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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