Exercise 11. Complete the case history with the prepositions from the box below. Translate into Ukrainian:
Following 3 weeks… unexplained morning headaches, M.K., a 42-year old man, went …his local doctor. He had no vomiting or nausea, no seizures, simply headaches. His local doctor found M.K. to have a normal neurological exam, but ordered a plain CT head scan. This showed a 4 cm diameter lesion or mass located … the right hemisphere, … the frontal lobe, and there appeared to be mild swelling or “shift” associated with it. To better define the lesion, M.K.’s doctor ordered a brain MRI, with and without contrast. This study showed the lesion in better detail. The lesion only very faintly took up the contrast agent, was round overall with some irregular margins, and appeared to be a solid mass. The radiologist suspected this was a primary brain tumor, most likely a glioma such as an astrocytoma. M.K. was given a prescription … oral steroid to assist in reducing the brain swelling, and expeditiously referred … a neurosurgeon.
Exercise 12. Put the questions to the underlined parts of the sentences:
Case History
A 15-year-old boy was presented to Apollo Cancer Hospital with complaints of neck pain, tingling sensation and weakness of upper limbs for the past 2 weeks. MRI (magnetic resonance imaging) of the brain and MR angiogram showed an expansile(dilatable) mass in the left cerebellopontine (CP) region. The patient was diagnosed with haemangioblastoma.
Craniotomy was planned as management measure. During the surgery, surgeons found that tumour was highly vascularised, adherent to medulla hence further surgical intervention was not done and patient was referred for CyberKnife.
The patient was treated with CyberKnife at a total dosage of 21Gy in three fractions (7 Gy/Fr) to the target. The patient tolerated the treatment well. A significant improvement in the clinical symptoms and a significant decrease in the contrast-enhancing solid mass were observed at third month following the treatment. Currently, the patient is doing well and is on regular follow-up.
Discussion
Optic nerve sheath meningiomas are benign tumours that arise from the optic nerve sheath and are surrounded by numerous critical structures. Fractionated radiation therapy with CyberKnife provides highly conformal dose distribution in these critically located tumours.
Достарыңызбен бөлісу: |
