3\u8179\u5e73\u8f6f\u3002<\/td><\/tr>
The heart rate was 76 beats\/min and regular, No pathological murmurs were heard in each valve area, and the abdomen was flat and soft.<\/td><\/tr>
\u8179\u58c1\u7741\u8109\u65e0\u66f2\u5f20\uff0c\u65e0\u538b\u75db\u53ca\u53cd\u8df3\u75db\uff0c\u809d\u813e\u808b\u4e0b\u672a\u89e6\u53ca\uff0c\u672a\u53ca\u5305\u5757\uff0c\u809d\u533a\u53e9\u75db\uff08-\uff09\u3002<\/td><\/tr>
No varicose veins in the abdominal wall, no tenderness or rebound pain, no palpation of the liver and spleen under the ribs, no mass, There is pain on percussion in the liver area (-).<\/td><\/tr>
\u65e0\u79fb\u52a8\u6027\u6d4a\u97f3\uff0c\u65e0\u80be\u533a\u53e9\u51fb\u75db\uff0c\u80a0\u9e23\u97f34\u6b21\/\u5206\uff0c\u65e0\u53cc\u4e0b\u80a2\u6c34\u80bf\uff0c\u56db\u80a2\u808c\u529b\u808c\u5f20\u529b\u6b63\u5e38\uff0c\u751f\u7406\u53cd\u5c04\u6b63\u5e38\uff0c\u75c5\u7406\u53cd\u5c04\u672a\u5f15\u51fa\u3002<\/td><\/tr>
No shifting dullness, no percussion pain in the kidney area, bowel sounds 4 times\/min, no lower limb edema, normal muscle strength and muscle tone in the four limbs, normal physiological reflexes, and no pathological reflexes.<\/td><\/tr>
\u51fa\u9662\u540e\u7528\u836f\u53ca\u5efa\u8bae<\/td><\/tr>
Medication and advice after discharge<\/td><\/tr>
.\u51fa\u9662\u5e26\u836f\uff1a\u5f97\u5eb7\u80f6\u56ca*1\u76d2 \u6bcf\u65e5\u4e09\u6b21\uff0c\u6bcf\u6b214\u7c92 \u53e3\u670d<\/td><\/tr>
Discharge medicine: Dekang Capsule*1 box, three times a day, 4 capsules each time orally<\/td><\/tr>
.\u81ea\u5907\u836f:\u95e8\u51ac\u80f0\u5c9b\u7d2230 \u65e912u-\u665a11u\u76ae\u4e0b\u3002<\/td><\/tr>
Self-prepared medicine: insulin aspart 30 12u-in  the morning 11u at night by subcutaneous injection.<\/td><\/tr>
.\u836f\u7269\u6f5c\u5728\u526f\u4f5c\u7528\uff1a\u8be6\u89c1\u8bf4\u660e\u4e66<\/td><\/tr>
. Potential side effects of the medicine: see the instructions for details<\/td><\/tr>
.\u540e\u7eed\u533b\u7597\u670d\u52a1\u7684\u5b89\u6392\uff1a\u95e8\u8bca\u968f\u8bbf\uff0c\u5b9a\u671f\u53ca\u67e5\uff0c\u5982\u6709\u4e0d\u9002\u53ca\u65f6\u5c31\u8bca.<\/td><\/tr>
.Arrangement of follow-up medical services: outpatient follow-up, regular check-ups, and timely visit hospital if there is any discomfort.<\/td><\/tr>
\u672c\u9662\u95e8\u8bca\u968f\u8bbf<\/td><\/tr>
Outpatient follow-up in our hospital<\/td><\/tr>
m\u626b\u63cf\u5168\u80fd\u738b\u521b\u5efa<\/td><\/tr>
<\/td><\/tr>
\/<\/td><\/tr>
\/<\/td><\/tr>
\u4e0a\u6d77\u4e2d\u533b\u836f\u5927\u5b66\u9644\u5c5e\u9f99\u534e\u533b\u9662\u51fa\u9662\u5c0f\u7ed3<\/td><\/tr>
Discharge Summary of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine<\/td><\/tr>
\u59d3\u540d\uff1a***   \u79d1\u522b\uff1a\u80bf\u7624\u4e03\u79d1\u75c5\u533a\uff1a\u4e8c\u5341\u516d\u75c5\u533a\u5e8a\u53f7\uff1a14 \u4f4f\u9662\u53f7\uff1a0823817<\/td><\/tr>
Name:  *** Department: Tumor the 7th Department Ward No.: 26  Bed No.: 14 Hospital No.: 0823817<\/td><\/tr>
\u59d3\u540d\uff1a***  \u6027\u522b\uff1a\u5973\u5e74\u9f84\uff1a50\u5c81\u4f4f\u9662\u53f7\uff1a0823817<\/td><\/tr>
Name: *** Gender: Female  Age: 50 Admission No.: 0823817<\/td><\/tr>
\u5165\u9662\u65e5\u671f 2023-03-07 09:01\u51fa\u9662\u65e5\u671f 2023-03-10 15:00\u95e8\u8bca\u8bca\u65ad<\/td><\/tr>
Admission Date Mar. 7, 2023 09:01 Discharge Date Mar. 10, 2023 15:00 Outpatient Diagnosis<\/td><\/tr>
\u4e2d\u533b\u8bca\u65ad\uff1a\u80f0\u764c\u3001\u813e\u6c14\u865a\u8bc1<\/td><\/tr>
Traditional Chinese Medical Diagnosis: Pancreatic Cancer, Spleen Deficiency Syndrome<\/td><\/tr>
\u897f\u533b\u8bca\u65ad:\u80f0\u817a\u6076\u6027\u80bf\u75dbC-T4N1M1 \uff08\u5de6\u4fa7\u80be\u4e0a\u817a\u3001\u80c3\u540e\u58c1\u3001\u9aa8\uff092\u578b\u5faa\u5c3f\u75c5<\/td><\/tr>
Western medicine diagnosis: pancreatic malignant swelling and pain C-T4N1M1 (left adrenal gland, back wall of stomach, bone) type II diabetes<\/td><\/tr>
\u5165\u9662\u8bca\u65ad<\/td><\/tr>
Admission diagnosis<\/td><\/tr>
\u4e2d\u533b\u8bca\u65ad\uff1a\u80f0\u764c\u3001\u813e\u6c14\u865a\u8bc1<\/td><\/tr>
Traditional Chinese Medical Diagnosis: Pancreatic Cancer, Spleen Deficiency Syndrome<\/td><\/tr>
\u897f\u533b\u8bca\u65ad\uff1a\u8179\u817a\u6076\u6027\u80bf\u7624C-T4N1M1 \uff08\u5de6\u4fa7\u80be\u4e0a\u817a\u3001\u80c3\u540e\u58c1\u3001\u9aa8\uff092\u578b\u7cd6\u5c3f\u75c5<\/td><\/tr>
Western medicine diagnosis: abdominal gland malignant tumor C-T4N1M1 (left adrenal gland, back wall of stomach, bone)  type II diabetes<\/td><\/tr>
\u51fa\u9662\u8bca\u65ad<\/td><\/tr>
Discharge diagnosis<\/td><\/tr>
\u4e2d\u533b\u8bca\u65ad\uff1a\u80f0\u764c\u3001\u813e\u6c14\u865a\u8bc1<\/td><\/tr>
Traditional Chinese Medical Diagnosis: Pancreatic Cancer, Spleen Deficiency Syndrome<\/td><\/tr>
\u897f\u533b\u8bca\u65ad\uff1a\u80f0\u817a\u6076\u6027\u80bf\u7624C-T4N1M1 \uff08\u5de6\u4fa7\u80be\u4e0a\u817a\u3001\u80c3\u540e\u58c1\u3001\u9aa8\uff092\u578b\u7cd6\u5c3f\u75c5<\/td><\/tr>
Western medicine diagnosis: pancreatic malignant tumor C-T4N1M1 (left adrenal gland, back wall of stomach, bone) type 2 diabetes mellitus<\/td><\/tr>
\u5165\u9662\u65f6\u4e3b\u8981\u75c7\u72b6\u53ca\u4f53\u5f81<\/td><\/tr>
Main symptoms and signs on admission<\/td><\/tr>
\u5165\u9662\u65f6\u60a3\u8005\u5de6\u4fa7\u8179\u90e8\u80c0\u75db\uff0c\u6309\u4e4b\u75db\u751a\uff0c\u8fdb\u98df\u540e\u7f13\u89e3\uff0c\u4e4f\u529b\uff0c\u80c3\u7eb3\u53ef\uff0c\u4e8c\u4fbf\u8c03\uff0c\u591c\u5bd0\u4e00\u80a1\u3002<\/td><\/tr>
When admitted to the hospital, the patient had distending pain in the left abdomen, which was very painful when pressed, and was relieved after having food. fatigue, normal appetite,  bowels and urine open, and normal night sleep.<\/td><\/tr>
PE:\u795e\u6e05\uff0c\u7cbe\u795e\u53ef\uff0c\u5168\u8eab\u76ae\u80a4\u7c98\u819c\u672a\u89c1\u9ec4\u67d3\uff0c\u65e0\u6c34\u80bf\u53ca\u76ae\u4e0b\u51fa\u8840\u70b9\u53ca\u7ed3\u8282\uff0c\u6d45\u8868\u6dcb\u5df4\u7ed3\u672a\u53ca\u80bf\u5927\uff0c\u5de9\u819c\u6b63\u5e38\uff0c\u53e3\u5507\u65e0\u7d2b\u7ec0\u3002<\/td><\/tr>
PE: good consciousness, energetic, no jaundice in skin mucosa of the whole body, no edema, subcutaneous bleeding points or nodules, no superficial lymph node enlargement, normal sclera, and no cyanosis of lips.<\/td><\/tr>
\u53cc\u80ba\u547c\u5438\u97f3\u6e05\uff0c\u672a\u95fb\u53ca\u5e72\u6e7f\u5570\u97f3\u3002<\/td><\/tr>
Breath sounds in both lungs were clear. Dry or wet rales were not heard.<\/td><\/tr>
\u5fc3\u738780\u6b21\/\u5206\uff0c\u5f8b\u9f50\uff0c\u5404\u74e3\u819c\u533a\u672a\u95fb\u53ca\u75c5\u7406\u6027\u6742\u97f3\u8179\u5e73\u8f6f\u3002<\/td><\/tr>
The heart rate was 80 beats\/min and regular, no pathological murmurs were heard in each valve area, and the abdomen was flat and soft.<\/td><\/tr>
\u8179\u58c1\u9759\u8109\u65e0\u66f2\u5f20\uff0c\u65e0 \u538b\u75db\u53ca\u53cd\u8df3\u75db\uff0c\u809d\u813e\u808b\u4e0b\u672a\u89e6\u53ca,\u672a\u53ca\u5305\u5757\uff0c\u809d\u533a\u53e9\u75db\uff08-\uff09.\u65e0\u79fb\u52a8\u6027\u6d4a\u97f3\uff0c\u65e0\u80be\u533a\u53e9\u51fb\u75db\uff0c\u80a0\u9e23\u97f34\u6b21\/\u5206\uff0c\u65e0\u53cc\u4e0b\u80a2\u6c34\u80bf\uff0c\u56db\u80a2\u808c\u529b\u808c\u5f20\u529b\u6b63\u5e38\uff0c\u751f\u7406\u53cd\u5c04\u6b63\u5e38\uff0c\u75c5\u7406\u53cd\u5c04\u672a\u5f15\u51fa\u3002<\/td><\/tr>
No varicose veins in the abdominal wall, no tenderness or rebound pain, no palpation of the liver and spleen under the ribs, no mass,  percussion pain in the liver area (-). No shifting dullness, no percussion pain in the kidney area, bowel sounds 4 times\/min. No lower limbs edema, normal muscle strength and muscle tone of four limbs, normal physiological reflex, no pathological reflex elicited.<\/td><\/tr>
\u4e3b\u8981\u68c0\u67e5\u7ed3\u679c<\/td><\/tr>
Main inspection results<\/td><\/tr>
2023-03-08\u8840\u5e38\u89c4\uff1a\u767d\u7ec6\u80de\u8ba1\u65703.<\/td><\/tr>
2023-03-08 Blood routine: white blood cell count<\/td><\/tr>
40 x109\/L ,\u4e2d\u6027\u7c92\u7ec6\u80de\u767e\u5206\u6bd466.<\/td><\/tr>
3.40 x10^9\/L , neutrophil percentage 66.<\/td><\/tr>
1 % ,\u7ea2\u7ec6\u80de\u8ba1\u65704.14 xlO12\/L ,\u8840\u7ea2\u86cb\u767d\u91cf111 g\/L ,\u8840\u5c0f\u677f\u8ba1\u6570224 x109\/L ,\u8d85\u654fC\u53cd\u5e94\u86cb\u767d<0. 50 mg\/L ,\u8840\u6e05\u6dc0\u7c89\u6837\u86cb\u767dA 35. 04 mg\/L\u3002<\/td><\/tr>
1%, red blood cell count 4.14 x10^12\/L, hemoglobin 111 g\/L, platelet count 224 x10^9\/L, hypersensitive C-reactive protein <0. 50 mg\/L, serum amyloid A 35. 04 mg\/L.<\/td><\/tr>
\u751f\u5316\uff1a\u767d\u86cb\u767d\uff08\u5e72\u5f0f\uff0938.9 g\/L,\u4e19\u6c28\u9178\u6c28\u57fa\u8f6c\u79fb\u9163\uff08\u5e72\u5f0f\uff0917 U\/L ,\u5929\u51ac\u6c28\u9178\u6c28\u57fa\u8f6c\u79fb\u9176\uff08\u5e72\u5f0f\uff0921 U\/L . \u03b3-\u8c37\u6c28\u9170\u8f6c\u80bd\u9176\uff08\u5e72\u5f0f\uff0919 U\/L ,\u808c\u9150\uff08\u5e72\u5f0f\uff0938.3 umol\/L ,\u5c3f\u7d20\uff08\u5e72\u5f0f\uff09 4. 38 mmol\/L \uff0c \u5c3f\u9178\uff08\u5e72\u5f0f\uff09218 umol\/L .\u94be\uff08\u5e72\u5f0f\uff095. 0 mmol\/L\uff0c\u94a0\uff08\u5e72\u5f0f\uff09137. 1 mmol\/L\u3002<\/td><\/tr>
Biochemical: Albumin (dry) 38.9 G\/L, Alanine Transaminotransferase (dry) 17 U\/L, Aspartate Aminotransferase (dry) 21 U\/L. \u0393-glutamyl Transfer Peptidase (dry) 19 U\/L, Creatinine (dry) 38.3 Umol\/L, Urea (dry) 4.38 Mmol\/L, Uric Acid (dry) 218 Umol\/L, Potassium (dry) 5. 0 Mmol\/L, Sodium (dry ) 137.1 Mmol\/L.<\/td><\/tr>
\u51dd\u8840\uff1a \u51dd\u8840\u9176\u539f\u65f6\u95f411.8\u79d2\uff0c\u56fd\u9645\u6807\u51c6\u5316\u6bd4\u503c\uff08INR\uff09 1.04\uff0c\u6d3b\u5316\u90e8\u5206\u51dd\u8840\u6d3b\u9176\u65f6\u95f425.8\u79d2\uff0cD\u4e8c\u805a\u4f531.24,\u51dd\u8840\u56e0\u5b50VIII174 % t .<\/td><\/tr>
Coagulation: Prothrombin Time 11.8 Seconds, International Normalized Ratio (INR) 1.04, Activated Partial Thromboplastin Time 25.8 Seconds, D Dimer 1.24, Coagulation Factor VIII 174 %<\/td><\/tr>
2023-03-10\u95e8\u6025\u8bca\u68c0\u9a8c\u62a5\u544a\uff1a\u767d\u7ec6\u80de\u8ba1\u65705.<\/td><\/tr>
2023-03-10 Outpatient emergency test report: white blood cell count 5.<\/td><\/tr>
28 xI09\/L,\u4e2d\u6027\u7c92\u7ec6\u80de\u7edd\u5bf9\u503c 3.77 xlO9\/L .\u7ea2\u7ec6\u80de\u8ba1\u65704.<\/td><\/tr>
28 xI0^9\/L, Absolute Value Of Neutrophils 3.77 XlO^9\/L. Red Blood Cell Count 4.<\/td><\/tr>
10 x10l2\/L ,\u8840\u7ea2\u86cb\u767d\u91cf110 g\/L I ,\u8840\u5c0f\u677f\u8ba1\u6570195 x109\/L . \u8d85\u654fC\u53cd\u5e94\u86cb\u767d<0. 50 mg\/L \u3002<\/td><\/tr>
10 x10^l2\/L, Hemoglobin 110 g\/L I, Platelet Count 195 X10^9\/L. Hypersensitive C-reactive Protein <0. 50 mg\/L.<\/td><\/tr>
\u95e8\u6025\u8bca\u68c0\u9a8c\u62a5\u544a\uff1a\u767d\u86cb\u767d\uff08\u5e72\u5f0f\uff0938.3 g\/L,\u4e19\u6c28\u9178\u6c28\u57fa\u8f6c\u79fb\u9176\uff08\u5e72\u5f0f\uff0915 U\/L ,\u5929\u51ac\u6c28\u9178\u6c28\u57fa\u8f6c\u79fb\u9176\uff08\u5e72\u5f0f\uff0918 U\/L , Y-\u8c37\u6c28\u9170\u8f6c\u80bd\u9176\uff08\u5e72\u5f0f\uff0918 U\/L ,\u808c\u9150\uff08\u5e72\u5f0f\uff0943.6<\/td><\/tr>
Outpatient and emergency test report: Albumin (dry ) 38.3 G\/L, Alanine Aminotransferase (dry) 15 U\/L, Aspartate Aminotransferase (dry) 18 U\/L, Y-glucose Amyltranspeptidase (dry) 18 U\/L, Creatinine (dry ) 43.6<\/td><\/tr>
\u7b2c1\u9875<\/td><\/tr>
page 1<\/td><\/tr>
m\u626b\u63cf\u5168\u80fd\u738b\u521b\u5efa<\/td><\/tr>
<\/td><\/tr>
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662 \u6838\u533b\u5b66\u79d1<\/td><\/tr>
Cancer Hospital Affiliated to Fudan University  Department of Nuclear Medicine<\/td><\/tr>
PET<\/td><\/tr>
PET<\/td><\/tr>
\u68c0\u67e5\u62a5\u544a\u5355<\/td><\/tr>
Physical Examination Report<\/td><\/tr>
\u5f71\u50cf\u53f7\uff1a11407881<\/td><\/tr>
Image number: 11407881<\/td><\/tr>
\u59d3\u540d\uff1a*** \u6027\u522b1\u5973<\/td><\/tr>
Name:   *** Gender: Female<\/td><\/tr>
\u68c0\u67e5\u65b9\u5f0f\u6838\u7d20<\/td><\/tr>
Examination method: nuclide<\/td><\/tr>
\u7533\u8bf7\u79d1\u5ba4<\/td><\/tr>
Department Application<\/td><\/tr>
\u4e34\u5e8a\u8bba\u65ad:<\/td><\/tr>
Clinical conclusion:<\/td><\/tr>
PET\/CT \u65ad\u5c42<\/td><\/tr>
PET\/CT tomography<\/td><\/tr>
\u836f\u7269\uff1a FDG\u80f0\u817a\u5916\u79d1<\/td><\/tr>
Medicine: FDG Pancreatic Surgery<\/td><\/tr>
\u80f0\u817a\u764c\u5316\u7597\u540e<\/td><\/tr>
Pancreatic Cancer After Chemotherapy<\/td><\/tr>
\u5e74\u9f8450 \u5c81<\/td><\/tr>
Age: 50<\/td><\/tr>
\u68c0\u67e5\u90e8\u4f4d\uff1a\u5168\u8eab<\/td><\/tr>
Inspection Area: whole body<\/td><\/tr>
\u5242\u91cf 6.048mCi<\/td><\/tr>
Dosage 6.048mCi<\/td><\/tr>
\u68c0\u67e5\u65e5\u671f,2023-01-31<\/td><\/tr>
Inspection date, Jan. 31, 2023<\/td><\/tr>
\u95e8\u8bca\u53f7 310104197210274823<\/td><\/tr>
Clinic No. 310104197210274823<\/td><\/tr>
\u5e8a\u53f7<\/td><\/tr>
Bed No.<\/td><\/tr>
\u8840\u7cd6\uff1a6. 2mmol\/L<\/td><\/tr>
Blood sugar: 6. 2mmol\/L<\/td><\/tr>
\u68c0\u67e5\u9879\u76ee\uff1a\u80bf\u7624\u5168\u8eab\u65ad\u5c42\u663e\u50cf<\/td><\/tr>
Inspection items: Tumor whole body tomography<\/td><\/tr>
\u7ed9\u836f\u65b9\u5f0f\uff1a\u9759\u8109\u6ce8\u5c04 \u6ce8\u5c04\u90e8\u4f4d:\u53f3\u624b\u8155<\/td><\/tr>
Administration method: intravenous injection Injection part: right wrist<\/td><\/tr>
\u68c0\u67e5\u6392\u53f7\uff1a25<\/td><\/tr>
Queue number for examination: 25<\/td><\/tr>
\u2014<\/td><\/tr>
\u2014<\/td><\/tr>
\u4f53\u68c0\u53d1\u73b0\u591a\u9879\u80bf\u7624\u6307\u6807\u5347\u9ad8\u5c31\u8bca:2022. 9 \u672c\u9662PET\/CT\uff1a\u80a2\u4f53\u90e8\u8f6f\u7ec4\u7ec7\u80bf\u5757\u5f71\uff0cFDG\u4ee3\u8c22\u589e\u9ad8,\u8003\u518d\u4e3aMT\u53ef\u80fd\u5927.\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1.2022.9\u672c\u9662EUS\uff1a\u8d28\u817a\u4f53\u90e8\u5360\u4f4d,\u6d3b\u68c0\u75c5\u7406\uff1a\u817a\u764c.\u540e\u5316\u75974\u7a0b\u3002<\/td><\/tr>
A number of tumor indicators were found to be elevated in the physical examination and visit the hospital: In Sept., 2022. PET\/CT in our hospital: soft tissue mass shadow in the limbs, FDG metabolism increased, high MT possibility was considered. Invasion of the left adrenal gland and the back wall of the stomach. Sept. 2022 EUS in our hospital: Gland space occupying, biopsy pathology: adenocarcinoma. Chemotherapy with 4 courses.<\/td><\/tr>
2023. 1<\/td><\/tr>
Jan. 2023<\/td><\/tr>
\u672c\u9662<\/td><\/tr>
This hospital<\/td><\/tr>
CA19-9\uff1a6351.<\/td><\/tr>
CA19-9:6351.<\/td><\/tr>
OOU\/mI, CA19-9_H:6351. 00U\/mI, CA125:52. 80U\/ml,CA50:>500. 00lU\/mL, CA242\uff1a>200. 00U\/m<\/td><\/tr>
OOU\/mI, CA19-9_H:6351. 00U\/mI, CA125:52. 80U\/ml, CA50:>500. 00lU\/mL, CA242:>200. 00U\/m<\/td><\/tr>
\u68c0\u6773\u6240\u89c1\uff1a<\/td><\/tr>
Examination Result:<\/td><\/tr>
\u7981\u98df\u72b6\u6001\u4e0b.\u9759\u8109\u6ce8\u5c04F-18-FDG,\u4f53\u606f\u7ea660\u5206\u949f\uff0c\u884cPET\/CT\u663e\u50cf\uff0c\u56fe\u50cf\u663e\u793a\u6e05\u6670,\u4e0e\u524d\u7247\u5bf9\u6bd4\uff082022. 09.15\uff09.<\/td><\/tr>
In the fasting state. F-18-FDG was injected intravenously, and rested for about 60 minutes. PET\/CT imaging was performed, and the image was clearly displayed, comparing with the previous film (Sept. 15, 2022).<\/td><\/tr>
\u80f0\u817a\u764c\u5316\u7597\u540e.\u80a2\u4f53\u90e8\u8f6f\u7ec4\u7ec7\u80bf\u5757\u5f71\u5927\u5c0f\u57fa\u672c\u540c\u524d\uff0c\u8fb9\u754c\u6b20\u6e05\uff0c\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1\uff0c\u653e\u5c04\u6027\u6444\u53d6\u589e\u9ad8\u57fa\u672c\u540c\u524d\uff0cSUVmax=4.1 \uff08\u524d\u72474.4\uff09\uff1a<\/td><\/tr>
After chemotherapy for pancreatic cancer, the size of the soft tissue mass in the extremities is basically the same as before, with unclear borders, invading the left adrenal gland and the back wall of the stomach, and the increase in radioactive uptake is basically the same as before, SUVmax=4.1 (4.4 in the previous film):<\/td><\/tr>
\u809d\u810f\u5f62\u6001\u3001\u5927\u5c0f\u6b63\u5e38\uff0c\u5bc6\u5ea6\u5747\u5300\uff0c \u653e\u5c04\u6027\u5206\u5e03\u672a\u89c1\u660e\u663e\u5f02\u5e38.\u809d\u5185\u5916\u80c6\u7ba1\u7686\u672a\u89c1\u660e\u663e\u72b7\u5f20\uff1b<\/td><\/tr>
The shape and size of the liver were normal, the density was uniform, and there was no obvious abnormality in the distribution of radioactivity. There was no obvious swelling of the bile ducts inside and outside the liver;<\/td><\/tr>
\u80c6\u56ca\u58c1\u672a\u89c1\u660e\u663e\u589e\u539a\uff0c\u672a\u89c1\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u7076\uff1a<\/td><\/tr>
There was no obvious thickening of the gallbladder wall, and no abnormally increased radioactive uptake foci:<\/td><\/tr>
\u813e\u810f\u5927\u5c0f\u6b63\u5e38\uff0c\u653e\u5c04\u6027\u5206\u5e03\u5747\u5300\uff1b<\/td><\/tr>
The size of the spleen is normal and the distribution of radioactivity is uniform;<\/td><\/tr>
\u80a0\u9053\u5404\u6bb5\u89c1\u5c11\u91cf\u751f\u7406\u6027\u653e\u5c04\u6027\u6444\u53d6\uff1a<\/td><\/tr>
A small amount of physiological radioactive uptake is seen in various segments of the intestinal tract:<\/td><\/tr>
\u53f3\u4fa7\u80be\u4e0a\u817a\u5f62\u6001\u672a\u89c1\u660e\u663e\u5f02\u5e38\uff0c\u672a\u89c1\u660e\u663e\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\uff1b<\/td><\/tr>
There was no obvious abnormality in the shape of the right adrenal gland, and no obvious abnormal uptake of radioactivity;<\/td><\/tr>
\u53cc\u80be\u5b9e\u8d28\u672a\u89c1\u5f02\u5e38\u5bc6\u5ea6\u5f71\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u589e\u9ad8\u7076\uff0c\u80be\u5b5f\u3001\u80be\u76cf\u672a\u89c1\u660e\u663e\u6269\u5f20\uff1b<\/td><\/tr>
There were no abnormal density shadows and abnormally increased radioactive foci in the renal parenchyma, and no obvious expansion of the renal calices and pelvis;<\/td><\/tr>
\u8180\u80f1\u5145\u76c8\u6b20\u4f73\uff1b<\/td><\/tr>
Poorly filling bladder;<\/td><\/tr>
\u5b50\u5ba2\u4f53\u79ef\u589e\u5927\uff0c\u5de6\u540e\u7f18\u51f8\u8d77\u7565\u4f4e\u5bc6\u5ea6\u7076\u540c\u524d\uff0c\u5b50\u5bab\u53e6\u89c1\u6570\u4e2a\u7ed3\u8282\u6837\u7565\u9ad8\u5bc6\u5ea6\u5f71\uff0c\u5747\u672a\u89c1\u653e\u5c04\u6027\u6444\u53d6\u589e\u9ad8\uff1b<\/td><\/tr>
The volume of the uterus increases, the left posterior margin bulges slightly low density foci are the same as before, and several nodular with slightly high density shadows are seen in the uterus, all of which have no increased radiation uptake;<\/td><\/tr>
\u53cc\u4fa7\u9644\u4ef6\u533a\u672a\u89c1\u660e\u663e\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\uff1a<\/td><\/tr>
No obvious abnormal radioactive uptake in the bilateral appendages:<\/td><\/tr>
\u8179\u819c\u540e\u3001\u4e24\u4fa7\u9ac2\u8840\u7ba1\u65c1\u53ca\u8179\u80a1\u6c9f\u672a\u89c1\u660e\u663e\u80bf\u5927\u6dcb\u5df4\u7ed3\u3002<\/td><\/tr>
No obvious enlarged lymph nodes were found in retroperitoneum, beside bilateral iliac vessels or groin.<\/td><\/tr>
\u4e24\u80ba\u53ca\u7406\u589e\u7c97\uff0c\u6563\u5728\u5fae\u5c0f\u7ed3\u8282\uff0c\u5747\u672a\u89c1\u653e\u5c04\u6027\u6444\u53d6\u589e\u9ad8\uff1a\u7eb5\u9694\u53ca\u4e24\u4fa7\u80ba\u95e8\u6dcb\u5df4\u7ed3\u672a\u89c1\u660e\u663e\u80bf\u5927\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\uff1a\u98df\u7ba1\u7ba1\u58c1\u672a\u89c1\u660e\u663e\u589e\u539a\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u589e\u9ad8\u7076\u3002<\/td><\/tr>
The two lungs were thickened, with scattered tiny nodules, and no increased radioactive uptake was found: no obvious enlargement and abnormal radioactive uptake were found in the mediastinal and bilateral hilar lymph nodes; no obvious thickening of the esophageal wall and abnormally increased radioactive foci were found.<\/td><\/tr>
\u53cc\u4fa7\u4e73\u817a\u672a\u89c1\u5f02\u5e38\u653e\u5c04\u6027\u5206\u5e03\uff1a\u53cc\u4fa7\u814b\u7a9d\u53ca\u5185\u4e73\u672a\u89c1\u660e\u663e\u80bf\u5927\u6dcb\u5df4\u7ed3\u53ca\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u7076\u3002<\/td><\/tr>
No abnormal radiation distribution was found in bilateral breasts: no obvious enlarged lymph nodes or abnormally increased radioactive uptake foci were found in bilateral axillaries and inner breasts.<\/td><\/tr>
\u9f3b\u54bd\u9876\u540e\u58c1\u53ca\u4e24\u4fa7\u58c1\u672a\u89c1\u660e\u663e\u589e\u539a\uff0c\u54bd\u9690\u7a9d\u53ca\u54bd\u65c1\u95f4\u9699\u6e05\u6670\uff1a<\/td><\/tr>
The posterior wall of the nasopharyngeal roof and both sides were not thickened, and the pharyngeal recesses and parapharyngeal space were clear:<\/td><\/tr>
\u53cc\u4fa7\u4e0a\u988c\u7aa6\u3001\u7b5b\u7aa6\u53ca\u581e\u7aa6 \u7ed3\u6784\u672a\u89c1\u660e\u663e\u5f02\u5e38\uff0c\u9ecf\u819c\u672a\u89c1\u660e\u663e\u589e\u539a\uff1a<\/td><\/tr>
There was no obvious abnormality in the structure of the bilateral maxillary sinus, ethmoid sinus, and castellation sinus, and no obvious thickening of the mucosa:<\/td><\/tr>
\u53e3\u54bd\u90e8\u3001\u4e24\u4fa7\u68a8\u72b6\u7a9d\u3001\u7532\u72b6\u817a\u672a\u89c1\u660e\u663e\u5f02\u5e38\u5bc6\u5ea6\u5f71\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u589e\u9ad8\u7076\uff0c\u65b0\u89c1\u53cc\u4fa7\u9501\u9aa8\u4e0a\u5c0f\u6dcb\u5df4\u7ed3\uff0c\u653e\u5c04\u6027\u6444\u53d6\u8f7b\u5ea6\u589e\u9ad8\uff0cSUVmax=2.7\uff1b<\/td><\/tr>
no obvious abnormal density shadow and abnormally increased radioactive focus at Oropharynx, bilateral pyriform sinuses or thyroid, new bilateral supraclavicular small lymph nodes appears with slightly increased radioactive uptake, SUVmax=2.7;<\/td><\/tr>
\u53cc\u4fa7 \u4e0a\u9888\u90e8\u5c0f\u6dcb\u5df4\u7ed3\uff0c\u653e\u5c04\u6027\u6444\u53d6\u8f7b\u5ea6\u589e\u9ad8\uff0cSUVmax=2. 6\u3002<\/td><\/tr>
The radioactive uptake was slightly increased in the small lymph nodes of the upper neck bilaterally, SUVmax=2.6.<\/td><\/tr>
\u5927\u8111\u5404\u53f6\u3001\u53cc\u4fa7\u57fa\u5e95\u8282\u3001\u4e18\u8111\u53ca\u4e24\u4fa7\u5c0f\u8111\u653e\u5c04\u6027\u5206\u5e03\u5bf9\u79f0\uff0c\u672a\u89c1\u660e\u663e\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u6216\u51cf\u4f4e\u533a\uff1bCT\u5e73\u626b\u663e\u793a\u8111\u5b9e\u8d28\u5185\u672a\u89c1\u5f02\u5e38\u5bc6\u5ea6\u5f71\uff0c\u4e2d\u7ebf\u7ed3\u72d7\u5c45\u4e2d\uff1a\u8111\u6c9f\u3001\u8111\u88c2\u3001\u8111\u6c60\u672a\u89c1\u660e\u663e\u589e\u5bbd\u3001\u6269\u5f20\u3002<\/td><\/tr>
The radioactivity distribution in each lobe of the brain, bilateral basal ganglia, thalamus and bilateral cerebellum is symmetrical, and there is no obvious abnormal increase or decrease of radioactivity uptake; CT plain scan showed that there was no abnormal density shadow in the brain parenchyma, and the midline structure was in the middle: the sulcus, fissure and cistern were not significantly widened or expanded.<\/td><\/tr>
\u65b0\u89c1\u80f8\u9aa8\u4f53\u6df7\u5408\u6027\u5bc6\u5ea6\u6539\u53d8\uff0c\u53f3\u4fa7\u80a1\u9aa8\u4e0a\u6bb5\u6210\u9aa8\u6027\u6539\u53d8\uff0c\u5747\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\uff0c SUVmax=6. 3:\u6240\u89c1\u4f59\u5904\u9aa8\u9abc\u653e\u5c04\u6027\u5206\u5e03\u672a\u89c1\u660e\u663e\u5f02\u5e38\u3002<\/td><\/tr>
The mixed density change of the sternum body and the osteogenic change of the right upper femur are newly seen, and the radioactive uptake is abnormally high, SUVmax=6 3: There is no obvious abnormality in the radioactive distribution of the remaining bones.<\/td><\/tr>
SUVmax\uff1b\u6700\u5927\u6807\u51c6\u6444\u53d6\u503c \u68c0\u67e5\u7ed3\u8bba\u300c<\/td><\/tr>
SUVmax; maximum standard intake value inspection conclusion<\/td><\/tr>
\u4e0e\u524d\u5bf9\u6bd4\uff1a<\/td><\/tr>
Compared with before:<\/td><\/tr>
1.\u80a2\u817a\u764c\u5316\u7597\u540e,\u80a2\u4f53MT\u8f83\u524d\u76f8\u4eff\uff0c\u4ecdFDG\u4ee3\u8c22\u5f02\u5e38\u589e\u9ad8\uff0c\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1\uff1a\u65b0\u89c1\u80f8\u9aa8\u3001\u53f3\u4fa7\u80a1\u9aa8\u4e0a\u6bb5\u8f6c\u79fb\uff1b\u65b0\u89c1\u4e24\u4fa7\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u8f6c\u79fd\u53ef\u80fd\uff1a\u4e24\u80ba\u6563\u5728\u5c0f\u7ed3\u8282\uff0c\u5bc6\u5207\u968f\u8bbf\u3002<\/td><\/tr>
1. After chemotherapy for pancreatic cancer, the limb MT was similar as before, but the FDG metabolism was still abnormally high, and the left adrenal gland and the posterior wall of the stomach were invaded: the sternum and the upper part of the right femur were newly found to metastasize; The newly seen bilateral supraclavicular lymph node metastasis is possible: scattered small nodules in both lungs, close follow-up is needed.<\/td><\/tr>
2\uff1a\u53cc\u4fa7\u4e0a\u9888\u90e8\u6dcb\u5df4\u7ed3\u708e\u6027\u589e\u751f\uff1b\u5b50\u5bab\u591a\u53d1\u808c\u7624\u53ef\u80fd\u3002<\/td><\/tr>
2: Inflammatory hyperplasia of bilateral upper cervical lymph nodes; multiple fibroids of the uterus  is possible.<\/td><\/tr>
\u62a5\u544a\u533b\u751f\uff1a\u674e\u6960\u5ba1\u6838\u533b\u751f\uff1a\u5218\u6653\u665f<\/td><\/tr>
Reporting doctor:Nan  Li  Reviewing doctor: Xiaosheng Liu<\/td><\/tr>
\u62a5\u544a\u65e5\u671f\uff1a2023-01-31 14:14:56\u5ba1\u6838\u65e5\u671f\uff1a2023-01-31 16:31:21<\/td><\/tr>
Reporting Date: Jan. 31, 2023 14:14:56 Reviewing Date: Jan. 31, 2023 16:31:21<\/td><\/tr>
\u4e0a\u6d77\u5e02\u5f90\u6c47\u533a\u4e1c\u5b89\u8def270\u53f7\u7535\u8bdd\uff1a\uff08021\uff09 64175590-86908\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u75c5\u533b\u9662<\/td><\/tr>
No. 270, Dong’an Road, Xuhui District, Shanghai Tel: (021) 64175590-86908 Cancer Hospital Affiliated to Fudan University<\/td><\/tr>
\uff08\u672c\u68c0\u67e5\u62a5\u544a\u53ca\u56fe\u50cf\u4ec5\u4f9b\u53c2\u8003\u91cd\u8981\u8d44\u6599\u8bf7\u59a5\u5584\u4fdd\u5b58\uff09tMwfKd C-<\/td><\/tr>
(This inspection report and images are for reference only, please keep the information properly)<\/td><\/tr>
m\u626b\u63cf\u5168\u80fd\u738b\u521b\u5efa<\/td><\/tr>
<\/td><\/tr>
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u75db\u533b\u9662  \u6838\u533b\u5b66\u79d1<\/td><\/tr>
Department of Nuclear Medicine, Cancer Hospital, Affiliated to Fudan University<\/td><\/tr>
PET \u68c0\u67e5\u62a5\u544a\u5355<\/td><\/tr>
PET inspection report<\/td><\/tr>
\u5f71\u50cf\u53f7 11407881<\/td><\/tr>
Image number 11407881<\/td><\/tr>
\u68c0\u67e5\u65e5\u671f 2022\/09\/15<\/td><\/tr>
Inspection date: Sept. 15, 2022<\/td><\/tr>
\u59d3\u540d\uff1a***  \u6027\u522b:\u5973<\/td><\/tr>
Name: ***Gender: Female<\/td><\/tr>
\u68c0\u67e5\u65b9\u5f0f\uff1a PET\/CT\u65ad\u5c42<\/td><\/tr>
Inspection method: PET\/CT tomography<\/td><\/tr>
\u6838\u7d20\uff1a 18F\u836f\u7269\uff1aFDG<\/td><\/tr>
Nuclide: 18F Medicine: FDG<\/td><\/tr>
\u7533\u8bf7\u79d1\u5ba4\uff1a\u80f0\u817a\u5916\u79d1<\/td><\/tr>
Department Application: Pancreatic Surgery<\/td><\/tr>
\u4e34\u5e8a\u8bca\u65ad\uff1a\u80f0\u817a\u764c<\/td><\/tr>
Clinical Diagnosis: Pancreatic Cancer<\/td><\/tr>
\u5e74\u9f84\uff1a49 8\u95e8\u8bca\u53f7\uff1a310104197210274823<\/td><\/tr>
Age: 49  Clinic No.: 310104197210274823<\/td><\/tr>
\u68c0\u67e5\u90e8\u4f4d\uff1a\u5168\u8eab       \u5e8a\u53f7\uff1a\u7ed9\u836f\u65b9\u5f0f\uff1a\u9759\u8109\u6ce8\u5c04<\/td><\/tr>
Examination Area: Whole Body Bed No.: Administration Method: Intravenous Injection<\/td><\/tr>
\u5242\u91cf\uff1a 5. 285mOI          \u8840\u7cd6\uff1a10.0mmol\/L     \u6ce8\u5c04\u90e8\u4f4d\uff1a\u53f3\u624b\u80cc<\/td><\/tr>
Dosage: 5. 285mOI Blood sugar: 10.0mmol\/L Injection site: Back of right hand<\/td><\/tr>
\u68c0\u67e5\u9879\u76ee\uff1a\u80bf\u7624\u5168\u8eab\u65ad\u5c42\u663e\u50cf\u68c0\u67e5\u6392\u53f7\uff0c46<\/td><\/tr>
Inspection items: Tumor whole body tomography inspection Queue Number: 46<\/td><\/tr>
\u7b80\u8981\u75c5\u53f2\uff1a\u4f53\u68c0\u53d1\u89c1\u591a\u9879\u80bf\u7624\u6307\u6807\u5347\u9ad8\uff1a2022.09. 14\u672c\u9662CT:\u80f0\u817a\u4f53\u5c3e\u90e8MT\uff0c\u4fb5\u53ca\u813e\u52a8\u9759\u8109\u4e0e\u5de6\u80be\u4e0a\u817a\uff0c\u8bf7\u7ed3\u5408\u4e34\u5e8a\u53ca\u5176\u4ed6\u5176\u4ed6\u68c0\u67e5\u3002<\/td><\/tr>
Brief medical history:  Multiple tumor indicators increasing was found in physical examination: Sept. 14, 2022 CT in our hospital: MT of the pancreas body tail, invading the splenic arteriovenous and left adrenal gland, please combine with clinical and other examinations.<\/td><\/tr>
\u80f0\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u5f3a\u5316\u6dcb\u5df4\u7ed3\uff0c\u90e8\u5206\u7a0d\u5927\uff0c\u8f6c\u4fee\u5f85\u6392.<\/td><\/tr>
There were several enhanced lymph nodes in the peripancreatic and splenic hilum area, some of which were slightly larger.<\/td><\/tr>
\u68c0\u67e5\u6240\u89c1\uff1a<\/td><\/tr>
Examination Results:<\/td><\/tr>
\u7981\u98df\u72b6\u6001\u4e0b\uff0c\u9759\u8109\u6ce8\u5c04F-18-FDQ,\u4f11\u606f\u7ea660\u5206\u949f,\u884cPET\/CT\u663e\u50cf,\u56fe\u50cf\u663e\u793a\u6e05\u6670.<\/td><\/tr>
In the fasting state, F-18-FDQ was injected intravenously, rested for about 60 minutes, and PET\/CT imaging was performed, and the images were clearly displayed.<\/td><\/tr>
\u80f0\u4f53\u90e8\u8f6f\u7ec4\u7ec7\u80bf\u5757\u5f71\uff0c\u7ea64.2*2.9cm.\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1\uff0c\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e \u9ad8,SUVmax=4.4\uff1a<\/td><\/tr>
The soft tissue mass shadow in the body of the pancreas is about 4.2 * 2.9 cm. It invades the left adrenal gland and the posterior wall of the stomach, and the radioactive uptake is abnormally high. SUVmax=4.4:<\/td><\/tr>
\u809d\u810f\u5f62\u6001\u3001\u5927\u5c0f\u6b63\u5e38\uff0c\u5bc6\u5ea6\u5747\u5300\uff0c\u653e\u5c04\u6027\u5206\u5e03\u672a\u89c1\u660e\u663e\u5f02\u5e38\uff0c\u809d\u5185\u5916\u80c6\u7ba1\u672a\u89c1\u660e\u663e\u6269\u5f20\uff1a<\/td><\/tr>
The shape and size of the liver were normal, the density was uniform, the distribution of radioactivity was normal, and the intrahepatic and extrahepatic bile ducts were not obviously dilated:<\/td><\/tr>
\u80c6\u56ca\u58c1\u672a\u89c1\u660e\u663e\u589e\u539a\uff0c\u672a\u89c1\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u7076\uff1a\u813e\u810f\u5927\u5c0f\u6b63\u5e38\uff0c\u653e \u5c04\u6027\u5206\u5e03\u5747\u5300\uff1a<\/td><\/tr>
There is no obvious thickening of the gallbladder wall, no abnormally increased radioactive uptake foci: the spleen is normal in size, and the radioactivity is evenly distributed:<\/td><\/tr>
\u80a0\u9053\u5404\u6bb5\u89c1\u5c11\u91cf\u751f\u7406\u6027\u653e\u5c04\u6027\u6444\u53d6\uff1b\u53f3\u4f8b\u80be\u4e0a\u8179\u5f62\u6001\u672a\u89c1\u660e\u663e\u5f02\u5e38\uff0c\u672a\u89c1\u660e\u663e\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\uff1b<\/td><\/tr>
A small amount of physiological radioactive uptake was seen in each segment of the intestinal tract; no obvious abnormality was seen in the right renicapsule, and no obvious abnormal radioactive uptake was seen;<\/td><\/tr>
\u53cc\u80be\u5b9e\u8d28\u672a\u89c1\u5f02\u5e38\u5bc6\u5ea6\u5f71\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u589e\u9ad8\u7076\uff0c\u80be\u76c2\u3001\u80be\u76cf\u672a\u89c1\u660e\u663e\u6269\u5f20\uff1a\u8180\u80f1\u5145\u76c8\u826f\u597d,\u8180\u80f1\u58c1\u672a\u89c1\u5f02\u5e38\u5bc6\u5ea6\u5f71\uff1b\u5b50\u5bab\u4f53\u79ef\u589e\u5927\uff0c\u5de6\u540e\u7f18\u51f8\u8d77\u7565\u4f4e\u5bc6\u5ea6\u7076\uff0c \u7ea65.<\/td><\/tr>
There were no abnormal density shadows or abnormally increased radioactive foci in the kidney parenchyma, and no obvious expansion of the renal pelvis and calyces; the bladder was well filled, and no abnormal density shadows were seen in the bladder wall; about<\/td><\/tr>
8*4. 1cm,\u653e\u5c04\u6027\u5206\u5e03\u7f3a\u635f\uff1b\u53cc\u4fa7\u9644\u4ef6\u533a\u672a\u89c1\u660e\u663e\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\uff1a\u8179\u8179\u540e\u3001\u4e24\u4fa7\u9ac2\u8840\u7ba1\u65c1\u53ca\u8179\u80a1\u6c9f\u672a\u89c1\u660e\u663e\u80bf\u5927\u6dcb\u5df4\u7ed3\u3002<\/td><\/tr>
5.8*4. 1cm, radioactive distribution defects; no obvious abnormal uptake of radioactivity in the bilateral appendages; no obvious enlarged lymph nodes in the retroperitoneal abdomen, both sides of the iliac vessels or groin.<\/td><\/tr>
\u4e24\u80ba\u7eb9\u7406\u6e05\u6670\uff0c\u672a\u89c1\u5b9e\u8d28\u6027\u75c5\u53d8\u53ca\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u7076\uff0c\u7eb5\u9694\u53ca\u4e24\u4fa7\u80ba\u95e8\u6dcb\u5df4\u7ed3\u672a\u89c1\u660e\u663e\u80bf\u5927\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\uff1a<\/td><\/tr>
The texture of both lungs was clear, no substantial lesion and abnormally increased radioactive uptake were found, no obvious enlargement and abnormal radioactive uptake of mediastinal and bilateral hilar lymph nodes were seen;<\/td><\/tr>
\u98df\u7ba1\u7ba1\u58c1\u672a\u89c1\u660e\u663e\u589e\u539a\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u589e\u9ad8\u7076.\u53cc\u4fa7\u5b54\u817a\u672a\u89c1\u5f02\u5e38\u653e\u5c04\u6027\u5206\u5e03\uff1b<\/td><\/tr>
There was no obvious thickening of the esophageal wall and abnormally increased radioactivity. There was no abnormal radioactive distribution in the bilateral orifice glands;<\/td><\/tr>
\u53cc\u4fa7\u814b\u7a9d\u53ca\u5185\u4e73\u672a\u89c1\u660e\u663e\u80bf\u5927\u6dcb\u5df4\u7ed3\u53ca\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u7076\u3002<\/td><\/tr>
There were no obvious enlarged lymph nodes and abnormally increased radioactive uptake foci in the bilateral armpits and inner breasts.<\/td><\/tr>
\u9f3b\u54bd\u9876\u540e\u58c1\u53ca\u4e24\u4fa7\u58c1\u672a\u89c1\u660e\u663e\u589e\u539a\uff0c\u54bd\u9690\u7a9d\u53ca\u54bd\u65c1\u95f4\u9699\u6e05\u6670\uff1b<\/td><\/tr>
There is no obvious thickening of the top and back wall and both sides of the nasopharynx, and the pharyngeal recess and parapharyngeal space are clear;<\/td><\/tr>
\u53cc\u4fa7\u4e0a\u988c\u7aa6\u3001\u7b5b\u7aa6\u53ca\u8776\u7aa6\u7ed3\u6784\u672a\u89c1\u660e\u663e\u5f02\u5e38\uff0c\u5e7c\u819c\u672a\u89c1\u660e\u663e\u589e\u539a\uff1b<\/td><\/tr>
Bilateral maxillary sinus, ethmoid sinus and sphenoid sinus structures are normal, and mucosa is not significantly thickened;<\/td><\/tr>
\u53e3\u54bd\u90e8\u3001\u4e24\u4fa7\u68a8\u72b6\u7a9d\u3001\u7532\u72b6\u817a\u672a\u89c1\u660e\u663e\u5f02\u5e38\u5bc6\u5ea6\u5f71\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u589e\u9ad8\u7076\uff0c\u53cc\u4fa7\u9888\u90e8\u53ca\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u672a\u89c1\u660e\u663e\u80bf\u5927\u53ca\u653e\u5c04\u6027\u5f02\u5e38\u6444\u53d6\u3002<\/td><\/tr>
Oropharynx, bilateral pyriform sinuses, and thyroid had no obvious abnormal density shadow or abnormally increased radioactive focus, and bilateral neck and supraclavicular lymph nodes had no obvious swelling and abnormal radioactive uptake.<\/td><\/tr>
\u5927\u8111\u5404\u53f6\u3001\u53cc\u4fa7\u57fa\u5e95\u8282\u3001\u4e18\u8111\u53ca\u4e24\u4fa7\u5c0f\u8111\u653e\u5c04\u6027\u5206\u5e03\u5bf9\u79f0\uff0c\u672a\u89c1\u660e\u663e\u653e\u5c04\u6027\u6444\u53d6\u5f02\u5e38\u589e\u9ad8\u6216\u51cf\u4f4e\u533a\uff1a<\/td><\/tr>
The distribution of radioactivity in the lobes of the brain, bilateral basal ganglia, thalamus, and bilateral cerebellum is symmetrical, and there is no obvious abnormally increased or decreased radioactive uptake area:<\/td><\/tr>
CT\u5e73\u626b\u663e\u793a\u8111\u5b9e\u8d28\u5185\u672a\u89c1\u5f02\u5e38\u5bc6\u5ea6\u5f71\uff0c\u4e2d\u7ebf\u7ed3\u6784\u5c45\u4e2d\uff1a<\/td><\/tr>
Plain CT scan showed no abnormal density shadow in the brain parenchyma, and the midline structure was centered:<\/td><\/tr>
\u8111\u6c9f\u3001\u8111\u88c2\u3001\u8111\u6c60\u672a\u89c1\u660e\u663e\u589e\u5bbd\u3001\u6269\u5f20\u3002<\/td><\/tr>
Cerebral sulci, fissures, and brain cisterns were not significantly widened or expanded.<\/td><\/tr>
\u6240\u89c1\u9aa8\u9abc\u653e\u5c04\u6027\u5206\u5e03\u672a\u89c1\u660e\u663e\u5f02\u5e38\u3002<\/td><\/tr>
There was no obvious abnormality in the distribution of radioactivity in the bones.<\/td><\/tr>
\u25a0I<\/td><\/tr>
\u25a0I<\/td><\/tr>
SUVmax\uff1a\u6700\u5927\u6807\u51c6\u6444\u53d6\u503c<\/td><\/tr>
SUVmax: maximum standard uptake value<\/td><\/tr>
\u68c0\u67e5\u7ed3\u8bba\uff1a<\/td><\/tr>
Inspection Results:<\/td><\/tr>
\u80f0\u4f53\u90e8\u8f6f\u7ec4\u7ec7\u80bf\u5757\u5f71\uff0cFDG\u4ee3\u8c22\u589e\u9ad8\uff0c\u8003\u8651\u4e3aMT\u53ef\u80fd\u5927\uff0c\u4fb5\u72af\u5de6\u4fa7\u80be\u4e0a\u817a\u53ca\u80c3\u540e\u58c1.<\/td><\/tr>
The soft tissue mass in the body of the pancreas and increased FDG metabolism is considered that the MT possibility is high, invading the left adrenal gland and the posterior gastric wall.<\/td><\/tr>
\u5b50\u5bab\u808c\u7624\u4f34\u56ca\u53d8.<\/td><\/tr>
Uterine fibroids with cystic changes.<\/td><\/tr>
\u62a5\u544a\u533b\u751f\uff1a\u5f90\u4fca\u5f66<\/td><\/tr>
Reporting doctor:  Xu Junyan<\/td><\/tr>
\u62a5\u544a\u65e5\u671f\uff1a2022\/09\/15 21:08:27<\/td><\/tr>
Date of report: Sept. 15, 2022  21:08:27<\/td><\/tr>
trim<\/td><\/tr>
<\/td><\/tr>
\u5ba1\u6838\u533b\u751f\uff1a\u80e1\u56db\u9f99<\/td><\/tr>
Reviewing Doctor:   Hu Silong<\/td><\/tr>
\u5ba1\u6838\u65e5\u671f\uff1a2022\/09\/16 07:50:18<\/td><\/tr>
Review Date: 2022\/09\/16 07:50:18<\/td><\/tr>
\u4e0a\u6d77\u5e02\u5f90\u6c47\u533a\u4e1c\u5b89\u8def270\u53f7 \u7535\u8bdd:(021) 64175590-86908(\u672c\u68c0\u67e5\u62a5\u544a\u53ca\u56fe\u50cf\u4ec5\u4f9b\u53c2\u8003\u4e56\u8981\u8d44\u6599\u8bf7\u59a5\u5584\u4fdd\u5b58)<\/td><\/tr>
No. 270 Dong’an Road, Xuhui District, Shanghai Tel: (021) 64175590-86908 (This inspection report and images are for reference only, please keep the important information properly)<\/td><\/tr>
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u75b1\u533b\u9662<\/td><\/tr>
Cancer Hospital Affiliated to Fudan University<\/td><\/tr>
FwDm Ufilv\u00abr\u00abJty ShaA\u00abM*l Cmc-<\/td><\/tr>
<\/td><\/tr>
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\u653e\u5c04\u8bca\u65ad\u62a5\u544a(CT)<\/td><\/tr>
Radiological diagnosis report (CT) of Cancer Hospital Affiliated to Fudan University<\/td><\/tr>
\u59d3\u540d\uff1a ***\u6027\u522b\uff1a\u5973\u3002<\/td><\/tr>
Name:  *** Gender: Female.<\/td><\/tr>
\u5e74\u9f84\uff1a49\u5c81 \u75c5\u533a\uff1a\u653e\u5c04\u5b66\u68c0\u67e5\u53f7\u7801\uff1a11407881<\/td><\/tr>
Age: 49 Ward: Radiology Examination No.: 11407881<\/td><\/tr>
\u95e8\u8bca\u53f7\uff1a310104197210274823      \u4f4f\u9662\u53f7\uff1a    \u79d1\u5ba4\uff1a\u80f0\u817a\u5916\u79d1\u75c5\u5e8a<\/td><\/tr>
Clinic No.: 310104197210274823 Hospitalization No.: Department: Pancreatic surgery  Ded:<\/td><\/tr>
\u4e34\u5e8a\u8bca\u65ad\uff1a\u80f0\u5c3e\u6076\u6027\u80bf\u7624\u9001\u68c0\u533b\u751f\u7684\u8981\u6c42\uff1a\u80f0\u817aCT\uff08\u589e\u5f3a\uff09<\/td><\/tr>
Clinical diagnosis: Malignant tumor of the pancreas  tail Doctor’s request for examination: CT of the pancreas (enhanced)<\/td><\/tr>
\u68c0\u67e5\u90e8\u4f4d\u548c\u540d\u79f0\uff1a\u80f0\u817aCT (\u589e\u5f3a)\u68c0\u67e5\u65f6\u95f4\uff1a2022 -9 -1319:24:20<\/td><\/tr>
Examination site and name: Pancreas CT (enhanced) Examination time: Sept. 13, 2022 19:24:20<\/td><\/tr>
\u68c0\u67e5\u65b9\u6cd5,\u539a\u5c425mm\u95f4\u96945mm\u3010\u7898\u3011\u9020\u5f71\u5242100ml\u901f\u7387l.5ml\/s\u5ef6\u65f6 \u52a8\u8109\u671f22s\u9759\u8109\u671f75s<\/td><\/tr>
Inspection method, thick layer 5mm, interval 5mm [iodine] contrast agent 100ml rate 1.5ml\/s delay arterial phase 22s venous phase 75s<\/td><\/tr>
\u653e\u5c04\u5b66\u8868\u73b0\u80f0\u817a\u4f53\u5c3e\u90e8\u80bf\u5757.\u7ea660*42mm\uff0c\u5f62\u6001\u4e0d\u89c4\u5219,\u8f7b\u4e2d\u5ea6\u4e0d\u5747\u5300\u5f3a\u5316.\u75c5\u53d8\u5305\u7ed5\u813e\u52a8\u9759<\/td><\/tr>
Radiological manifestations: a mass in the tail of the pancreas. About 60*42mm, irregular in shape, with mild to moderate uneven enhancement. The lesion surrounds the spleen<\/td><\/tr>
\u8109\u4e0e\u90e8\u5206\u5de6\u80be\u4e0a\u817a.\u8fdc\u7aef\u62b5\u8fd1\u813e\u95e8,\u5c40\u90e8\u4e0e\u80c3\u58c1\u8d34\u90bb.\u80f0\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u4e5f\u5f3a\u5316\u6dcb\u5df4\u7ed3,\u90e8\u5206\u7a0d\u5927\u3002<\/td><\/tr>
artery-vein and part of the left adrenal gland. The distal end is close to the splenic hilum, and some part is adjacent to the stomach wall. Several lymph nodes in the peripancreatic and splenic hilus areas also strengthen, and some are slightly larger.<\/td><\/tr>
\u809d\u810f\u5927\u5c0f\u3001\u5f62\u6001\u6b63\u5e38,\u809d\u5185\u76ee\u524d\u672a\u89c1\u660e\u786e\u5360\u4f4d\u6027\u75c5\u53d8\uff0c\u809d\u5185\u8840\u7ba1\u8d70\u884c\u6b63\u5e38\uff0c\u809d\u5185\u5916\u80c6\u7ba1\u65e0\u6269\u5f20\u3002<\/td><\/tr>
The size and shape of the liver were normal, no clear space-occupying lesions were found in the liver, the blood vessels in the liver run normally, and the extrahepatic and extrahepatic bile ducts were not dilated.<\/td><\/tr>
\u813e\u4e0d\u5927\uff0c\u53f3\u80be\u4e0a\u817a\u5927\u5c0f\u5f62\u6001\u53ca\u5bc6\u5ea6\u6b63\u5e38\uff0c\u53cc\u4fa7\u80be\u810f\u5bf9\u79f0\u3002<\/td><\/tr>
The spleen was not enlarged, the size, shape and density of the right adrenal gland were normal, and the bilateral kidneys were symmetrical.<\/td><\/tr>
\u5927\u5c0f\u53ca\u5f62\u6001\u6b63\u5e38,\u672a\u89c1\u5c40\u7076\u6027\u5bc6\u5ea6\u5f02\u5e38.\u8179\u819c\u540e\u672a\u89c1\u80bf\u5927\u6dcb\u5df4\u7ed3,\u8179\u8154\u5185\u672a\u89c1\u79ef\u6db2.<\/td><\/tr>
The size and shape were normal, and no focal density abnormalities were found. There was no enlarged lymph node in the retroperitoneum, and no effusion in the abdominal cavity.<\/td><\/tr>
\u653e\u5c04\u5b66\u8bca\u65ad\uff1a<\/td><\/tr>
Radiological diagnosis:<\/td><\/tr>
\u80f0\u817a\u4f53\u5c3e\u90e8MT\uff0c\u4fb5\u53ca\u813e\u52a8\u8109\u4e0e\u5de6\u80be\u4e0a\u817a,\u8bf7\u7ed3\u5408\u4e34\u5e8a\u53ca\u5176\u4ed6\u68c0\u67e5\u3002<\/td><\/tr>
MT at the tail of the pancreas, invading the splenic artery and left adrenal gland, please combine with clinical and other examinations.<\/td><\/tr>
\u80f0\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u5f3a\u5316\u6dcb\u5df4\u7ed3\uff0c\u90e8\u5206\u7a0d\u5927\uff0c\u8f6c\u79fb\u5f85\u6392\uff0c\u5bc6\u5207\u968f\u8bbf.<\/td><\/tr>
There were several enhanced lymph nodes in the peripancreatic and splenic hilum area, some of which were slightly larger, and the metastasis was waiting to be excluded. Close follow-up was needed.<\/td><\/tr>
\u62a5\u544a\u533b\u5e08\uff1a\u5f6d\u7434<\/td><\/tr>
Reporting physician:  Qin Peng<\/td><\/tr>
\u62a5\u544a\u65f6\u95f4\uff1a2022-09T4 12:11:13<\/td><\/tr>
Reporting time: Sept. 14\uff0c 2022 12:11:13<\/td><\/tr>
\u5ba1\u6838\u533b\u5e08<\/td><\/tr>
Auditing Physician:<\/td><\/tr>
\u5ba1\u6838\u65f6\u95f4\uff1b2022-09-11<\/td><\/tr>
Reviewing Date; 2022-09-11<\/td><\/tr>
15:40:38<\/td><\/tr>
15:40:38<\/td><\/tr>
1.\u672c\u62a5\u544a\u7684\u4ec5\u4f9b\u6027\u5e8a\u533b\u5e08\u53c2\u8003.2.\u672c\u62a5\u544a\u4e3a\u4e56\u8981\u8d44\u6599\uff0c\u8bf7\u59a5\u4e3a\u4fdd\u7ba1\u30fb<\/td><\/tr>
1. This report is only for the reference of clinicians. 2. This report is important information, please keep it safe<\/td><\/tr>
<\/td><\/tr>
<\/td><\/tr>
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\u653e\u5c04\u8bca\u65ad\u62a5\u544a\uff08CT\uff09<\/td><\/tr>
Radiological Diagnosis Report (CT) Of Cancer Hospital Affiliated To Fudan University<\/td><\/tr>
\u59d3\u540d\uff1a\u9980\u4e1c\u96c1\u6027\u522b \u5973 \u5e74\u9f84\uff1a50  \u75c5\u533a\uff1a,\u653e\u5c04\u5b66\u68c0\u67e5\u53f7\u7801\uff1a11407881<\/td><\/tr>
Name: ***  Gender: Female Age: 50 Ward: Radiology Examination No.: 11407881<\/td><\/tr>
\u95e8\u8bca\u53f7\uff1a310104197210274823\u4f4f\u9662\u53f7\uff1a2119695\u79d1\u5ba4\uff1a\u80f0\u817a\u80c6\u9053\u4e13\u75c5\u95e8\u8bca\u75c5\u5e8a\uff0c<\/td><\/tr>
Outpatient No.: 310104197210274823 Inpatient No.: 2119695 Department: Outpatient For Pancreas And Biliary Tract Diseases,  Bed No.:<\/td><\/tr>
\u4e34\u5e8a\u8bca\u65ad\uff1a\u80f0\u5c3e\u6076\u6027\u80bf\u7624\u9001\u68c0\u533b\u751f\u7684\u8981\u6c42\uff1a\u80f0\u817aCT \uff08\u589e\u5f3a\uff09<\/td><\/tr>
Clinical diagnosis: Malignant tumor of the tail of the pancreas. The doctor’s request for examination: CT of the pancreas (enhanced)<\/td><\/tr>
\u68c0\u67e5\u90e8\u4f4d\u548c\u540d\u79f0\uff1a \u80f0\u817aCT \uff08\u589e\u5f3a\uff09\u68c0\u67e5\u65f6\u95f4\uff1aM2022-11-1510:51:49<\/td><\/tr>
Examination site and name: Pancreas CT (enhanced) Examination time:Nov. 15, 2022 10:51:49<\/td><\/tr>
\u68c0\u67e5\u65b9\u6cd5\uff1a\u5c42\u539a5mm\u95f4\u96945mm\u3010\u7898\u3011\u9020\u5f71\u5242100ml\u901f\u73871.5ml\/s\u5ef6\u65f6 \u52a8\u8109\u671f22s \u9759\u8109\u671f75s<\/td><\/tr>
Inspection method: layer thickness 5mm interval 5mm [iodine] contrast agent 100ml rate 1.5ml\/s delay arterial phase 22s venous phase 75s<\/td><\/tr>
\u653e\u5c04\u5b66\u8868\u73b0\uff1a\u5bf9\u6bd42022-9-13\u524d\u7247\uff1a\u80f0\u817aMT\u6cbb\u7597\u540e\uff0c\u80f0\u817a\u4f53\u5c3e\u90e8\u80bf\u5757\u8f83\u524d\u589e\u5927\uff0c\u7ea658*61mm,<\/td><\/tr>
Radiological manifestations: Compared with the  film got on September 13, 2022: After pancreatic MT treatment, the mass at the tail of the pancreas increased, about 58*61mm,<\/td><\/tr>
\u5f62\u6001\u4e0d\u89c4\u5219\uff0c\u8f7b\u4e2d\u5ea6\u4e0d\u5747\u5300\u5f3a\u5316\uff0c\u75c5\u53d8\u5305\u7ed5\u813e\u52a8\u9759\u8109\u4e0e\u90e8\u5206\u5de6\u80be\u4e0a\u817a\uff0c\u8fdc\u7aef\u62b5\u8fd1\u813e\u95e8,\u5c40\u90e8\u4fb5\u72af\u80c3\u58c1\u3002<\/td><\/tr>
Irregular in shape, mild to moderate uneven enhancement, the lesion surrounds the splenic artery and vein and partial left adrenal gland, the distal end is close to the splenic hilum, and partially invades the gastric wall.<\/td><\/tr>
\u813e\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u5f3a\u5316\u6dcb\u5df4\u7ed3\u8f83\u524d\u76f8\u4eff\uff0c\u90e8\u5206\u7a0d\u5927.\u809d\u810f\u5927\u5c0f\u3001\u5f62\u6001\u6b63\u5e38.\u809d\u5185\u76ee\u524d\u672a\u89c1\u660e\u786e\u5360\u4f4d\u6027\u75c5\u53d8\uff0c\u809d\u5185\u8840\u7ba1\u8d70\u884c\u6b63\u5e38\uff0c\u809d\u5185\u5916\u80c6\u7ba1\u65e0\u6269\u5f20.<\/td><\/tr>
Several enhanced lymph nodes around the spleen and in the splenic hilum area are similar as before, some of them are slightly larger. The size and shape of the liver are normal. There is no definite space-occupying lesion in the liver at present, the blood vessels in the liver are normal, and the intrahepatic and extrahepatic bile ducts are not dilated<\/td><\/tr>
\u813e\u4e0d\u5927\uff0c\u53f3\u80be\u4e0a\u817a\u5927\u5c0f\u5f62\u6001\u53ca\u5bc6\u5ea6\u6b63\u5e38.\u53cc\u4fa7\u80be\u810f\u5bf9\u79f0\uff0c\u5927\u5c0f\u53ca\u5f62\u6001\u6b63\u5e38\uff0c\u672a\u89c1\u5c40\u7076\u6027\u5bc6\u5ea6\u5f02\u5e38.\u8179\u819c\u540e\u672a\u89c1\u80bf\u5927\u6dcb\u5df4\u7ed3\uff0c\u8179\u8154\u5185\u672a\u89c1\u79ef\u6db2.<\/td><\/tr>
The spleen was not enlarged, and the size, shape, and density of the right adrenal gland were normal. The bilateral kidneys were symmetrical, with normal size and shape, and no focal density abnormalities. No enlarged lymph nodes were found in the retroperitoneum, and no fluid was found in the abdominal cavity.<\/td><\/tr>
\u653e\u5c04\u5b66\u8bca\u65ad\uff1a<\/td><\/tr>
Radiological diagnosis:<\/td><\/tr>
\u8174\u817aMT\u8f83\u524d\u589e\u5927\uff0c\u4fb5\u53ca\u813e\u52a8\u9759\u8109\u4e0e\u5de6\u80be\u4e0a\u817a\u53ca\u80c3\u58c1.<\/td><\/tr>
Pancreatic MT was larger than before and invaded splenic artery and vein, left adrenal gland and gastric wall<\/td><\/tr>
\u813e\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u5f3a\u5316\u6dcb\u5df4\u7ed3\u8f83\u524d\u76f8\u4eff\uff0c\u90e8\u5206\u7a0d\u5927\uff0c\u7ee7\u7eed\u968f\u8bbf.<\/td><\/tr>
Several enhanced lymph nodes in the perisplenic and splenic hilum area were similar as before, some were slightly larger, and the follow-up was needed.<\/td><\/tr>
\u62a5\u544a\u533b\u5e08\u0964\u5f6d\u7434\u5ba1\u6838\u533b\u5e08\uff1a<\/td><\/tr>
Reporting Physician: Qin Peng Reviewing Physician:<\/td><\/tr>
\u62a5\u544a\u65f6\u95f4\uff1a2022-11-16 12:55:32 \u5ba1\u6838\u65f6\u540c\uff1a2022-11-17 09:55:16<\/td><\/tr>
Reporting time: Nov.. 16, 2022 12:55:32 Reviewing time: Nov. 17, 2022 09:55:16<\/td><\/tr>
I.\u672c\u62a5\u544a\u5355\u4ec5\u4f9b\u4e34\u5e8a\u533b\u5e08\u53c2\u8003.2.\u672c\u62a5\u544a\u4e3a\u91cd\u8981\u8981\u8d44\u6599\uff0c\u8bf7\u59a5\u4e3a\u4fdd\u7ba1.<\/td><\/tr>
I. This report is only for reference of clinicians. 2. This report is important information, please keep it safe.<\/td><\/tr>
m\u626b\u63cf\u5168\u80fd\u738b\u521b\u5efa<\/td><\/tr>
<\/td><\/tr>
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\u653e\u5c04\u8bca\u65ad\u62a5\u544a\uff08CT\uff09<\/td><\/tr>
Radiological Diagnosis Report (CT) Of Cancer Hospital Affiliated To Fudan University<\/td><\/tr>
\u59d3\u540d\uff1a***\u6027\u522b\uff1a\u5973 \u5e74\u9f84\uff1a 50  \u75c5\u533a\uff1a\u653e\u5c04\u5b66\u68c0\u67e5\u53f7\u7801\uff0c11407881<\/td><\/tr>
Name:  *** Gender: Female Age: 50 Ward: Radiological Examination No., 11407881<\/td><\/tr>
\u95e8\u8bca\u53f7\uff1a310101197210274823 \u4f4f\u9662\u53f7\uff1a2119695 \u79d1\u5ba4\uff1a\u80a1\u817a\u80c6\u9053\u4e13\u75c5\u95e8\u8bca\u75c5\u5e8a\u0964<\/td><\/tr>
Outpatient No.: 310101197210274823 Inpatient No.: 2119695 Department: Femoral gland and biliary tract disease outpatient   Bed:<\/td><\/tr>
\u4e34\u5e8a\u8bca\u65ad\uff1a\u80f0\u5c3e\u6076\u6027\u80bf\u7624\u9001\u68c0\u533b\u811a\u7684\u5a1c\uff0c\u89d1\u817aCT \uff08\u589e\u5f3a\uff09<\/td><\/tr>
Clinical diagnosis: Malignant tumor of the tail of the pancreas The Request of Examination Physican,  pancreas CT (enhanced)<\/td><\/tr>
\u68c0\u67e5\u90e8\u4f4d\u548c\u540d\u79f0\u2022\u80f0\u817aCT \uff08\u589e\u5f3a\uff09\u68c0\u67e5\u65f6\u95f4\uff0c2023-01-2808:20:26<\/td><\/tr>
Examination site and name: Pancreas CT (enhanced) Examination Time, Jan. 28, 2023 08:20:26<\/td><\/tr>
\u68c0\u67e5\u65b9\u6cd5\uff1a\u5c42\u539a5mm\u95f4\u96945mm\u3010\u7898\u3011\u9020\u5f71\u5242100ml\u901f\u7387l.5ml\/s\u5ef6\u65f6 \u52a8\u8109\u671f22s\u9759\u8109\u671f75s<\/td><\/tr>
Inspection method: layer thickness 5mm interval 5mm [iodine] contrast agent 100ml rate 1.5ml\/s delay arterial phase 22s venous phase 75s<\/td><\/tr>
\u653e\u5c04\u5b66\u8868\u73b0\uff0c\u5bf9\u6bd42022-11-15\u524d\u7247\uff0c\u8146\u817aMT\u6cbb\u7597\u540e\uff0c\u80a4\u817a\u4f53\u5c3e\u90e8\u80bf\u5757\u5927\u81f4\u540c\u524d,\u7ea648<\/td><\/tr>
Radiological manifestations, compared with the previous film on November 15, 2022, After MT treatment of the pancreas, the mass in the tail of the pancreas is roughly the same as before,, about 48<\/td><\/tr>
*65mm,\u5f62\u6001\u4e0d\u89c4\u5219\uff0c\u8f7b\u4e2d\u5ea6\u4e0d\u5747\u5300\u5f3a\u5316\uff0c\u75c5\u53d8\u5305\u7ed5\u813e\u52a8\u9759\u8109\u4e0e\u90e8\u5206\u5de6\u80be\u4e0a\u817a\uff0c\u8fdc\u7aef\u62b5\u8fd1\u813e\u95e8\uff0c\u5c40\u90e8\u4fb5\u72af\u80c3\u58c1.\u80f0\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u5f3a\u5316\u6dcb\u5df4\u7ed3\u8f83\u524d\u76f8\u4eff\uff0c\u90e8\u5206\u68a2\u5927\u3002<\/td><\/tr>
*65mm, irregular shape, mild to moderate heterogeneous enhancement, the lesion surrounded the splenic artery and vein and some part of the left adrenal gland, the distal end approached the splenic hilum, and partially invaded the gastric wall. Several enhanced lymph nodes in the peripancreatic and splenic hilum area were similar as before\uff0c some of which are larger.<\/td><\/tr>
\u809d\u810f\u5927\u5c0f\u3001\u5f62\u6001\u6b63\u5e38\uff0c\u809d\u5185\u76ee\u524d\u672a\u89c1\u660e\u786e\u5360\u4f4d\u6027\u75c5\u53d8\uff0c\u809d\u5185\u8840\u7ba1\u8d70\u884c\u6b63\u5e38\uff0c\u809d\u5185\u5916\u80c6\u7ba1\u65e0\u6269\u5f20.\u813e\u4e0d\u5927\uff0c\u53f3\u80be\u4e0a\u817a\u5927\u5c0f\u5f62\u6001\u53ca\u5bc6\u5ea6\u6b63\u5e38.\u53cc\u4fa7\u80be\u810f\u5bf9\u79f0\uff0c\u5927\u5c0f\u53ca\u5f62\u6001\u6b63\u5e38\uff0c\u672a\u89c1\u5c40\u7076\u6027\u5bc6\u5ea6\u5f02\u5e38,\u8179\u819c\u540e\u672a\u89c1\u80bf\u5927\u6dcb\u5df4\u7ed3\uff0c\u8179\u8154\u5185\u672a\u89c1\u79ef\u6db2.<\/td><\/tr>
The size and shape of the liver are normal, no clear space-occupying lesions are found in the liver, the blood vessels in the liver run normally, and the extrahepatic bile ducts are not dilated. The spleen is not enlarged, and the size, shape and density of the right adrenal gland are normal. , no focal density abnormalities, no enlarged lymph nodes in the retroperitoneum, no effusion in the abdominal cavity.<\/td><\/tr>
\u653e\u5c04\u5b66\u8bca\u65ad\uff1b<\/td><\/tr>
Radiological diagnosis;<\/td><\/tr>
\u80f0\u817aMT\u5927\u81f4\u540c\u524d\uff0c\u4fb5\u53ca\u813e\u52a8\u9759\u8109\u4e0e\u5de6\u80be\u4e0a\u817a\u53ca\u80c3\u58c1\u3002<\/td><\/tr>
Pancreatic MT is roughly the same as before, invading the splenic artery and vein, left adrenal gland and gastric wall.<\/td><\/tr>
\u80f0\u5468\u3001\u813e\u95e8\u533a\u6570\u679a\u5f3a\u5316\u6dcb\u5df4\u7ed3\u8f83\u524d\u76f8\u4eff\uff0c\u7ee7\u7eed\u968f\u8bbf\u3002<\/td><\/tr>
Several enhanced lymph nodes in the peripancreatic and splenic hilum area are similar as before, and the follow-up was needed.<\/td><\/tr>
\u62a5\u544a\u533b\u5e08\uff1a\u5468\u5609\u97f3<\/td><\/tr>
Reporting physician:  Jiayin Zhou<\/td><\/tr>
\u62a5\u544a\u65f6\u95f4i 2023-01-29 13:17:04<\/td><\/tr>
Reporting time: Jan. 29, 2023 13:17:04<\/td><\/tr>
\u5ba1\u6838\u533b\u5e08:<\/td><\/tr>
Reviewing Physician:<\/td><\/tr>
\u5ba1\u6838\u65f6\u95f4\uff1a2023-01-29 13:23:17<\/td><\/tr>
Review time: Jan. 29, 2023 13:23:17<\/td><\/tr>
\u672c\u62a5\u544a\u5355\u4ec5\u4f9b\u4e34\u5e8a\u533b\u80ba\u53c2\u8003.2.\u672c\u62a5\u544a\u4e3a\u91cd\u8981\u8d44\u6599,\u8bf7\u59a5\u4e3a\u4fdd\u7ba1.<\/td><\/tr>
This report is only for clinical reference. 2. This report is important information, please keep it safe.<\/td><\/tr>
\u626b\u63cf\u5168\u80fd\u738b\u521b\u5efa<\/td><\/tr>
<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

seg \u4e0a\u6d77\u4e2d\u533b\u836f\u5927\u5b66\u9644\u5c5e\u9f99\u534e\u533b\u9662\u51fa\u9662\u5c0f\u7ed3 Discharge Summary of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine \u59d3\u540d\uff1a***   \u79d1\u522b\uff1a\u80bf\u7624\u4e03\u79d1    \u75c5\u533a\uff1a\u4e8c\u5341\u516d\u75c5\u533a  <\/p>\n","protected":false},"author":1,"featured_media":33688,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1184,393],"tags":[],"class_list":["post-33687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-1184","category-diploma"],"_links":{"self":[{"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/posts\/33687"}],"collection":[{"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/comments?post=33687"}],"version-history":[{"count":2,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/posts\/33687\/revisions"}],"predecessor-version":[{"id":33829,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/posts\/33687\/revisions\/33829"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/media\/33688"}],"wp:attachment":[{"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/media?parent=33687"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/categories?post=33687"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.landeservice.cn\/wp-json\/wp\/v2\/tags?post=33687"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}