text_id
stringclasses 37
values | sentence_id
int64 1
43
| text
stringlengths 20
513
| relations
listlengths 0
13
|
|---|---|---|---|
100432
| 13
|
The histology showed that tumor cells were arranged in a rare trabecular pattern with a prominent lymphoid stroma.
|
[] |
100432
| 14
|
Carcinomatous cells were polygonal with granular amphophilic cytoplasm and a nucleus with fine chromatin.
|
[] |
100432
| 15
|
Nucleoli were generally inconspicuous.
|
[
[
"Up to 8 mitoses per 10 HPF",
"counted"
]
] |
100432
| 16
|
Up to 8 mitoses per 10 HPF were counted.
|
[] |
100432
| 17
|
No lympho-vascular component or intraductal component was noted.
|
[
[
"grade II",
"Scarf"
]
] |
100432
| 18
|
The tumor was grade II of Scarf Bloom Richardson.
|
[] |
100432
| 19
|
Surgical margin was clear.
|
[] |
100432
| 20
|
The resected axillary lymph nodes contained metastases, including one/19 N level I lymph nodes.
|
[] |
100432
| 21
|
The immunohistochemistry study showed an expression of the following antibodies Ck (AE1/AE3) on the carcinomatous component, CD3 and CD20 with homogenous distribution in the stroma.
|
[] |
100432
| 22
|
The Ki-67 labeling index was: 40% (estimated on 10HPF), Estrogen receptor status were 90%, progesterone receptor 10% (both using Allred score) and the human epidermal growth factor was negative.
|
[
[
"40%",
"index"
],
[
"90%",
"receptor"
],
[
"10%",
"receptor"
],
[
"negative",
"factor"
]
] |
100432
| 23
|
Based on the histopathological and immunohistochemical findings the case has been reported as lymphoepithelioma-like carcinoma of the breast and staged as pT1N1M0.
|
[
[
"pT1N1M0",
"staged"
]
] |
100432
| 24
|
The post-operative pet scan showed no distant metastasis.
|
[] |
100432
| 25
|
The laboratory data showed a normal level of carbohydrate antigen 15-3(CA15-3: 39.8 U/ml).
|
[
[
"a normal level",
"antigen"
],
[
"39.8 U/ml",
"CA15-3"
]
] |
100432
| 26
|
Following surgery, the patient underwent four cycles of doxorubicin and cyclophosphamide and twelve cycles of paclitaxel chemotherapy.
|
[] |
100432
| 27
|
She declined endocrine therapy and was treated with radiotherapy commencing 3 weeks after chemotherapy.
|
[] |
100432
| 28
|
The radiation dose was 50Gy in 25 fractions using a 6MV photon tangent pair followed by a boost of 10Gy in 5 fractions using 6MV photon tangent pair.
|
[] |
100432
| 29
|
Regular follow up consists of physical examination every three months.
|
[] |
100432
| 30
|
At her 1 year follow-up, the patient was doing well with no evidence of recurrent disease.
|
[] |
100453
| 1
|
A 3 years old girl born from non-consanguineous parents, without any neonatal suffering; with good psychomotor development, from a popular district in one of our cities, without any obvious contact with dogs; presented with exophthalmia associated with unilateral blindness evolving rapidly within 3 months.
|
[] |
100453
| 2
|
Clinical examination showed a non-pulsatile, painless, axial, irreducible exophthalmia with no sign of conjunctivitis or keratitis, and right monocular blindness, right ptosis; and fundal examination had objectified right papillary oedema.
|
[] |
100453
| 3
|
The rest of the clinical examination was normal.
|
[
[
"normal",
"examination"
]
] |
100453
| 4
|
Brain and orbital magnetic resonance imaging (MRI) revealed an extra-connal right orbital lesion near the orbital apex, measuring 28 x 18mm, of oval shape, it appeared hypo-signal in T1 and hyper-signal in T2, limited by a thin wall which took contrast product, this lesion compressed the optic nerve towards the nasal region.
|
[
[
"28 x 18mm",
"measuring"
]
] |
100453
| 5
|
Chest x-ray and abdominal ultrasound did not reveal any other localization.
|
[] |
100453
| 6
|
The patient was operated by performing a right extra-dural frontal approach, a cyst puncture was done in the first intention because the cyst was adherent to the neighbouring structures making its complete removal impossible, then a microscopic extirpation of the cystic membrane, combined with abundant washing by hypertonic serum to sterilize the cystic sit and reduce chances of dissemination.
|
[] |
100453
| 7
|
Histological examination was in favour of intra-orbital hydatidosis.
|
[] |
100453
| 8
|
Postoperatively, the patient was given an antihelminthic treatment of albendazole at a dose of 10mg per kilogram per day in 3 doses separated by 2 weeks; the evolution was marked by the significant regression of the exophthalmia and the gradual improvement of the visual acuity.
|
[] |
100453
| 9
|
The patient however still retains a right unilateral nasal hemianopia after two years of follow-up.
|
[] |
100453
| 10
|
An MRI done in the same period shows a cure of the patient by a complete disappearance of the cyst.
|
[] |
100490
| 1
|
We received a boy 3-year-old boy with autistic disorder on hospital of pediatric ward A at university hospital Mohammed VI of Marrakesh.
|
[] |
100490
| 2
|
He has no family history of illness or autistic spectrum disorder.
|
[] |
100490
| 3
|
The history revealed that at 2 years of age.
|
[] |
100490
| 4
|
The child was diagnosed with a ‘‘severe communication disorder,'' with social interaction difficulties and sensory processing delay.
|
[] |
100490
| 5
|
A composite follow-up of all previous assessments and investigations was undertaken.
|
[] |
100490
| 6
|
Blood work was normal (thyroid-stimulating hormone (TSH), hemoglobin, mean corpuscular volume (MCV), and ferritin).
|
[
[
"normal",
"work"
]
] |
100490
| 7
|
Genetic testing was unremarkable (normal karyotype, negative for fragile X) and the magnetic resonance imaging (MRI) in search of a demyelinating attack of the white matter, electroencephalography (EEG), optometry assessment were also normal.
|
[
[
"normal",
"karyotype"
],
[
"negative",
"X"
],
[
"normal",
"imaging"
],
[
"normal",
"MRI"
],
[
"normal",
"assessment"
],
[
"normal",
"EEG"
],
[
"normal",
"electroencephalography"
]
] |
100490
| 8
|
At the conclusion of this composite assessment, the boy was given a primary diagnosis of autistic spectrum disorder.
|
[] |
100490
| 9
|
A plan was instituted including speech-language therapy, intensive individualized educational programming, and contact was encouraged with the Autism Society.
|
[] |
100490
| 10
|
For that purpose, the parents moved to morocco to be surrounded by family without any huge improvement.
|
[] |
100490
| 11
|
Upon direct questioning at initial presentation, the 3-year-old child was reported by the parents to have unexplained fatigue, Gastrointestinal symptoms included bloating, constipation and diarrhea.
|
[] |
100490
| 12
|
Psychiatric symptoms included a frequently depressed mood, disproportionate anger, and emotional lability.
|
[] |
100490
| 13
|
On exploring his history, the child was born from yemenite father and Moroccan mother in Germany at-term weighing 3500 g with an Apgar score of 9 at 1 minute and 10 at 5 minutes after an uneventful pregnancy and delivery.
|
[
[
"3500 g",
"weighing"
],
[
"9",
"Apgar"
],
[
"10",
"Apgar"
]
] |
100490
| 14
|
No concerns were present in the neonatal period.
|
[] |
100490
| 15
|
Development in the first 24 months of life appeared fine according to the parents-his motor skills seemed to progress normally and he achieved expected milestones.
|
[] |
100490
| 16
|
After 2 years of age, however, his language skills slowly began to regress.
|
[] |
100490
| 17
|
He also demonstrated a change in temperament as he started to whine repeatedly and to scream without provocation.
|
[] |
100490
| 18
|
Physical examination revealed a height and weight normal for age.
|
[
[
"normal",
"weight"
],
[
"normal",
"height"
]
] |
100490
| 19
|
He was uncommunicative, restless, and somewhat agitated.
|
[] |
100490
| 20
|
General examination was unremarkable other than dark rings around the eyes.
|
[] |
100490
| 21
|
There were no dysmorphic features evident.
|
[] |
100490
| 22
|
He had difficulty maintaining eye contact, and he appeared disinterested in what was taking place.
|
[] |
100490
| 23
|
No abnormality was found on abdominal assessment.
|
[] |
100490
| 24
|
Anti-tissue transglutaminase antibodies levels were 76 U (normal < 10).
|
[
[
"76 U",
"levels"
]
] |
100490
| 25
|
The patient underwent upper endoscopy as duodenal biopsy to confirm a celiac disease diagnosis.
|
[] |
100490
| 26
|
It shows a total villous atrophy corresponding to a stage 4 of Marsh classification.
|
[
[
"stage 4",
"classification"
],
[
"stage 4",
"atrophy"
],
[
"positive screen",
"disease"
]
] |
100490
| 27
|
Given the positive screen for celiac disease (positive anti-tissue transglutaminase antibodies and results of duodenal biopsy), dietary intervention was immediately commenced.
|
[
[
"positive",
"results"
],
[
"positive",
"antibodies"
]
] |
100490
| 28
|
All gluten was eliminated from the boy's diet.
|
[] |
100490
| 29
|
Within 1 month, the boy's gastrointestinal symptoms were relieved and his behavior had changed.
|
[] |
100490
| 30
|
The mother reported that her boy became progressively more communicative.
|
[] |
100490
| 31
|
The child has continued on the gluten-free diet and has progressed well and remained healthy over the following 6 months.
|
[] |
100600
| 1
|
A 12-year-old girl was referred to Department of Oral Surgery, with a complaint of pain and swelling in the left of maxilla that appeared 3 months ago.
|
[] |
100600
| 2
|
The swelling was slowly progressive, associated with pain.
|
[] |
100600
| 3
|
However, the patient did not refer any motor or sensory deficit.
|
[] |
100600
| 4
|
There was no family history of similar swelling.
|
[] |
100600
| 5
|
Physical examination revealed a left maxillary swelling.
|
[] |
100600
| 6
|
There was no facial palsy.
|
[] |
100600
| 7
|
No cervical lymph node enlargement was seen.
|
[] |
100600
| 8
|
The oral examination showed a 4 cm x 5 cm, tender, compressible mass in the left maxilla, from the lateral incisor to the second premolar teeth.
|
[] |
100600
| 9
|
The tumor surface was smooth and red-purple.
|
[] |
100600
| 10
|
Several teeth were involved and displaced in the tumor mass.
|
[] |
100600
| 11
|
We noted the absence of canine.
|
[] |
100600
| 12
|
Vitality tests proved negative on the central and lateral incisor.
|
[
[
"negative",
"tests"
]
] |
100600
| 13
|
Hight mobility of lateral incisor was noted.
|
[] |
100600
| 14
|
Orthopantomography and occlusal radiography showed a wide osteolytic area of the anterior left maxilla, extending from the first permanent molar to the central incisor.
|
[] |
100600
| 15
|
The canine was impacted.
|
[] |
100600
| 16
|
No root resorption was observed.
|
[] |
100600
| 17
|
The radiolucency was closely related to maxillary sinus and involving the nasal cavity.
|
[] |
100600
| 18
|
Haematological investigations showed normal serum calcium, phosphorus and parathormone (PTH) levels.
|
[
[
"normal",
"levels"
]
] |
100600
| 19
|
The provisional diagnosis of benign tumor of the maxilla was made.
|
[] |
100600
| 20
|
The patient underwent excision and curettage of the mass with extraction of the canine and lateral incisor tooth.
|
[] |
100600
| 21
|
The wound was closed with interrupted sutures.
|
[] |
100600
| 22
|
The post-operative histopathological report revealed multinuclear giant cells scattered randomly throughout the cellular and fibrous vascular-rich tissue.
|
[] |
100600
| 23
|
New bone formation and granulation tissue rich in mononuclear inflammatory cells was revealed.
|
[] |
100600
| 24
|
The giant cells were multinucleated with bland-appearing nuclei, and the background stromal cells displayed no evidence of atypical mitoses.
|
[] |
100600
| 25
|
A diagnosis of giant cell tumor was established.
|
[] |
100600
| 26
|
During a 1-year serial clinical and radiological follow-up, there was no evidence of recurrence.
|
[] |
100600
| 27
|
The facial contour and masticatory function were well-preserved.
|
[] |
100606
| 1
|
A 43-year-old non-diabetic Indian male reported to our outpatient department with chief complaints of cough with expectoration, chest pain, reduced appetite, fever with chills, and night sweats for two weeks.
|
[] |
100606
| 2
|
He also complained of breathlessness on exertion and had two episodes of blood in his sputum.
|
[] |
100606
| 3
|
The patient explained that the cough was continuous and was relieved after taking cough syrup.
|
[] |
100606
| 4
|
He also mentioned that the episodes of fever were initially intermittent and then daily for the last two weeks and were relieved after taking Paracetamol.
|
[] |
100606
| 5
|
The chest pain was localized to the middle of the chest and was aggravated on exertion.
|
[] |
100606
| 6
|
He was a businessman by profession with no history of smoking, alcoholism, or any other substance abuse.
|
[] |
100606
| 7
|
Also, there was no history of any contact of TB or COVID-19 in the family or close contacts.
|
[] |
100606
| 8
|
And there was no history of foreign travel in the recent past.
|
[] |
100606
| 9
|
But he had reported having traveled by a domestic airline about twenty days back.
|
[] |
100606
| 10
|
There was no history of weight loss or any other major illness in the past.
|
[] |
100606
| 11
|
On examination his vitals were-pulse-108/minute, arterial BP-130/80 mm of Hg, respiratory rate of 30 breaths/minute, Sp02-899% on room air, temperature- 101-degree centigrade.
|
[
[
"108/minute",
"were-pulse"
],
[
"130/80 mm of Hg",
"BP"
],
[
"30 breaths/minute",
"rate"
],
[
"899%",
"Sp02"
],
[
"101-degree centigrade",
"temperature"
]
] |
100606
| 12
|
His Sp02 fell by 70% on room air after waking.
|
[] |
100606
| 13
|
On auscultation, there was crepitation on the bilateral middle lobes of the lungs.
|
[] |
100606
| 14
|
Also, dyspnea on exertion was noted.
|
[] |
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