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- </style><div><p dir="ltr" style="line-height:1.5;margin-bottom:15.6pt;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;;" align="center"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Left Breast Cancer</strong></span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>General Information:</strong></span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Name:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> Wang ××</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Occupation: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">Retired Nurse</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Sex: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">Female</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Native place: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">Nanjing</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Age: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">68</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Address:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> 78 Yongfu Road, Nanjing</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Nationality: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">Han</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Admission Date:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> 2008/9/23</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Marital Status:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> Married</span></p><p dir="ltr" style="line-height:1.5;margin-bottom:15.6pt;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Record Date: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">2008/9/23</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Chief complaints: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">a lump in the left breast for about three weeks.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>History of present illness:</strong></span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">The patient noted a solitary lump in superior outer quadrant of her left breast three weeks ago. The lump is fixed and is about 2×2 cm large without mastalgia. The nipples aren’t distracted and no blood or fluid is secreted. Now the patient comes to our clinic for the treatment. The patient has no cough or jaundice. She sleeps and eats well without any weight loss. Her urination and defecation function normally.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Past medical history:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> Hypertension has been detected for 3 years (160/110 mmHg). Her blood pressure is now in good control as she takes captopril 5 mg qd. She denies having had hepatitis, tuberculosis or diabetes. She is not allergic to any known drugs or food. She hasn’t received any operations or blood transfusion before.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Personal history: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">Born and lived in Nanjing and she hasn’t been to the areas of epidemic diseases, like malaria, schistosomiasis. No alcohol or drug abuse. Denying having had any venereal diseases.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Marital history:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> married at 24. Her husband is in good health.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Childbearing history:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> G2P2, both are male and healthy.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Menstrual history:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> no menses after 51.</span></p><p dir="ltr" style="line-height:1.5;margin-bottom:15.6pt;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Family history:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> Her family members don’t have any diseases of this kind. No psychological problems have been found.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Physical examination</strong></span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>T:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> 36.5</span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><span></span></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">C </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>HR:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> 80 bpm </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Bp:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> 130/86 mmHg </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>R: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">20 tpm </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> </span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Wt:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> 52 kg</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">The mind is clear and she is in good nutrition. No jaundice, rash or hemorrhage is found. Superficial lymph nodes are not palpable. Skull is normal. Sclera is not yellow. The pupils are round and equally big with light reflex positive. No ulcer or hemorrhage is found on oral mucosa. The neck is soft and the thyroid can’t be palpated. The trachea is located in the midline and the chest wall is normal. Lungs are clear without any moist or rhonchi. No eminence is found in the precordial region. Heart rate is 80 bpm and its rhythm is regular. No murmur is auscultated. Abdomen is flat and soft without any tenderness or rebound tenderness. Liver and spleen can’t be palpated in sub costal region and Murphy’s sign is negative. Shifting dullness is negative and gurgling sound is 4 tpm. Anus and external genital are normal. No abnormality is found in the spine and extremities. Physiologic reflexes are positive while pathologic reflexes are negative.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Specialized examinations: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">the two breasts are symmetrical and no discharge is secreted from the nipples. There is no lump or tenderness in the right breast. A solid mass is found in the superior outer quadrant and is 2×2 cm large. Its shape is irregular with poor mobility. No superficial lymph nodes are palpated in bilateral axillary and supraclavicular regions.</span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Auxiliary Examinations:</strong></span></p><p dir="ltr" style="line-height:1.5;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;margin-bottom:.001pt;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">B-ultrasound (08-9-20): A solid mass is detected in the superior outer quadrant of left breast. It’s of 16.7 mm×</span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">1</span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">9.8 mm large and its margin is not clear. Its elastic scoring is 4 and it’s considered to be breast cancer. No mass is detested in the right breast and no enlarged lymph nodes are detected in bilateral axillary regions.</span></p><p dir="ltr" style="line-height:1.5;margin-bottom:15.6pt;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Impression:</strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"> Left breast cancer</span></p><p dir="ltr" style="line-height:1.5;margin-bottom:15.6pt;font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin-top:0;margin-left:0;margin-right:0;;" align="justify"><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;"><strong>Signature: </strong></span><span style="font-family:微软雅黑,Cambria,'sans serif',symbol;font-size:16px;margin:0;padding:0;;">Li Dehai</span></p></div>
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