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Diagnostic Snapshot

机译:诊断快照

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History:Ms. G.M. is a 79-year-old woman who was diagnosed with esophageal cancer in June 2008, at which time she underwent neoadjuvant chemoradiation. This was followed by a three-hole esopha-gectomy with a thorascopic right chest dissection in May 2009, with complete pathologic response. Unfortunately, in May 2010 she was found to have a recurrence on chest CT; a CT-guided biopsy demonstrated metastatic carcinoma. Ms. G.M. underwent a video-assisted thoracic surgery wedge resection, and pathology revealed a squamous cell carcinoma consistent with her prior esophageal cancer. Subsequently, she developed another recurrence in the right upper lobe of the lung with me-diastinal lymphadenopathy consistent with recurrent esophageal cancer. She began systemic chemotherapy with the FOLFOX (fluorouracil, leucovorin, ox-alipatin) regimen.
机译:历史:女士G.M.是一名79岁的女性,她在2008年6月被诊断出患有食道癌,当时她接受了新辅助放化疗。随后在2009年5月进行了三孔食管切除术,并在胸腔镜下进行了右胸清扫术,并获得了完整的病理反应。不幸的是,2010年5月,她被发现胸部CT复发。 CT引导的活检证实为转移性癌。 G.M.女士进行了电视胸腔镜楔形切除术,病理显示鳞状细胞癌与她先前的食道癌一致。随后,她在肺右上叶发生了另一次复发,并伴有食管癌复发的中间性淋巴结肿大。她开始使用FOLFOX(氟尿嘧啶,亚叶酸钙,氧-阿利帕丁)方案进行全身化疗。

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