干货! 医患英文对话精听 | Colon Carcinoma结肠癌

小白老师2015/12/07英语学习

摘要: 结肠癌(Colon Carcinoma)是一种起源于结肠内壁细胞的恶性肿瘤,常见症状包括便秘与腹泻交替、血便、体重减轻及腹部可触及肿块。早期诊断和手术切除是主要治疗手段,预后与分期密切相关。

  • 结肠癌典型症状包括排便习惯改变(如便秘与腹泻交替)、血便和不明原因体重减轻。
  • 医生通过影像学检查(如钡灌肠)可发现结肠内占位性病变,确诊通常需结合病理。
  • 年龄并非手术禁忌,个体化评估是决定治疗方案的关键。
  • 部分结肠癌患者术后无需造口(即“bag”),保留正常排便功能。
  • 根治性手术常可清除病灶,术后定期随访至关重要。

MAN, AGED 73

Man complained of alternating constipationand diarrhea with bloodstained stools and loss of weight. Examination showed amobile mass on the left iliac fossa. Barium enema shows cancer of the pelviccolon.

病人主诉他便秘和腹泻交替,伴有血便,而且体重减轻。坚持结果表明在左髂骨窝有一个活动性肿块。钡灌肠检查结果是盆腔内结肠癌。

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D=Doctor,P=Patient

D: Well, Mr. Longwood, you’ve been having trouble with your bowels for a long tim e. The last time you came to hospital,we did an X-ray and this showed that there is a growth(肿瘤,癌症) which is causing the bleeding.

P: Is it serious, Doctor?

D: It will be if we leave it, so I would recommend you to have an operation to remove the growth. You will be in hospital for about two to three weeks and then we’ll see you for regular check-ups.

P: Aren’t I too old to have an operation?

D: Oh, no. Age is no bar to surgery these days. We consider each patient individually. Some patients are young at ninety and others are old at sixty.

小白老师说:这位医生对患者的回答既科学又颇有哲理:“年龄不是手术的障碍。我们要考虑每个病人的具体情况。有些人90岁了还很年轻,而有些人才60岁就垂垂老矣。”

P: I won’t have to have a bag, will I?

小白老师说:to have a bag指结肠造口术后应用粪袋收集肠道排泄物。注意“I won’thave to …,will I? 我们可以看到这个句子是否定陈述句,随后的肯定疑问句尾的表达方式,这说明病人希望得到否定答案,他希望医生加以保证。大家在听的时候请注意把握该患者的语气和情绪。

D: Fortunately, not. After the operation you should have no trouble with your bowels.

P: Shall I need any other kind oftreatment?

D: No. The operation should clear up(去除) the trouble. So I’ll write to your doctor and tell him we are bringing you into hospital to have an operation. I shall probably see you inthe ward in about ten days’ time.

P: Thank you, Doctor.

常见问题

结肠癌有哪些早期症状?

早期可能无明显症状,但常见表现包括排便习惯改变(如便秘与腹泻交替)、血便、腹痛、体重减轻以及腹部可触及肿块。

老年人还能做结肠癌手术吗?

可以。现代医学强调个体化评估,而非仅依据年龄决定是否手术。只要身体状况允许,高龄患者同样可接受手术治疗。

结肠癌手术后一定需要造口(挂粪袋)吗?

不一定。若肿瘤位置较低或病情较晚可能需临时或永久造口,但许多患者(尤其是早期)术后可保留正常肠道通路,无需使用粪袋。

‘I won’t have to have a bag, will I?’ 这句话表达了什么语气?

这是一个否定陈述加肯定反问的结构,表达患者强烈希望避免造口,并寻求医生的 reassurance(保证)。

参考资料

结肠癌诊疗指南(中国临床肿瘤学会 CSCO)

提供结肠癌诊断标准、治疗原则及手术适应症参考

American Cancer Society - Colon Cancer Symptoms and Diagnosis

权威英文资源,描述结肠癌常见症状与诊断流程