Communicating bad news.

A. Back, J. Curtis
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引用次数: 73

Abstract

Ms Roberts, a 54-year-old African American woman with cirrhosis due to hepatitis B, presented with a new right upper quadrant abdominal pain. A computed tomographic scan showed a poorly defined mass with indistinct borders located near the portal vein. The likely diagnosis was hepatocellular carcinoma, probably unresectable due to proximity to the portal vein. A gastroenterologist tells her that the mass may represent cancer but that a liver biopsy is needed to establish the diagnosis. She agrees to the biopsy. Her physician reads the biopsy report while Ms Roberts is sitting in a clinic examining room.
传达坏消息。
罗伯茨女士,54岁非裔美国女性,乙型肝炎肝硬化,新发右上腹部疼痛。计算机断层扫描显示门静脉附近有一个界限不清的肿块。可能的诊断是肝细胞癌,可能无法切除,因为接近门静脉。胃肠病学家告诉她,肿块可能是癌症,但需要肝活检来确诊。她同意做活检。当罗伯茨女士坐在诊所的检查室里时,她的医生正在看活检报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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