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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{1+月前,患者因“大便习惯改变、便血”于我院胃肠外科住院治疗,行钡剂灌肠提示乙状结肠占位性病变;上腹部CT提示乙状结肠壁占位性病变;于2015.08.21在全麻上行腹腔镜上腹腔探查术+中转开腹+术中冰冻活检+乙状结肠癌根治术+小肠部分切除术、肠吻合术,术中见肿瘤位于右上腹,与右侧盆壁粘连紧密,同时与部分小肠、膀胱壁粘连,腹腔少量清亮腹水,肿瘤与盆壁粘连分离困难,升结肠、横结肠未见异常,于乙状结肠靠近降结肠处扪及一直径约5X4CM质硬肿块,肿瘤浸透肠壁,与右侧盆壁广泛粘连且紧密,与右侧膀胱壁部分粘连,小肠距回盲部约180CM处与肿瘤粘连,乙状结肠系膜间及根部可扪及肿大淋巴结。手术过程顺利,术后伤口出现感染,予以头孢替安抗感染等治疗,伤口逐渐愈合。术后病检:乙状结肠低分化腺癌侵及浆膜层,肠系膜淋巴结见癌转移(5/6),送检右侧盆壁见癌累及;于2015.09.04予以FOLFOX4(奥沙利铂150MG D1+亚叶酸钙0.3G D1~2+5-FU 0.625G D1~2静脉注射+5-FU 1G D1~2静脉滴入)、2015.09.23予以FOLFOX4(奥沙利铂150MG D1+亚叶酸钙0.3G D1~2+5-FU 0.7G D1~2静脉注射+5-FU 1G D1~2静脉滴入)化疗,化疗过程中无恶心、呕吐等不适,化疗结束后复查血常规未见骨髓抑制;患者今为行进一步治疗于我科住院治疗。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者2015-03无明显诱因出现大便带暗红血,量少,伴大便次数增加至2-3次/天,稀烂,偶有里急后重,外院肠镜检查提示升结肠近肝曲环形肿物,肠镜能通过,活检病理提示腺癌;升结肠、乙状结肠、直肠多发小息肉。后就诊我院,完善检查后诊断为升结肠癌,未见远处转移,遂于2015-07-06全麻上行“左半结肠切除术”,,术后病理结果回示:1(近切缘)未见癌。2(远切缘)未见癌。3(根部淋巴结)5枚,未见癌。4(中间组淋巴结)4枚,未见癌。5(肠旁淋巴结)15枚,未见癌;另见癌结节一枚。6(肠大体)镜检为中至低分化腺癌,浸润至肠壁浆膜上层,未见明确脉管及神经束侵犯;阑尾及小肠粘膜慢性炎。,免疫组化:MSH2(+),MSH6(+),PMS2(+),MLH1(+),ER(-),ERCC1(+),KI67(60%+)。诊断分期PT3N1CM0IIIB期。患者术后恢复良好,现为进一步治疗收入我科。自下次出院以来,胃纳可,睡眠一般,小便正常,体重无上降。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{患者1月余前因“大便带血3月余。”入院,诊断为“直肠癌”,患者入院后完善相关辅助检查,排除禁忌后于2016-01-17日在全麻上行腹腔镜直肠癌根治术,术后病理检查结果:(直肠)中分化腺癌,溃疡型,肿物切面积3.5*0.5CM,侵透外膜达周围脂肪组织,手术下上切线及环周切线均未查见癌,肠周淋巴结13枚中均未查见转移。现患者为求化疗治疗再次就诊于我科。患者近日来饮食、睡眠可,小便正常,大便同下,体重正常。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者2013年8月16日于我科全麻上行乙状结肠癌根治术,,术后病理:进展期乙状结肠癌,溃疡浸润型,中分化腺癌,,浸润深度:透浆膜,,生长方式:浸润型生长,肌间神经节侵犯(+),II级,断端无癌,淋巴结未见癌转移(0/19枚),DUKES,分期:B2期。,免疫组化结果:KI67>80%,P53>70%,CDX2 >50%,CA199(+),NM23(+),MLH1>70%,MSH2>70%,MSH6>60%,,病理号:517。患者术后行腹腔化疗2次,XELOX辅助化疗4次,无明显不良反应,今为求进一步辅助化疗收入我科。患者近日无发热,饮食睡眠可,小便正常,大便日一次,无腹泻,无便血,近来体重未见明显减轻。ECOG,评分:1分。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{患者1月余前因“嗳气、剑突上隐痛5月余。”于我院就诊后,完善辅助检查后于2015.04.29行“胃癌根治术(D2全胃+ROUX-EN-Y重建)”,术后病理提示:胃食管结合部腺癌II型,PT3N3AM0,IIIB期。术后恢复可,无腹痛、腹胀、恶心、呕吐等不适。于2015.05.27行SOX方案(奥沙利铂150MG IVDRIP D1+S-1 60MG PO BID D1-14)化疗。现按主诊教授建议来我院住院化疗。患者起病以来,食欲可,睡眠、精神可,大小便无明显异常,体重无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{患者因“胃窦癌”于2015-7-8在我院全麻上行\"远端胃癌姑息切除癌姑息切除术\",术程顺利,术后病理提示胃窦癌(PT4AN3BM1,IV期)。患者术后恢复可,于2015-8-12行SOX(维康达40MG BID PO D1-14+奥沙利铂 150MG IVDRIP Q3W)方案一程,过程顺利,偶感疲乏,余无恶心、呕吐、发热等不适,今为行上程术后辅助化疗收入我科。自下次出院以来,患者精神、睡眠可,食欲可,大小便正常,体重无明显上降。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因“胃窦癌”入我院于2014-12-24在全麻上行\"(远端)胃癌根治术\",术程顺利,,术后病理回报:“(胃肿物大体)镜检为胃中至低分化腺癌,LAUREN,分型:肠型,浸润胃壁浆膜层,可见脉管内癌栓及神经束侵犯;网膜组织未见癌。淋巴结4/61枚见腺癌转移。(近、远切缘)未见癌。,免疫组化:VEGF(+),HER-2(1+)。PT4AN2M0,IIIB期。”患者术后恢复可,现为行术后辅助化疗来我院就诊,拟“胃窦癌术后”入我科。自下次出院以来,患者一般情况可,大小便正常,进食量一般,睡眠正常,体重无明显上降。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者约于4个月前因“胃恶性肿瘤”在我院全麻上行姑息性胃大部切除术+毕II式吻合,手术过程顺利,术后患者恢复好,切口愈合好,,术后病理:胃窦部低分化腺癌,局部呈粘液腺癌图像,浸润溃疡型,体积7.5*3.7*2.2CM,侵穿浆膜,累及底部切除面。双端切线未查见癌。呈三组(3/3个)、五组(2/4个)、六组(5/7个)淋巴结癌转移。四组(2个)淋巴结未查见癌。,免疫组化染色示:CERBB-2(1+)、SYN(-)、ERCC1弥漫(+)、β-TUBULIN-III少量(+)、TS较多(+)、RRM1少量(+)、TOPOII少量(+)。根据患者病情具有化疗指征,于2014-08-06开始第一周期化疗,,方案为:奥沙利铂200MG D1+亚叶酸钙0.3G D2-6 +替加氟1000MG D2-6 静滴,同时给与升白细胞、护肝、止吐、免疫增强治疗,注意观察患者病情变化,给予升白、止吐等药物,患者化疗耐受可,无明显化疗副反应。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{缘于入院前3个月月于我院诊为“卵巢癌”,于2013-10-16在我科行“全麻上行盆腔粘连松解+阔韧带肿物切除术+全子宫切除术”,术后病理回报示:卵巢子宫内膜样腺癌I级,术后恢复良好,伤口愈合II/甲。术后于2013-11-03及2013-11-27予“多西他赛70MG/M2IVGTTD1+洛铂30MG/M2IVGTTD1”方案化疗2次,化疗过程顺利,第2次化疗出现II度骨髓抑制,予升白治疗后好转出院。2013-12-26予“紫杉醇240MGIVGTTD1+洛铂50MGIVGTTD1”方案第3次化疗,化疗过程顺利,化疗后出现II度骨髓抑制,予升白治疗后好转出院。现化疗间期已满,患者无畏冷、发热,无恶心、呕吐,无腹痛、腹泻等不适,今为求进一步诊治,门诊拟“卵巢子宫内膜样腺癌(II期,I级)术后”收入院。下次出院以来,精神、睡眠、饮食可,大小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者近1个月前(2015-11-6)因“胃癌”于我科行胃癌根治术(毕I式吻合),手术过程顺利,,术后常规病理示:(胃)中分化腺癌伴粘液腺癌(后者约占15%),溃疡型,切面积4*1.0CM,侵透浆膜达周围脂肪组织。下上切线及吻合器切线均未查见癌。小弯侧淋巴结27枚,其中7枚查见转移癌(7/27);大弯侧淋巴结10枚(0/10)及网膜组织未查见转移癌。,免疫组化:CK(+),E-CAD(+),HER-2(2+)。40092.15,术后给予抗炎补液营养支持治疗,好转后出院,现为求化疗治疗,门诊以“胃癌术后化疗”收入院。患者自下次出院以来,饮食睡眠可,二便无明显异常,体重较下次入院无明显改变。高血压病史1年余,最高达150/90MMHG,未治疗。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者3个月余前因“反复嗳气半年余,解黑便3周。”就诊我院,完善相关检查后诊断胃窦癌,排除手术禁忌症后于2015-09-06在全麻上行胃癌根治术(远端胃大切),术程顺利,术后预防感染支持对症等处理,恢复好。,术后病理示:中-低分化腺癌,LAUREN,分型:混合型,浸润至胃壁浆膜层,脉管内见癌栓,可见神经束侵犯,LN 16/64(+);PT4N3M0,IIIC期。出院后生活质量可,已于2015.10.8、2015-10-29、2015-11-25行SOX方案(奥沙利铂 150MG+替吉奥 60MG BID)化疗,化疗期间无明显毒副反应,有恶心感,耐受度尚可。现为行上一程化疗来我院门诊就诊,拟“胃癌综合治疗后”收入我科。起病以来,患者精神尚可,食欲尚可,大小便正常,体重无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,入院前20+天,患者无明显原因出现大便干结,次数增多,平均每天3-4次,量少,不成形,伴大便中带血,伴肛门坠胀、里急后重,无腹胀、腹痛,无呕血、黑便,无头晕、头痛、发热等症状。遂于我院门诊就诊,,行乙状结肠镜并取活检提示:,电子乙状结肠镜:直肠新生物(性质?);,病理活检:<直肠>腺癌。以“直肠癌”收入我科。于2016-02-24日在全麻上行腹腔镜上直肠癌根治术(MILES术式)。术中送病检(,病理号:1601483),:直肠中等分化腺癌侵及全层,远近切端均未见癌累及,肠系膜淋巴结未见癌转移(0/7)。术后予以抗感染,止血、抑酸护胃等对症支持治疗,术后恢复良好,造瘘口通畅,今日前来我院,拟行第一次化疗,故以“直肠癌术后第一次化疗”收入我科。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于入院前1月,我院诊为“胃癌,于2013年11月07日在全麻上行“腹腔镜上胃癌根治术”,手术顺利。,术后病理:(远端胃大部),:胃体小弯浸润型印戒细胞癌,侵及浆膜层,侵犯神经。手术标本下端、上端及另送(胃下端切口)均为浸润。找到小弯淋巴结1个吗,大弯淋巴结7个,幽门上淋巴结3个,及另送(第1组淋巴结1个),(第7组)淋巴结5个,(第8组)淋巴结1个,(第9组)淋巴结3个,(第12组)淋巴结1个均未见癌转移。,免疫组化:KI67(30%+),P53(个别细胞阳性),CK7(+++),CK20(-),VILLIN(++++),CDX-2(++),CEA(++),CD56(-),SYN(-),CGA(-),HER-2(-),E-CADHERIN(+)。术后给予制酸、抑酶、提高免疫力、营养、补液等支持对症治疗,恢复良好,伤口愈合II/甲。今为化疗再次入院。门诊拟“胃印戒细胞癌”收入院。下次出院以来精神、睡眠、饮食可,大小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于入院前2+个月于我院诊为“宫颈腺癌”,于2013年11月27日于我院在全麻上行广泛全子宫切除+两附件切除术+盆腔淋巴结清扫术。,术中见:盆腔无腹水,子宫增大如孕2个月大,表面光滑,右侧卵巢一囊肿,大小约3*3CM,与子宫及盆底粘连,分离过程见巧克力样液体流产,两侧骶韧带增粗,子宫后壁见紫蓝色结节,直肠子宫陷凹变浅,左侧附件及右输卵管未见明显异常。术后病理回报(201337408),示:(全子宫+两附件)子宫颈内生浸润型中分化粘液腺癌(宫颈管亚型),侵犯肌层(浸润最深处深度约1.0CM),未侵及宫内膜组织,(右、左)宫旁组织及手术标本阴道残端未见癌浸润。盆腔淋巴结未见癌转移,宫体肌间多发性平滑肌瘤,宫内膜呈增生状态,两侧输卵管及卵巢未见癌转移。术后恢复良好,伤口愈合II/甲。术后于2013.12.10及2014.1.8予PT方案“紫杉醇注射液(安素泰)210MGIVGTTD1+注射用洛铂43MGIVGTTD1”行第1,2次化疗。化疗后出现I度骨髓抑制,予特尔津升白治疗后出院。现患者无畏冷、发热,无腹痛、腹泻,无恶心、呕吐,无头晕、头痛等不适,遂就诊我院,门诊拟“宫颈腺癌(IB1期,II级)术后”收入院。下次出院以来,精神、睡眠、饮食可,大小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于入院前2月余因“下腹部闷痛2月”入院,于2016年12月09日在全麻上行“腹腔镜上根治性全胃切除术”,术顺,术后予制酸、保肝、营养支持、补液等处理,,术后病理示:(全胃),:胃体小弯溃疡型低粘附性癌(低分化腺癌),侵犯浆膜层,侵犯脉管及神经组织,手术标本下、上切端及另送(下切端)均未见癌浸润;找到贲门周淋巴结3/13枚,小弯淋巴结9/9枚,大弯淋巴结0/3枚,幽门下淋巴结0/2枚,幽门上淋巴结0/3枚及另送(11D)淋巴结0/2枚,见癌转移。另送(第6组淋巴结)、(第10组淋巴结)为纤维脂肪及脉管组织。诊断为“胃低分化腺癌”,于2017.01.07行“乐沙定200MGIVGTTQDD1+希罗达1500MGPOBIDD1-14”方案化疗,感耳鸣、恶心、呕吐,予对症处理后好转出院。此次为行第2周期化疗再次入院,门诊拟“胃低分化腺癌术后化疗”收入院。下次出院以来精神、睡眠、饮食可,无腹痛、腹胀、发热,大小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因诊为直肠癌2013-12-12就诊于我院,行放化疗,查无手术禁忌症,于2014-3-20全麻上行直肠癌低位前切除术,术后第六天出现吻合口瘘、腹膜炎,于2014-3-26急诊行剖腹探查术、腹盆腔冲洗、回肠造瘘术、腹盆腔置管引流术,术后予抗炎、营养支持治疗 ,恢复可。,术后病理:(近端18CM,直径3CM,距一断端2CM,距另一断端 12CM,可见一溃疡型肿物,大小3.5×XXX3CM, 溃疡深0.6CM,切面灰白、实性、质硬。直肠放化疗后(切除),: 肠溃疡型中分化腺癌伴粘液形成,大小3.5×XXX3×XXX0.6CM; - 侵至固有肌层; - 肿瘤缓解率约50%; 未见脉管癌栓; 双端切缘及环周切缘未见癌; 淋巴结未见癌转移0/21; - ,肿瘤病理分期:YPT2N0。,-免疫组化结果显示肿瘤细胞:CD44(-),CMET(-),COX2(局灶+),EGFR(+),HEP(-),HER2(1+),KI-67(+60%),MLH1(+>75%),MSH2(+50~75%),MSH6(+>75%),P170(+),P27(+),P53(-),TOPOII(+15%),TTF-1(-)。于2014-05-05日行术后第1周期化疗,化疗方案为“XELOX”,,具体为:奥沙利铂(乐沙定)240MG D1+卡陪他滨片3片 2/日 D1-14。2014-5-26、2014-6-16,2014-07-10,2014-7-30,2014-08-25,2014-9-19行第2、3、4、5、6、7周期化疗。目前恢复良好。为行造口还纳再次入院。患者自发病以来精神睡眠食欲尚好,小便如常,大便如下述,体重无明显改变。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因罹患“胃窦小弯侧低分化腺癌”于2013-10-15在我院予行全麻上根治性胃大部切除,毕I式吻合。术后病理( 201312957),示:胃窦小弯侧低分化腺癌,溃疡型,面积3*3CM,侵达外膜脂肪组织。双端切线及另送“远切线”未查见癌。三组(4个)、四组(4个)、五组(1个)、“1、3、7组”(11个)淋巴结未查见癌。,癌组织免疫组化染色示癌组织:β-TUBULIN-III(-)、TS(-)、RRM1(-)、TOPOII阳性细胞数约50%、CERBB-2(-)。,术后病理分期:PT4N0M0,IIIA期。依据患者病情及肿瘤病理与分期继续术后辅助性化疗指征存在。自下次手术出院(2013-10-25)以来,患者一般情况保持良好;无发热,无恶心、呕吐,无反酸、嗳气,无明显进食不适,未现明显腹痛、腹胀。现患者为行进一步复查并必要时适当处理而再来我院就诊,门诊依情以“胃术后”收入院。目前患者精神及情绪状态良好,食欲、饮食好,夜间睡眠后;近期无明显体重变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因罹患“结肠癌”于2013-08-06在我院予行全麻上姑息性右半结肠切除术,术后病理(9750.2013),:(横结肠)腺癌(中度分化),部分呈粘液腺癌图像,浸润溃疡型,面积7*6CM,侵穿浆膜,于肠壁脂肪组织内查见转移灶3处。呈肠壁一站(2/6个)、二站(1/1个)、“肠系膜根部”(1/1个)、“肠系膜中动脉根部”(2/2个)淋巴结癌转移。中间组(1个)淋巴结未查见癌。,术后病理分期:T4N2M0,IIIC期。术后已行6周期化疗,,化疗方案为:奥沙利铂200MG D1+亚叶酸钙0.3G D2-6 +替加氟1000MG D2-6 静滴,同时给予止吐、升血、增强免疫等治疗,因肿瘤指标仍有升高,依情于2014-03-31开始更改化疗方案,,具体用药为:伊利替康200MG D1、D8+亚叶酸钙0.3G D2-6 +替加氟1000MG D2-6 静滴,同时辅以镇吐、升血、免疫调节等对症支持治疗。化疗期间耐受良好。自下次出院以来,患者一般情况保持良好;无发热,无恶心、呕吐,无反酸、嗳气,无明显进食不适,未现明显腹痛、腹胀。现患者为行复查并辅助化疗而再来我院就诊,门诊依情以“结肠术后”收入院。目前患者精神及情绪状态良好,食欲、饮食好,夜间睡眠可;肛门排气排便好。近期无明显体重变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因“升结肠恶性肿瘤”于2014-09-12在我院予行全麻上行根治性左半结肠切除术。(201414180),:回盲部腺癌(中、低度分化),部分呈粘液腺癌图像,隆起型,体积7*6.5*4.5CM,侵达纤维膜,未累及浆膜。双端切线未查见癌。呈肠壁一站(1/17个)淋巴结癌转移。二站(4个)、三站(3个)、中间组(15个)、中央组(2个)淋巴结未查见癌。,免疫组化染色示癌组织:TS大部分(+)、SYN(-)。,术后病理分期:T3N1M0 IIIB期。依据患者病情及肿瘤病理与分期继续术后辅助性化疗指征存在,,查无化疗禁忌后术后行辅助化疗具体用药为:奥沙利铂200MGD1 +亚叶酸钙0.3G D2-6 +替加氟1G D2-6 静脉滴注;同时予镇吐、升血、免疫调节等对症支持治疗。患者化疗期间总体耐受性好。自下次化疗结束以来,患者一般情况保持良好;无发热,无恶心、呕吐,无反酸、嗳气,无明显进食不适,未现明显腹痛、腹胀。现患者为行进一步复查并必要时适当处理而再来我院就诊,门诊依情以“升结肠恶性肿瘤术后”收入院。目前患者精神及情绪状态良好,食欲、饮食好,夜间睡眠后;近期无明显体重变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{患者1周余前在我院诊断为胃癌,于2013-3-20在全麻上行腹腔镜辅助远端胃癌根治术,手术过程顺利,术后病理结果回报远端胃局部残留粘膜内低分化腺癌(LAUREN分型:混合型;大小1毫米),未见脉管癌栓,淋巴结0/11未见癌转移,胃残端及十二指肠残端未见癌。术后患者出现胃排空障碍,为求进一步治疗入院。患者自发病以来精神、睡眠、食欲尚好,大小便正常,体重无明显改变。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{入院前2+月,患者因“乙状结肠肿瘤”于我科住院治疗,完善相关检查于2014年7月10日在全麻上行腹腔镜上乙状结肠癌根治术,术后病理诊断:乙状结肠粘液性腺癌(中分化)侵及粘膜上浅肌层,双侧切缘未见癌累及,肠系膜淋巴结见癌累及(1/7),术后给予止血、补液、抗感染、营养支持、护胃等治疗,术后恢复可,复查血常规、肝肾功、电解质未见明显异常。患者病情恢复顺利,无特殊不适,切口甲级愈合,好转出院。目前患者无恶心、呕吐、腹痛、腹胀、便血等表现,遵医嘱今日入我院,拟行第3次化疗,故以\"乙状结肠癌术后第3次化疗\"收入我科住院治疗。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,2017-10-25在手术室行开腹根治性乙状结肠切除术。,术后病理:(乙状结肠血管根部淋巴结乙状结肠)?XXXXXX结肠隆起型中分化腺癌,大小3×XXX2.5CM?XXXXXX侵及浆膜上纤维脂肪组织?XXXXXX未见脉管癌栓及神经侵犯?XXXXXX双断端未见癌?XXXXXX淋巴结可见癌转移(肠周1/14、乙状结肠血管根部0/0) ,肿瘤病理分期:PT3N1A; - ,免疫组化结果显示:BRAF(-),CMET(1+),EGFR(2+),HER2(0),KI-67(+>75%),MLH1(+),MSH2(+),MSH6(+),PMS2(+)。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因“结肠癌并肺转移”于2014-07-17在我院行姑息性左半结肠切除术,术中输血2U,切除标本送病理,输液、预防感染及静脉营养等对症支持治疗。病理诊断(201410878),:左半结肠腺癌(中度分化),浸润溃疡型,体积2.7*2.6*0.6CM,侵达外膜脂肪组织。双端切线未查见癌。肠壁一站(8个)、二站(7个)、中央组(1个)、中间组(11个)淋巴结未查见癌。,免疫组化染色示:ERCC1弥漫(+)、TS(-)。根据肿瘤病理分期(T3N0M1 IV期)。现患者为行进一步复查并必要时适当处理而再来我院就诊,门诊依情以“结肠术后”收入院。目前患者精神及情绪状态良好,食欲、饮食好,夜间睡眠后;近期无明显体重变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于入院前2月(2013.08.16)因“子宫内膜混合型腺癌”就诊我科行“盆腔粘连松解+筋膜外全子宫+两附件切除+盆腔淋巴结清扫术”。术顺,,术后病理回报:宫体混合型腺癌(80%为II型透明细胞腺癌,20%为I型子宫内膜样腺癌),侵及浅肌层,未侵犯宫颈组织学内口;余未示明显异常。,免疫组化表达:KI67(40%+),ER(-),PR(-)。术后恢复可,腹部切口II/甲愈合。术后于2013.8.29,2013.09.22予以“多西他赛140MGIVGTTDL+洛铂50MGIVGTTDL”方案行术后辅助化疗2次,化疗过程顺利,化疗后复查血常规、肝肾功能均未示明显异常,好转出院。出院期间未定期复查血常规、肝肾功能。现为进一步化疗,就诊我院,门诊拟“子宫内膜腺癌IA期术后”收入院。下次出院以来精神、睡眠、饮食可,无腹痛、腹胀、发热,大小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因罹患“直肠腺癌”于2016-09-13在我院予行全麻上直肠肿瘤切除术,,术中见:腹腔内无腹水,腹膜无转移,肝脏正常。肿物位于腹膜返折下方,直肠与乙状结肠交界处,约2.5*2.5*1CM大小,肿瘤未侵出浆膜,直肠系膜根部未触及明显肿大淋巴结,肿瘤尚活动。决定行DIXON手术。手术病理(0400.2013),示:直肠腺癌(中度分化),浸润溃疡型,体积约5×4×1.2CM,侵达外膜。双端切线未查见癌。肠壁二站(4个)、中央组(2个)淋巴结未查见癌。免疫组化染色示ERCC(-)、TS(-)。术后行3周期辅助化疗,同时辅以镇吐、升血、免疫调节等对症支持治疗。化疗过程总体顺利,病情稳定出院。现患者为行复查并辅助化疗而再来我院就诊,门诊依情以“直肠癌术后”收入院。自下次出院以来,患者一般情况保持良好;无发热,无恶心、呕吐,无反酸、嗳气,无明显进食不适,未现明显腹痛、腹胀。目前患者精神及情绪状态良好,食欲、饮食好,夜间睡眠后;近期无明显体重变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因左侧结肠癌于2013-8-9在全麻上予行左半结肠切除术;相关手术病理(9929.2013),已回:结肠腺癌(中低度分化),部分呈粘液腺癌图像,侵润溃疡型,面积8*7CM,侵穿浆膜。少数脉管内查见癌栓,局部侵犯神经。双端切线未查见癌。呈肠壁一站(7/8个)、二站(1/3个)、中间组(1/2个)淋巴结癌转移。肠壁三站(2个)淋巴结未查见癌。,免疫组化染色示癌组织:ERCC1(+)、TS(-)。结合患者病情及肿瘤病理与分期继续予行术后化疗相关辅助治疗指征存在;依情已行4周期化疗,,具体用药为:奥沙利铂200MG D1+亚叶酸钙0.3G D2-6 +替加氟1000MG D2-6 静滴,同时辅以镇吐、升血、免疫调节等对症支持治疗(化疗期间患者总体耐受性良好)。自第下次化疗结束出院以来,患者未诉明显不适,一般情况保持良好;无发热,无恶心、呕吐,无反酸、嗳气,无明显进食不适,未现明显腹痛、腹胀。为行进一步复查并必要时适当处理而再来我院就诊,门诊依情以“结肠术后”收入院。目前患者精神及情绪状态良好,食欲、饮食好,夜间睡眠后;近期无明显体重变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因\"阴道不规则流血持续1月余,外院诊刮病理示宫颈癌10天\"入院,入院完善各项检查,无明显手术禁忌症,于2012.5.31在在全麻上行“II广泛性全子宫两附件切除术+盆腔淋巴结清扫术+腹主动脉旁淋巴结取样术”,,术中探查:无明显腹水。肝膈面、肝表面、胰、脾、胃、两肾、大小肠、大网膜未扪及明显异常,盆腔及腹主动脉旁可触及增大淋巴结,子宫增大,约10*8*7CM大小,水肿,宫颈膨大,约5*4*4CM大小,两附件外观正常。术后予以抗炎、对症等处理,患者恢复好。,术后病理结果示:中分化鳞状细胞癌,癌组织浸润宫颈至深肌层,并累及宫体上段至浅肌层,脉管内见癌栓,左闭孔淋巴结见鳞癌。有放化指征,经患者及家属充分知情同意,已入组5010计划,经随机抽签为序贯放化疗组(C组)。2012-06-08予以TP方案(紫杉醇240MG+DDP50MGD1-2)化疗一疗程。后于2012-7-24至2012-8-28行原发灶和转移灶放疗,45GY。今遵主诊教授意见前来化疗。患者发病以来饮食睡眠不佳,大小便正常,体重无减轻。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于5月余前因“胃癌”行“腹腔镜上根治性远端胃大部切除术”(2015-08-06),,术中见:腹腔内无明显腹水,盆腔、腹壁、大网膜未见明显转移结节,肝脏质地大小正常,未见明显肿物,胆囊无肿大。胃体小弯侧隐约可见病灶,可疑浸润型癌侵及浆膜层,周围见肿大淋巴结。术顺,术后恢复可。术后病理(201528816),:(远端胃),:胃体小弯溃疡型低粘附性癌,部分为印戒细胞癌,侵及浆膜层。手术标本下、上切端及另送(下切端)均未见癌浸润。找到小弯淋巴结25/25个,大弯淋巴结3/9个,幽门下淋巴结2/2个,幽门上淋巴结6/6个,及另送(第8组)淋巴结1/1个,(第12组)淋巴结1/1个,见癌转移。,免疫组化:KI67(10%+),CK7(-),CK20(+++),VILLIN(+++),CDX-2(+++),CEA(+++),CD56(-),CGA(-),SYN(-),E-CADHERIN(++),HER-2(+),PT4AN3M0IIIC期。排除化疗前禁忌,于2015.09.23、2015.10.26按“卡培他滨片(希罗达)1500MG口服BID+多柔比星脂质体(里葆多)注40MG静滴(基)+奥沙利铂(乐沙定)200MG静滴”方案化疗,2015.12.23予“艾奕60MG口服D1-14+艾恒200MGD1+里葆多40MG静滴D1方案”化疗,并辅以止吐、制酸、保肝、增强免疫等治疗。化疗过程顺利,无明显化疗不良反应。今为返院行第4周期化疗就诊我院,门诊拟以“胃癌术后化疗”收入院。自发病以来,精神、睡眠、食欲尚可,大小便正常,体征无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{患者23天前因“乙状结肠癌”在我院住院行开腹探查乙状结肠癌切除术,术中见腹膜及大网膜多发转移,手术顺利,术后恢复可,术后病检回示乙状结肠隆起型中分化腺癌,大小3.5×3.0CM,浸润肠壁全层,达周围纤维脂肪组织,可见脉管癌栓,肠周淋巴结可见癌转移(4/15),伴多个肠外癌结节,近肿物断端及远肿物断端未见癌;(肠系膜结节)纤维脂肪组织中可见中分化腺癌转移;(腹壁结节)中分化腺癌转移结节,大小0.5×0.5×0.3CM,病情平稳出院,为求第一次化疗,今来我院,门诊以“乙状结肠癌术后”收入院,患者自发病以来食欲可,食量稍少,精神、睡眠可,二便正常,体重近期无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{缘于入院前4月余于我院诊断“胃体癌”,遂于2015.03.05在全麻上行“腹腔镜上根治性全胃切除术”,术顺,术后病理(201507470):胃体小弯溃疡型低分化腺癌,侵犯神经组织,侵出浆膜层,手术标本下切端、上切端及另送(下切端)均未见癌侵润。找到大弯侧淋巴结2/6个,小弯侧淋巴结6/7个,幽门上淋巴结9/15个,及另送(第7组)淋巴结0/8个,(第8组)淋巴结2/2个,(第9组)淋巴结0/3个,(第10组)淋巴结0/4个,(第11组)淋巴结2/3个,(第12组)淋巴结4/8个见癌转移。术后予抗感染、补液、营养支持等治疗,恢复可,切口II/甲愈合。于2015-03-31、2015-04-20予“伊立替康240MGIVGTTD1替吉奥胶囊(艾奕)60MGPOBIDD1-14”化疗2次,辅以止吐、制酸、保胃、营养支持等治疗,化疗过程顺利。今为第3次化疗就诊我院,门诊拟“胃癌术后化疗”收住入院,自下次出院以来,精神、食欲、睡眠尚可,大小便正常,体重无明显增减。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{患者2015-04-21因“无明显诱因出现腹胀,伴便秘、里急后重,大便成形,偶有便血7月”,外院肠镜示距肛40CM息肉,0.8×1.2CM,活检病理腺瘤;2015-04-30行乙状结肠息肉电切术,病理腺癌,浸润深度达粘膜上层,无法评估蒂部情况。2015-06-03于我院结直肠科行乙状结肠切除术,术后病理:肠粘膜慢性炎,局灶粘膜缺损,可见炎性肉芽组织生长及炎性坏死物渗出,结合病史,符合治疗后改变,未见癌残留。切缘未见癌,LN 1/10(+)见癌转移。出院诊断为乙状结肠中分化腺癌术后YPT0N1M0 IIIA期。术后9天开始发现腹部伤口渗出暗红色液体,量较多,遂就诊于我院结直肠科,予负压吸引、抗生素抗感染等对症治疗,伤口愈合较前明显改善,排除化疗禁忌症后于2015-07-02、2015-07-28、2015-08-20、2015-09-14、2015-10-12行术后XELOX辅助化疗5程,过程顺利。2程化疗后出现II度转氨酶升高,予护肝治疗后好转。3程化疗后复查未见肿瘤复发、转移征象。现为行第6程XELOX方案辅助化疗入我科。自下次治疗以来,患者无发热、咳嗽、身目黄染,无骶部痛等,精神可,纳眠可,小便无异常,体重无上降。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者2015-12-29于我院在全麻上行\"(远端)胃癌根治术\",术程顺利,,术后病理:“(胃大体)镜检为胃中至低分化腺癌(LAUREN分型为混合型),癌组织浸润至胃壁浆膜上层,可见脉管内癌栓及神经束侵犯;送检网膜组织未见癌。淋巴结55枚,8枚见腺癌转移。(近切缘)未见癌。(远切缘)未见癌。,免疫组化:CK(+),HER2(0),VEGF(+)。”,术后病理提示:胃窦癌(PT3N3M0,IIIB期)。现为行术后第四程SOX方案辅助化疗收入我科。起病以来,患者精神尚可,食欲欠佳,大小便正常,无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于入院前4月余于我院诊断为直肠癌,于2016-06-22在全麻上行腹腔镜上探查+中转开腹姑息性直肠癌切除+乙状结肠造瘘术。术后病理(201621457),:1、(直肠),:直肠溃疡型黏液腺癌,部分为中分化绒毛状-管状腺癌,侵犯肠壁全层及肠周纤维脂肪组织,未及明确侵犯脉管及神经组织,手术标本双切端均未见癌浸润;找到肠周淋巴结23个均未见癌转移。,免疫组化结果:肿瘤细胞CK20(+),CEA(+),P53(+,野生型),CK7(-),EGFR(+),KI67(40%阳性)。2、(盆壁组织),:送检为增生的纤维及脂肪组织,表面见纤维素样坏死,间质见多量急、慢性炎症细胞浸润。,病理:该病例检测到KRAS基因12号密码子G12D突变。,病理:该病例未检测到BRAF基因V600E突变。术后给予对症、营养支持等治疗,恢复良好,伤口II/甲愈合。2016.07.20、2016.08.10、2016.09.02、2016.09.22、2016.10.14予“奥沙利铂200MGIVGTTD1+卡培他滨1500MGPOBIDD1-14”方案化疗,辅以制酸、保肝、营养支持、增强免疫力等处理。此次为第6次化疗就诊我院,门诊拟直肠癌术后收入院。下次出院以来精神、睡眠、饮食可,无腹痛、腹胀、发热,造瘘口排便通畅,小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于入院前3月余因“直肠癌”于2016.08.25在我科行“腹腔镜上直肠根治性切除术+预防性回肠造瘘术”,术顺,恢复良好,术后病理(201630447),:(直肠),:肠隆起型中分化管状腺癌,侵及深肌层,未见明确侵犯脉管及神经组织,手术标本双切端及另送(下切端)、(上切端)均未见癌浸润;找到肠周淋巴结13个,及另送(肠系膜上动脉根部)淋巴结3个均未见癌转移。,免疫组化结果:肿瘤细胞示KI67(30%+),P53(30%+),CEA(+),CK7(-),CK20(+),CDX2(+)。因患者要求化疗,后于2016.10.24、2016.11.15予“奥沙利铂(乐沙定)200MGIVGTTD1+卡培他滨1000MGPOBIDD1-D14”方案化疗,辅以水化、保肝、止吐、增强免疫力等处理,未出现明显化疗副反应。此后今为第3次化疗再次就诊我院,门诊拟“直肠癌术后化疗”收入院。自下次出院以来精神、睡眠、饮食可,无腹痛、腹胀、发热,小便正常,造口排便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者2008年1月因粘液血便在*****诊断为直肠癌,于2008.1.17行直肠癌切除术,,术后病理:直肠中-高分化腺癌侵及肠壁全层,肠系膜淋巴结3/6见癌转移,分期PT4N1M0.术后于2008.2.13-2008.4.26行FOLFOX方案化疗4程。200.9.10.,19复查CT:直肠壁局部不规则增厚。2009.10.26放疗40GY。2009.12.5、2009.12.25再次行FOLFOX方案化疗2程。2010.8.26行直肠癌根治术,9.21二期缝合,,术后病理:直肠高分化腺癌侵及肠壁全层,肛门切缘及切端均为见癌,肠周淋巴结0/2见癌转移。术后FOLFIRI方案化疗3程,末次化疗时间2010.10.26.2010.11.23出现会阴部脓肿,行脓肿切开引流术,考虑肠穿孔。2011.2.9行回肠末端(穿孔部分)切除端侧吻合术。2011.3.,7复查CT:盆底少许软组织影,局部复发待排,两侧髂血管旁、两侧腹股沟淋巴结,两侧肾盂扩张、积液,考虑输尿管上端受压,肝S4、8转移瘤。2011.3.30,我院会诊病理:直肠中分化腺癌,肌层受侵犯,脉管内见癌栓,K-RAS基因野生型。于2011.3.20-2011.7.20行XELOX+BEV方案化疗6程。2、4程化疗后评价疗效SD。于2011.8.16开始予XELODA单药维持化疗,至今已化疗5程。2程化疗后评价疗效SD,出现轻度手足麻木。现为进一步治疗入院。患者近期精神食欲可,大小便正常,体力体重无上降。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,缘于1个月前入院,诊为胃体管状腺癌,于2014年02月07日在全麻上行“腹腔镜辅助上根治性全胃切除术+食管空肠ROUX-Y吻合术(D2)”。手术顺利。,术后病理示:(全胃),:胃体溃疡型管状腺癌(II-III级),浸润深肌层,侵犯神经,手术标本下、上切端及另送(下切端)均未见癌浸润。找到贲门旁淋巴结5个,小弯淋巴结3个,幽门下淋巴结1个,幽门上淋巴结2个,及另送(第7组)淋巴结2个,(第8组)淋巴结4个,(第9组)淋巴结3个,(第12组)淋巴结1个均未见癌转移。,免疫组化:KI67(65%阳性),P53(+),P170(+++),GSTπ(+),EGFR(-),5-FU(+),HER-2(+),CD56(-),CGA(-),SY(-)。术后给予对症、抗感染治疗,恢复良好,伤口愈合II/甲。此次为行术后第1次化疗入院,门诊拟“胃癌术后”收入院,自出院后饮食、夜休可,无腹痛、腹胀、发热,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者2015-03-31因“黑便半年”就诊于我院结直肠科,2015-03-31,腹盆MR示:升结肠肿物,考虑为升结肠癌;升结肠系膜多发淋巴结,考虑转移,遂2015-04-09行全麻上“腹腔镜左半结肠切除术”,过程顺利,,术后病理示:符合中分化腺癌,浸润至肠壁浆膜上层,可见脉管内癌栓,未见明确神经束侵犯;淋巴结(2/23)可见癌转移,,分期为:PT3N1BM0 IIIB期,术后恢复可。2015-05-13、2015-06-03、2015-06-28起行XELOX方案化疗3程,过程顺利。现为行第4程辅助化疗入我科。患者3周来,无发热,胃纳可,睡眠一般,大小便正常,体重无明显上降。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{,患者因“胃窦癌”于2015-6-24在我院全麻上行\"(远端)胃癌根治术\",术程顺利,,术后病理回报:“(胃大体)镜检为低分化腺癌,部分为印戒细胞癌(LAUREN,分型:弥漫型),癌组织浸润至胃壁浆膜上层;未见明确脉管内癌栓及神经束侵犯;网膜组织未见癌。淋巴结103枚,10枚见癌。(近、远切缘)未见癌。,免疫组化:CK(+),VEGF(+),HER2(0) ”术后预防感染、抑制分泌、静脉营养等对症支持处理,恢复好,切口甲级愈合。2015.8.6,2015.9.8行术后辅助化疗(替吉奥 60MG BID+奥沙利铂 150MG)双程,化疗耐受可,拟\"胃窦癌综合治疗后\"收入我科。从下次出院以来,患者精神尚可,食欲一般,大小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{缘于入院前3月于我院诊为直肠癌,于2015-07-31在全麻上行腹腔镜上直肠全系膜切除术(TME)预防性回肠造口术。术后病理示肠溃疡型管状腺癌II级,侵及深肌层。手术标本下、上切端及另送(下切端)、(上切端)均未见癌浸润。找到肠周淋巴结21个,未见癌转移。免疫组化结果:KI67(80%+),CK7(-),CK20(+),VILLIN(+++),CDX-2(+++),CEA(++),CD56(-),术后给予对症、营养支持等治疗,恢复良好,伤口愈合II/甲。术后未定期复查化疗,此次入院为造口还纳就诊我院。门诊拟“直肠癌术后回肠造口状态”收入院。下次出院以来精神、睡眠、饮食可,无腹痛、腹胀、发热,小便正常,体重较前无明显变化。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。电子病历的原文本为:{缘于入院前3月余于我院诊为“胃癌”,于2014.01.02全麻上行“腹腔镜上根治性全胃切除+食管空肠ROUX-Y吻合术(D2)”,术中见:腹腔内无明显腹水,盆腔、腹壁、大网膜无转移结节,肝脏质地大小正常,未及明显转移病灶。术后病理(201400136)示“(全胃)胃体下段小弯侧溃疡型管状腺癌I级,侵出浆膜层,手术标本下、上切端及另送(下切端)均未见癌浸润,找到贲门右淋巴结3个,小弯淋巴结8个,大弯淋巴结12个,幽门下淋巴结6个,幽门上淋巴结15个,及另送(胃右动脉旁)淋巴结13个,(肝总动脉旁)淋巴结2个,均未见癌转移”,术后予对症、营养支持等治疗,恢复良好,伤口愈合II/甲。于2014.2.11、2014.3.4、2014.3.27于我院予行“奥沙利铂200MGIGVTTD1+卡培他滨1000MGPOBIDD1-14”方案化疗3次,化疗后未见明显化疗副反应,此次为入院再次化疗求诊我院,门诊拟“胃癌术后”收入院。下次出院以来精神、睡眠、饮食可,无腹痛、腹胀、发热,大小便正常,体重较前无明显变化。} |