溃疡状的

This irregular reddish, ulcerated exophytic mid-esophageal mass as seen on the mucosal surface is a squamous cell carcinoma.

不规则微红色外生性溃疡，位于食管中段粘膜表面的的肿块是鳞状细胞癌。

Conventional esophago gastro duodenoscopy can disclose a lesion only when it presents as a protuberant mass, an ulceration or when there is significant discoloration. When an early esophageal squamous cell carcinoma or dysplasia, frequently lacking such changes, is confronted, conventional endoscopy usually fails to detect it.

传统消化道内视镜只能发现有突出肿块、溃疡或明显黏膜颜色改变的进行性食道癌病徵，对於无上述变化与症状的早期食道鳞状细胞癌(squamous cell carcinoma， SCC)则不容易以传统内视镜的检查方法诊断。

When stratified by type of leukoplakia , the response was more pronounced in homogeneous lesions: complete regression was seen in 16 of 28 (57%) subjects with homogeneous leukoplakia , 2 of 8 with erythroplakia , 2 of 4 with verrucous leukoplakia , and 0 of 4 with ulcerated and nodular lesions.

以口腔黏膜白斑病的种类分层时，同类口腔黏膜白斑病的反应更加显著：28位同类口腔黏膜白斑病患者中，有16位(57%)得到完全的逆转；8位口腔黏膜红斑病患者中，有2位得到完全的逆转；4位口腔疣性黏膜白斑病患者中，有2位得到完全的逆转；8位溃疡性和结状损害患者中，没有任何人得到完全的逆转。

Erythematous plaques with violaceous and edematous patchesin the palms, soles, and other high-pressure areas are usuallymild and resolve in a week or 2. The problem may, however, evolve into blistering desquamation, crusting, ulceration, and epidermal necrosis if the next chemotherapy cycle is not delayed or thedose reduced. The reviewers point out that palmar-plantar erythrodysesthesia is often uncomfortable and can interfere with the abilityto carry out normal activities.

在手掌、脚跟和其它高压区域的红肿斑块，有紫色以及水肿的片状病灶，通常是轻微且会在1~2周内缓解；然而，若下一次的化学治疗疗程没有延后、或是降低剂量，这个问题可能会恶化成水泡、结痂、溃疡与表皮坏死；作者指出，手掌脚掌红肿感觉异常通常是不舒服的、且可能影响日常生活。

Nursing care interventions offered included pain relief, physical therapy, and alternative therapies. We managed the problems of ineffective airway clearance due to the swelling of the larynx. Individualized wound care was provided for the patients to improve the noxious odor of the malignant fungated ulcerating wound. Through the nursing care the patient could actively participate in wound care, have better interaction with his family, and improve the disturbance of body image. During the process, we provided professional nursing care through listening, smiling, accompanying, and caring. Finally the patient could positively face the last course of his life. We combined the hospice care and assisted the patient and family to understand the meaning of hospice care. The patient was transferred to the hospice care unit and received continual care to promote his life quality at the terminal stage. At last, the young patient's life was ended peacefully without any regret. We expected to share these nursing care experiences with other nurse colleagues.

针对个案健康问题提出个别性、整体性之护理计画，包括协助个案减轻因肿瘤压迫带来的疼痛感；提供胸腔物理与其辅助疗法，处理因喉部肿胀致使痰液黏稠不易排出的问题；给予个别性伤口护理使能有效改善蕈状溃疡性伤口的恶臭，进而使个案愿意主动参与伤口照护并与家人有良性互动，以改善身体心像紊乱的问题；互动过程中以倾听、微笑、陪伴、关怀的护理美学与专业态度照顾个案及家属，而以正向态度面对生命最后一程；最后照会安宁共同照护，协助个案及家属了解安宁理念后，转入安宁病房接受癌末持续性照护，在生命最后阶段提升其生活品质，为年轻的生命划上无遗憾的句点。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。