rntc/legacy_e3c · Datasets at Hugging Face

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A 46-year-old man with hypertension and dyslipidemia diagnosed 4-months before, as well as new-onset diabetes mellitus unveiled 1-month earlier, was referred to emergency department for hypokalemia.	[ "A", "46", "year", "old", "man", "with", "hypertension", "and", "dyslipidemia", "diagnosed", "4", "months", "before", ",", "as", "well", "as", "new", "onset", "diabetes", "mellitus", "unveiled", "1", "month", "earlier", ",", "was", "referred", "to", "emergency", "department", "for", "hypokalemia", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 13 ], [ 14, 17 ], [ 18, 22 ], [ 23, 35 ], [ 36, 39 ], [ 40, 52 ], [ 53, 62 ], [ 63, 64 ], [ 65, 71 ], [ 72, 78 ], [ 78, 79 ], [ 80, 82 ], [ 83, 87 ], [ 88, 90 ], [ 91, 94 ], [ 95, 100 ], [ 101, 109 ], [ 110, 118 ], [ 119, 127 ], [ 128, 129 ], [ 130, 135 ], [ 136, 143 ], [ 143, 144 ], [ 145, 148 ], [ 149, 157 ], [ 158, 160 ], [ 161, 170 ], [ 171, 181 ], [ 182, 185 ], [ 186, 197 ], [ 197, 198 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0242339", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0743128", "C0743128", "C0743128", "C0743128", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0020621", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 0, 1, 0, 1, 1, 4, 9, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 4, 9, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0 ]
Hormonal study and dynamic biochemical tests performed indicated ECS.	[ "Hormonal", "study", "and", "dynamic", "biochemical", "tests", "performed", "indicated", "ECS", "." ]	[ [ 0, 8 ], [ 9, 14 ], [ 15, 18 ], [ 19, 26 ], [ 27, 38 ], [ 39, 44 ], [ 45, 54 ], [ 55, 64 ], [ 65, 68 ], [ 68, 69 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 1, 0, 1, 1, 0 ]
Imaging and cytological findings pointed toward a likely primary right parotid malignancy with liver metastases.	[ "Imaging", "and", "cytological", "findings", "pointed", "toward", "a", "likely", "primary", "right", "parotid", "malignancy", "with", "liver", "metastases", "." ]	[ [ 0, 7 ], [ 8, 11 ], [ 12, 23 ], [ 24, 32 ], [ 33, 40 ], [ 41, 47 ], [ 48, 49 ], [ 50, 56 ], [ 57, 64 ], [ 65, 70 ], [ 71, 78 ], [ 79, 89 ], [ 90, 94 ], [ 95, 100 ], [ 101, 111 ], [ 111, 112 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1306459", "C1306459", "C1306459", "C1306459", "CUI_LESS", "C0494165", "C0494165", "CUI_LESS" ]	[ 0, 0, 0, 1, 1, 0, 0, 0, 3, 8, 8, 8, 0, 3, 8, 0 ]
Somatostatin receptor scintigraphy has shown an increased uptake in the parotid gland and mild expression in liver metastasis.	[ "Somatostatin", "receptor", "scintigraphy", "has", "shown", "an", "increased", "uptake", "in", "the", "parotid", "gland", "and", "mild", "expression", "in", "liver", "metastasis", "." ]	[ [ 0, 12 ], [ 13, 21 ], [ 22, 34 ], [ 35, 38 ], [ 39, 44 ], [ 45, 47 ], [ 48, 57 ], [ 58, 64 ], [ 65, 67 ], [ 68, 71 ], [ 72, 79 ], [ 80, 85 ], [ 86, 89 ], [ 90, 94 ], [ 95, 105 ], [ 106, 108 ], [ 109, 114 ], [ 115, 125 ], [ 125, 126 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0494165", "C0494165", "CUI_LESS" ]	[ 0, 0, 1, 0, 1, 0, 0, 1, 0, 0, 3, 8, 0, 3, 8, 8, 8, 8, 0 ]
The patient underwent right parotidectomy, and histopathologic examination confirmed ACC.	[ "The", "patient", "underwent", "right", "parotidectomy", ",", "and", "histopathologic", "examination", "confirmed", "ACC", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 21 ], [ 22, 27 ], [ 28, 41 ], [ 41, 42 ], [ 43, 46 ], [ 47, 62 ], [ 63, 74 ], [ 75, 84 ], [ 85, 88 ], [ 88, 89 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0010606", "CUI_LESS" ]	[ 2, 7, 0, 0, 1, 0, 0, 0, 1, 1, 1, 0 ]
Meanwhile, hypercortisolism was managed with metyrapone, ketoconazole, and lanreotide.	[ "Meanwhile", ",", "hypercortisolism", "was", "managed", "with", "metyrapone", ",", "ketoconazole", ",", "and", "lanreotide", "." ]	[ [ 0, 9 ], [ 9, 10 ], [ 11, 27 ], [ 28, 31 ], [ 32, 39 ], [ 40, 44 ], [ 45, 55 ], [ 55, 56 ], [ 57, 69 ], [ 69, 70 ], [ 71, 74 ], [ 75, 85 ], [ 85, 86 ] ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "C0010481", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]
Despite chemotherapy onset, a rapid disease progression and clinical course deterioration was observed.	[ "Despite", "chemotherapy", "onset", ",", "a", "rapid", "disease", "progression", "and", "clinical", "course", "deterioration", "was", "observed", "." ]	[ [ 0, 7 ], [ 8, 20 ], [ 21, 26 ], [ 26, 27 ], [ 28, 29 ], [ 30, 35 ], [ 36, 43 ], [ 44, 55 ], [ 56, 59 ], [ 60, 68 ], [ 69, 75 ], [ 76, 89 ], [ 90, 93 ], [ 94, 102 ], [ 102, 103 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0242656", "C0242656", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0 ]
We present a case of a 32-year-old woman with a history of gradual enlargement of the anterior neck.	[ "We", "present", "a", "case", "of", "a", "32", "year", "old", "woman", "with", "a", "history", "of", "gradual", "enlargement", "of", "the", "anterior", "neck", "." ]	[ [ 0, 2 ], [ 3, 10 ], [ 11, 12 ], [ 13, 17 ], [ 18, 20 ], [ 21, 22 ], [ 23, 25 ], [ 26, 30 ], [ 31, 34 ], [ 35, 40 ], [ 41, 45 ], [ 46, 47 ], [ 48, 55 ], [ 56, 58 ], [ 59, 66 ], [ 67, 78 ], [ 79, 81 ], [ 82, 85 ], [ 86, 94 ], [ 95, 99 ], [ 99, 100 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0575164", "C0575164", "C0575164", "C0575164", "C0575164", "CUI_LESS" ]	[ 2, 1, 0, 0, 0, 2, 7, 7, 7, 7, 0, 0, 1, 0, 0, 1, 0, 0, 3, 8, 0 ]
The medical history was unremarkable and no comorbidities existed.	[ "The", "medical", "history", "was", "unremarkable", "and", "no", "comorbidities", "existed", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 19 ], [ 20, 23 ], [ 24, 36 ], [ 37, 40 ], [ 41, 43 ], [ 44, 57 ], [ 58, 65 ], [ 65, 66 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]
There was no history of radiation exposure.	[ "There", "was", "no", "history", "of", "radiation", "exposure", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 12 ], [ 13, 20 ], [ 21, 23 ], [ 24, 33 ], [ 34, 42 ], [ 42, 43 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 1, 0 ]
Clinical examination revealed a multinodular goiter.	[ "Clinical", "examination", "revealed", "a", "multinodular", "goiter", "." ]	[ [ 0, 8 ], [ 9, 20 ], [ 21, 29 ], [ 30, 31 ], [ 32, 44 ], [ 45, 51 ], [ 51, 52 ] ]	[ 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0342208", "C0342208", "CUI_LESS" ]	[ 0, 1, 1, 3, 8, 8, 0 ]
Computed tomography showed a thyroid nodule of the left lobe extended to the isthmus and the right lobe with anterior and posterior capsular rupture contracting close contact with the vascular axis left carotid-jugular plunging into the cervicothoracic away from the hole aortic arch.	[ "Computed", "tomography", "showed", "a", "thyroid", "nodule", "of", "the", "left", "lobe", "extended", "to", "the", "isthmus", "and", "the", "right", "lobe", "with", "anterior", "and", "posterior", "capsular", "rupture", "contracting", "close", "contact", "with", "the", "vascular", "axis", "left", "carotid", "jugular", "plunging", "into", "the", "cervicothoracic", "away", "from", "the", "hole", "aortic", "arch", "." ]	[ [ 0, 8 ], [ 9, 19 ], [ 20, 26 ], [ 27, 28 ], [ 29, 36 ], [ 37, 43 ], [ 44, 46 ], [ 47, 50 ], [ 51, 55 ], [ 56, 60 ], [ 61, 69 ], [ 70, 72 ], [ 73, 76 ], [ 77, 84 ], [ 85, 88 ], [ 89, 92 ], [ 93, 98 ], [ 99, 103 ], [ 104, 108 ], [ 109, 117 ], [ 118, 121 ], [ 122, 131 ], [ 132, 140 ], [ 141, 148 ], [ 149, 160 ], [ 161, 166 ], [ 167, 174 ], [ 175, 179 ], [ 180, 183 ], [ 184, 192 ], [ 193, 197 ], [ 198, 202 ], [ 203, 210 ], [ 211, 218 ], [ 219, 227 ], [ 228, 232 ], [ 233, 236 ], [ 237, 252 ], [ 253, 257 ], [ 258, 262 ], [ 263, 266 ], [ 267, 271 ], [ 272, 278 ], [ 279, 283 ], [ 283, 284 ] ]	[ 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0040137", "C0040137", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 3, 8, 8, 8, 8, 8, 8, 0, 0, 3, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 0, 0, 0, 0, 3, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, 0 ]
There was no evidence of lung lesions.	[ "There", "was", "no", "evidence", "of", "lung", "lesions", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 12 ], [ 13, 21 ], [ 22, 24 ], [ 25, 29 ], [ 30, 37 ], [ 37, 38 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0577916", "C0577916", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 3, 8, 0 ]
The patient underwent a surgical exploration.	[ "The", "patient", "underwent", "a", "surgical", "exploration", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 21 ], [ 22, 23 ], [ 24, 32 ], [ 33, 44 ], [ 44, 45 ] ]	[ 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 0, 0, 1, 0 ]
There was a hard left lobe nodule of 5 cm infiltrating the adjacent muscles and partially infiltrates the trachea.	[ "There", "was", "a", "hard", "left", "lobe", "nodule", "of", "5", "cm", "infiltrating", "the", "adjacent", "muscles", "and", "partially", "infiltrates", "the", "trachea", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 11 ], [ 12, 16 ], [ 17, 21 ], [ 22, 26 ], [ 27, 33 ], [ 34, 36 ], [ 37, 38 ], [ 39, 41 ], [ 42, 54 ], [ 55, 58 ], [ 59, 67 ], [ 68, 75 ], [ 76, 79 ], [ 80, 89 ], [ 90, 101 ], [ 102, 105 ], [ 106, 113 ], [ 113, 114 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0040137", "C0040137", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 3, 8, 8, 0, 0, 0, 0, 0, 3, 8, 0, 0, 0, 0, 3, 0 ]
The intraoperative consultation pathology diagnosis was: undifferentiated carcinoma.	[ "The", "intraoperative", "consultation", "pathology", "diagnosis", "was", ":", "undifferentiated", "carcinoma", "." ]	[ [ 0, 3 ], [ 4, 18 ], [ 19, 31 ], [ 32, 41 ], [ 42, 51 ], [ 52, 55 ], [ 55, 56 ], [ 57, 73 ], [ 74, 83 ], [ 83, 84 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0205698", "C0205698", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
A total thyroidectomy was realized.	[ "A", "total", "thyroidectomy", "was", "realized", "." ]	[ [ 0, 1 ], [ 2, 7 ], [ 8, 21 ], [ 22, 25 ], [ 26, 34 ], [ 34, 35 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0 ]
Histological examination showed a proliferation of elongated spindle-shaped cells, arranged in interweaving fascicles of varying sizes, intersected at right angles.	[ "Histological", "examination", "showed", "a", "proliferation", "of", "elongated", "spindle", "shaped", "cells", ",", "arranged", "in", "interweaving", "fascicles", "of", "varying", "sizes", ",", "intersected", "at", "right", "angles", "." ]	[ [ 0, 12 ], [ 13, 24 ], [ 25, 31 ], [ 32, 33 ], [ 34, 47 ], [ 48, 50 ], [ 51, 60 ], [ 61, 68 ], [ 69, 75 ], [ 76, 81 ], [ 81, 82 ], [ 83, 91 ], [ 92, 94 ], [ 95, 107 ], [ 108, 117 ], [ 118, 120 ], [ 121, 128 ], [ 129, 134 ], [ 134, 135 ], [ 136, 147 ], [ 148, 150 ], [ 151, 156 ], [ 157, 163 ], [ 163, 164 ] ]	[ 0, 0, 0, 0, 1, 2, 2, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3550350", "C3550350", "C3550350", "C3550350", "C3550350", "C3550350", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 0, 0, 0, 0, 3, 8, 8, 0, 0, 0, 3, 8, 0, 0, 0, 0, 0, 3, 8, 8, 0 ]
Tumor cells are atypical with strange nuclei.	[ "Tumor", "cells", "are", "atypical", "with", "strange", "nuclei", "." ]	[ [ 0, 5 ], [ 6, 11 ], [ 12, 15 ], [ 16, 24 ], [ 25, 29 ], [ 30, 37 ], [ 38, 44 ], [ 44, 45 ] ]	[ 1, 2, 0, 0, 0, 0, 0, 0 ]	[ "C0431085", "C0431085", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 0, 0, 3, 8, 0 ]
Chromatin is distributed inhomogeneously.	[ "Chromatin", "is", "distributed", "inhomogeneously", "." ]	[ [ 0, 9 ], [ 10, 12 ], [ 13, 24 ], [ 25, 40 ], [ 40, 41 ] ]	[ 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0 ]
The cytoplasmic membrane is irregular and thick.	[ "The", "cytoplasmic", "membrane", "is", "irregular", "and", "thick", "." ]	[ [ 0, 3 ], [ 4, 15 ], [ 16, 24 ], [ 25, 27 ], [ 28, 37 ], [ 38, 41 ], [ 42, 47 ], [ 47, 48 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 0, 0, 0, 0, 0 ]
The nucleolus is very large.	[ "The", "nucleolus", "is", "very", "large", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 16 ], [ 17, 21 ], [ 22, 27 ], [ 27, 28 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 0, 0, 0 ]
The tumor realize a pushing against thyroid parenchyma which is separated with a fibrous capsule.	[ "The", "tumor", "realize", "a", "pushing", "against", "thyroid", "parenchyma", "which", "is", "separated", "with", "a", "fibrous", "capsule", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 17 ], [ 18, 19 ], [ 20, 27 ], [ 28, 35 ], [ 36, 43 ], [ 44, 54 ], [ 55, 60 ], [ 61, 63 ], [ 64, 73 ], [ 74, 78 ], [ 79, 80 ], [ 81, 88 ], [ 89, 96 ], [ 96, 97 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 0, 0, 0, 3, 8, 0, 0, 0, 0, 3, 8, 8, 0 ]
The mitotic rate was extremely high (19 mitosis/10 high power field), and atypical mitotic figures were also present.	[ "The", "mitotic", "rate", "was", "extremely", "high", "(", "19", "mitosis/10", "high", "power", "field", ")", ",", "and", "atypical", "mitotic", "figures", "were", "also", "present", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 16 ], [ 17, 20 ], [ 21, 30 ], [ 31, 35 ], [ 36, 37 ], [ 37, 39 ], [ 40, 50 ], [ 51, 55 ], [ 56, 61 ], [ 62, 67 ], [ 67, 68 ], [ 68, 69 ], [ 70, 73 ], [ 74, 82 ], [ 83, 90 ], [ 91, 98 ], [ 99, 103 ], [ 104, 108 ], [ 109, 116 ], [ 116, 117 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 5, 10, 10, 10, 10, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
The neoplasia showed invasion of the peri-glandular fat tissue.	[ "The", "neoplasia", "showed", "invasion", "of", "the", "peri", "glandular", "fat", "tissue", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 20 ], [ 21, 29 ], [ 30, 32 ], [ 33, 36 ], [ 37, 41 ], [ 42, 51 ], [ 52, 55 ], [ 56, 62 ], [ 62, 63 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 0, 0, 3, 8, 8, 8, 8, 0 ]
Immuno-histochemical staining of the slides with caldesmon, desmin, PanCK, CK5-6, CK7, myogenin, epithelial membrane antigen (EMA), CEA, thyroid transcription factor (TTF-1), pancytokeratin, smooth muscle actin (SMA), MelanA, S 100 protein, CD 45, CD3, CD30, CD 20, CD 15, CD34, ALK, calcitonin and KI 67 protein was performed.	[ "Immuno", "histochemical", "staining", "of", "the", "slides", "with", "caldesmon", ",", "desmin", ",", "Pan", "CK", ",", "CK5-6", ",", "CK7", ",", "myogenin", ",", "epithelial", "membrane", "antigen", "(", "EMA", ")", ",", "CEA", ",", "thyroid", "transcription", "factor", "(", "TTF", "1", ")", ",", "pancytokeratin", ",", "smooth", "muscle", "actin", "(", "SMA", ")", ",", "Melan", "A", ",", "S", "100", "protein", ",", "CD", "45", ",", "CD3", ",", "CD30", ",", "CD", "20", ",", "CD", "15", ",", "CD34", ",", "ALK", ",", "calcitonin", "and", "KI", "67", "protein", "was", "performed", "." ]	[ [ 0, 6 ], [ 7, 20 ], [ 21, 29 ], [ 30, 32 ], [ 33, 36 ], [ 37, 43 ], [ 44, 48 ], [ 49, 58 ], [ 58, 59 ], [ 60, 66 ], [ 66, 67 ], [ 68, 71 ], [ 71, 73 ], [ 73, 74 ], [ 75, 80 ], [ 80, 81 ], [ 82, 85 ], [ 85, 86 ], [ 87, 95 ], [ 95, 96 ], [ 97, 107 ], [ 108, 116 ], [ 117, 124 ], [ 125, 126 ], [ 126, 129 ], [ 129, 130 ], [ 130, 131 ], [ 132, 135 ], [ 135, 136 ], [ 137, 144 ], [ 145, 158 ], [ 159, 165 ], [ 166, 167 ], [ 167, 170 ], [ 171, 172 ], [ 172, 173 ], [ 173, 174 ], [ 175, 189 ], [ 189, 190 ], [ 191, 197 ], [ 198, 204 ], [ 205, 210 ], [ 211, 212 ], [ 212, 215 ], [ 215, 216 ], [ 216, 217 ], [ 218, 223 ], [ 223, 224 ], [ 224, 225 ], [ 226, 227 ], [ 228, 231 ], [ 232, 239 ], [ 239, 240 ], [ 241, 243 ], [ 244, 246 ], [ 246, 247 ], [ 248, 251 ], [ 251, 252 ], [ 253, 257 ], [ 257, 258 ], [ 259, 261 ], [ 262, 264 ], [ 264, 265 ], [ 266, 268 ], [ 269, 271 ], [ 271, 272 ], [ 273, 277 ], [ 277, 278 ], [ 279, 282 ], [ 282, 283 ], [ 284, 294 ], [ 295, 298 ], [ 299, 301 ], [ 302, 304 ], [ 305, 312 ], [ 313, 316 ], [ 317, 326 ], [ 326, 327 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
The tumour was strongly positive for caldesmon, SMA, desmin, and negative for pancytokeratin and other epithelial, lymphoid and melanocytic markers.	[ "The", "tumour", "was", "strongly", "positive", "for", "caldesmon", ",", "SMA", ",", "desmin", ",", "and", "negative", "for", "pancytokeratin", "and", "other", "epithelial", ",", "lymphoid", "and", "melanocytic", "markers", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 14 ], [ 15, 23 ], [ 24, 32 ], [ 33, 36 ], [ 37, 46 ], [ 46, 47 ], [ 48, 51 ], [ 51, 52 ], [ 53, 59 ], [ 59, 60 ], [ 61, 64 ], [ 65, 73 ], [ 74, 77 ], [ 78, 92 ], [ 93, 96 ], [ 97, 102 ], [ 103, 113 ], [ 113, 114 ], [ 115, 123 ], [ 124, 127 ], [ 128, 139 ], [ 140, 147 ], [ 147, 148 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
On the basis of the clinical, radiographic, histopathological and immunohistochemical features, the final diagnosis was primary thyroid leiomyosarcoma, FNCLCC grade 3.	[ "On", "the", "basis", "of", "the", "clinical", ",", "radiographic", ",", "histopathological", "and", "immunohistochemical", "features", ",", "the", "final", "diagnosis", "was", "primary", "thyroid", "leiomyosarcoma", ",", "FNCLCC", "grade", "3", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 12 ], [ 13, 15 ], [ 16, 19 ], [ 20, 28 ], [ 28, 29 ], [ 30, 42 ], [ 42, 43 ], [ 44, 61 ], [ 62, 65 ], [ 66, 85 ], [ 86, 94 ], [ 94, 95 ], [ 96, 99 ], [ 100, 105 ], [ 106, 115 ], [ 116, 119 ], [ 120, 127 ], [ 128, 135 ], [ 136, 150 ], [ 150, 151 ], [ 152, 158 ], [ 159, 164 ], [ 165, 166 ], [ 166, 167 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4744760", "C4744760", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
In multidisciplinary tumour board, it was decided that adjuvant loco regional RT and chemotherapy by ifosfamide and doxorubicin.	[ "In", "multidisciplinary", "tumour", "board", ",", "it", "was", "decided", "that", "adjuvant", "loco", "regional", "RT", "and", "chemotherapy", "by", "ifosfamide", "and", "doxorubicin", "." ]	[ [ 0, 2 ], [ 3, 20 ], [ 21, 27 ], [ 28, 33 ], [ 33, 34 ], [ 35, 37 ], [ 38, 41 ], [ 42, 49 ], [ 50, 54 ], [ 55, 63 ], [ 64, 68 ], [ 69, 77 ], [ 78, 80 ], [ 81, 84 ], [ 85, 97 ], [ 98, 100 ], [ 101, 111 ], [ 112, 115 ], [ 116, 127 ], [ 127, 128 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0 ]
A 17 months girl have been consulted in our service for colicky abdominal pain often associated with constipation and loss of appetite, since she was six months old.	[ "A", "17", "months", "girl", "have", "been", "consulted", "in", "our", "service", "for", "colicky", "abdominal", "pain", "often", "associated", "with", "constipation", "and", "loss", "of", "appetite", ",", "since", "she", "was", "six", "months", "old", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 11 ], [ 12, 16 ], [ 17, 21 ], [ 22, 26 ], [ 27, 36 ], [ 37, 39 ], [ 40, 43 ], [ 44, 51 ], [ 52, 55 ], [ 56, 63 ], [ 64, 73 ], [ 74, 78 ], [ 79, 84 ], [ 85, 95 ], [ 96, 100 ], [ 101, 113 ], [ 114, 117 ], [ 118, 122 ], [ 123, 125 ], [ 126, 134 ], [ 134, 135 ], [ 136, 141 ], [ 142, 145 ], [ 146, 149 ], [ 150, 153 ], [ 154, 160 ], [ 161, 164 ], [ 164, 165 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 1, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3888418", "C3888418", "C3888418", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0009806", "CUI_LESS", "C1971624", "C1971624", "C1971624", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 7, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 2, 0, 0, 0, 0, 0 ]
Parents kept her at home until they remarked visible peristalsis on the abdominal wall, which lead them to consult our service.	[ "Parents", "kept", "her", "at", "home", "until", "they", "remarked", "visible", "peristalsis", "on", "the", "abdominal", "wall", ",", "which", "lead", "them", "to", "consult", "our", "service", "." ]	[ [ 0, 7 ], [ 8, 12 ], [ 13, 16 ], [ 17, 19 ], [ 20, 24 ], [ 25, 30 ], [ 31, 35 ], [ 36, 44 ], [ 45, 52 ], [ 53, 64 ], [ 65, 67 ], [ 68, 71 ], [ 72, 81 ], [ 82, 86 ], [ 86, 87 ], [ 88, 93 ], [ 94, 98 ], [ 99, 103 ], [ 104, 106 ], [ 107, 114 ], [ 115, 118 ], [ 119, 126 ], [ 126, 127 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0159059", "C0159059", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 1, 2, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 2, 0, 1, 0, 0, 0 ]
She was born from a full-term and uncomplicated pregnancy during which the mother had no prenatal ultrasound (US).	[ "She", "was", "born", "from", "a", "full", "term", "and", "uncomplicated", "pregnancy", "during", "which", "the", "mother", "had", "no", "prenatal", "ultrasound", "(", "US", ")", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 12 ], [ 13, 17 ], [ 18, 19 ], [ 20, 24 ], [ 25, 29 ], [ 30, 33 ], [ 34, 47 ], [ 48, 57 ], [ 58, 64 ], [ 65, 70 ], [ 71, 74 ], [ 75, 81 ], [ 82, 85 ], [ 86, 88 ], [ 89, 97 ], [ 98, 108 ], [ 109, 110 ], [ 110, 112 ], [ 112, 113 ], [ 113, 114 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 2, 7, 0, 0, 0, 1, 0, 1, 0, 0 ]
Her neonatal period was unremarkable.	[ "Her", "neonatal", "period", "was", "unremarkable", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 19 ], [ 20, 23 ], [ 24, 36 ], [ 36, 37 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 4, 9, 9, 0, 1, 0 ]
Clinical findings: on physical examination, she was colored and active.	[ "Clinical", "findings", ":", "on", "physical", "examination", ",", "she", "was", "colored", "and", "active", "." ]	[ [ 0, 8 ], [ 9, 17 ], [ 17, 18 ], [ 19, 21 ], [ 22, 30 ], [ 31, 42 ], [ 42, 43 ], [ 44, 47 ], [ 48, 51 ], [ 52, 59 ], [ 60, 63 ], [ 64, 70 ], [ 70, 71 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 1, 0, 2, 0, 1, 0, 1, 0 ]
Her vitals were within normal limits as well as her anthropometric parameters (weight: 10kg).	[ "Her", "vitals", "were", "within", "normal", "limits", "as", "well", "as", "her", "anthropometric", "parameters", "(", "weight", ":", "10kg", ")", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 15 ], [ 16, 22 ], [ 23, 29 ], [ 30, 36 ], [ 37, 39 ], [ 40, 44 ], [ 45, 47 ], [ 48, 51 ], [ 52, 66 ], [ 67, 77 ], [ 78, 79 ], [ 79, 85 ], [ 85, 86 ], [ 87, 91 ], [ 91, 92 ], [ 92, 93 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 1, 0, 5, 0, 0 ]
Her abdomen had moderate distension and peristaltic waves were visible on the abdominal wall.	[ "Her", "abdomen", "had", "moderate", "distension", "and", "peristaltic", "waves", "were", "visible", "on", "the", "abdominal", "wall", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 24 ], [ 25, 35 ], [ 36, 39 ], [ 40, 51 ], [ 52, 57 ], [ 58, 62 ], [ 63, 70 ], [ 71, 73 ], [ 74, 77 ], [ 78, 87 ], [ 88, 92 ], [ 92, 93 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 0, 1, 0, 0, 1, 0, 1, 0, 3, 8, 8, 0 ]
Abdomen was soft on palpation and tympanic on percussion.	[ "Abdomen", "was", "soft", "on", "palpation", "and", "tympanic", "on", "percussion", "." ]	[ [ 0, 7 ], [ 8, 11 ], [ 12, 16 ], [ 17, 19 ], [ 20, 29 ], [ 30, 33 ], [ 34, 42 ], [ 43, 45 ], [ 46, 56 ], [ 56, 57 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 0, 1, 0, 1, 0, 1, 0, 1, 0 ]
The digital rectal examination was unremarkable.	[ "The", "digital", "rectal", "examination", "was", "unremarkable", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 18 ], [ 19, 30 ], [ 31, 34 ], [ 35, 47 ], [ 47, 48 ] ]	[ 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 5, 0 ]
Symptomatic treatment was initiated with lactulose (five mL bid) and an antispasmodic, trimebutine (five mL bid).	[ "Symptomatic", "treatment", "was", "initiated", "with", "lactulose", "(", "five", "m", "L", "bid", ")", "and", "an", "antispasmodic", ",", "trimebutine", "(", "five", "m", "L", "bid", ")", "." ]	[ [ 0, 11 ], [ 12, 21 ], [ 22, 25 ], [ 26, 35 ], [ 36, 40 ], [ 41, 50 ], [ 51, 52 ], [ 52, 56 ], [ 57, 58 ], [ 58, 59 ], [ 60, 63 ], [ 63, 64 ], [ 65, 68 ], [ 69, 71 ], [ 72, 85 ], [ 85, 86 ], [ 87, 98 ], [ 99, 100 ], [ 100, 104 ], [ 105, 106 ], [ 106, 107 ], [ 108, 111 ], [ 111, 112 ], [ 112, 113 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 4, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 4, 0, 0 ]
Timeline: our patient experienced first symptoms since August 2019.	[ "Timeline", ":", "our", "patient", "experienced", "first", "symptoms", "since", "August", "2019", "." ]	[ [ 0, 8 ], [ 8, 9 ], [ 10, 13 ], [ 14, 21 ], [ 22, 33 ], [ 34, 39 ], [ 40, 48 ], [ 49, 54 ], [ 55, 61 ], [ 62, 66 ], [ 66, 67 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 2, 7, 0, 0, 1, 0, 4, 9, 0 ]
Parents brought her at our service only on 27 th July 2020 two days after they remarked visible peristalsis on her abdominal wall.	[ "Parents", "brought", "her", "at", "our", "service", "only", "on", "27", "th", "July", "2020", "two", "days", "after", "they", "remarked", "visible", "peristalsis", "on", "her", "abdominal", "wall", "." ]	[ [ 0, 7 ], [ 8, 15 ], [ 16, 19 ], [ 20, 22 ], [ 23, 26 ], [ 27, 34 ], [ 35, 39 ], [ 40, 42 ], [ 43, 45 ], [ 46, 48 ], [ 49, 53 ], [ 54, 58 ], [ 59, 62 ], [ 63, 67 ], [ 68, 73 ], [ 74, 78 ], [ 79, 87 ], [ 88, 95 ], [ 96, 107 ], [ 108, 110 ], [ 111, 114 ], [ 115, 124 ], [ 125, 129 ], [ 129, 130 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0159059", "C0159059", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 1, 2, 0, 0, 0, 0, 0, 4, 9, 9, 9, 4, 9, 0, 2, 1, 0, 1, 0, 3, 8, 8, 0 ]
The patient has been treated and discharged in August 2020 and pathology results were available 11 days later.	[ "The", "patient", "has", "been", "treated", "and", "discharged", "in", "August", "2020", "and", "pathology", "results", "were", "available", "11", "days", "later", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 20 ], [ 21, 28 ], [ 29, 32 ], [ 33, 43 ], [ 44, 46 ], [ 47, 53 ], [ 54, 58 ], [ 59, 62 ], [ 63, 72 ], [ 73, 80 ], [ 81, 85 ], [ 86, 95 ], [ 96, 98 ], [ 99, 103 ], [ 104, 109 ], [ 109, 110 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 0, 1, 0, 1, 0, 4, 9, 0, 0, 1, 0, 1, 4, 9, 9, 0 ]
Diagnostic assessment: blood results were within normal range.	[ "Diagnostic", "assessment", ":", "blood", "results", "were", "within", "normal", "range", "." ]	[ [ 0, 10 ], [ 11, 21 ], [ 21, 22 ], [ 23, 28 ], [ 29, 36 ], [ 37, 41 ], [ 42, 48 ], [ 49, 55 ], [ 56, 61 ], [ 61, 62 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 3, 1, 0, 0, 5, 10, 0 ]
Abdominal X-ray showed distension of an intestinal loop in the left lumbar region.	[ "Abdominal", "X", "ray", "showed", "distension", "of", "an", "intestinal", "loop", "in", "the", "left", "lumbar", "region", "." ]	[ [ 0, 9 ], [ 10, 11 ], [ 12, 15 ], [ 16, 22 ], [ 23, 33 ], [ 34, 36 ], [ 37, 39 ], [ 40, 50 ], [ 51, 55 ], [ 56, 58 ], [ 59, 62 ], [ 63, 67 ], [ 68, 74 ], [ 75, 81 ], [ 81, 82 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 6, 1, 1, 0, 0, 0, 0, 0, 3, 8, 8, 8, 0 ]
Abdominal US identified a misleading colonic dilatation containing heterogeny echoic substance, with no other additional features.	[ "Abdominal", "US", "identified", "a", "misleading", "colonic", "dilatation", "containing", "heterogeny", "echoic", "substance", ",", "with", "no", "other", "additional", "features", "." ]	[ [ 0, 9 ], [ 10, 12 ], [ 13, 23 ], [ 24, 25 ], [ 26, 36 ], [ 37, 44 ], [ 45, 55 ], [ 56, 66 ], [ 67, 77 ], [ 78, 84 ], [ 85, 94 ], [ 94, 95 ], [ 96, 100 ], [ 101, 103 ], [ 104, 109 ], [ 110, 120 ], [ 121, 129 ], [ 129, 130 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
Contrast enema was unremarkable.	[ "Contrast", "enema", "was", "unremarkable", "." ]	[ [ 0, 8 ], [ 9, 14 ], [ 15, 18 ], [ 19, 31 ], [ 31, 32 ] ]	[ 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 5, 0 ]
Due to financial constraints, upper gastro-intestinal (GI) series and abdominal computed tomography (CT) could not be performed.	[ "Due", "to", "financial", "constraints", ",", "upper", "gastro", "intestinal", "(", "GI", ")", "series", "and", "abdominal", "computed", "tomography", "(", "CT", ")", "could", "not", "be", "performed", "." ]	[ [ 0, 3 ], [ 4, 6 ], [ 7, 16 ], [ 17, 28 ], [ 28, 29 ], [ 30, 35 ], [ 36, 42 ], [ 43, 53 ], [ 54, 55 ], [ 55, 57 ], [ 57, 58 ], [ 59, 65 ], [ 66, 69 ], [ 70, 79 ], [ 80, 88 ], [ 89, 99 ], [ 100, 101 ], [ 101, 103 ], [ 103, 104 ], [ 105, 110 ], [ 111, 114 ], [ 115, 117 ], [ 118, 127 ], [ 127, 128 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0 ]
An exploratory laparotomy has been indicated with presumptive diagnosis of intestinal duplication.	[ "An", "exploratory", "laparotomy", "has", "been", "indicated", "with", "presumptive", "diagnosis", "of", "intestinal", "duplication", "." ]	[ [ 0, 2 ], [ 3, 14 ], [ 15, 25 ], [ 26, 29 ], [ 30, 34 ], [ 35, 44 ], [ 45, 49 ], [ 50, 61 ], [ 62, 71 ], [ 72, 74 ], [ 75, 85 ], [ 86, 97 ], [ 97, 98 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0266166", "C0266166", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
Therapeutic intervention: after the median laparotomy, a dilatated segment of the jejunum was identified at approximately ten cm from the Treitz's angle.	[ "Therapeutic", "intervention", ":", "after", "the", "median", "laparotomy", ",", "a", "dilatated", "segment", "of", "the", "jejunum", "was", "identified", "at", "approximately", "ten", "cm", "from", "the", "Treitz", "'s", "angle", "." ]	[ [ 0, 11 ], [ 12, 24 ], [ 24, 25 ], [ 26, 31 ], [ 32, 35 ], [ 36, 42 ], [ 43, 53 ], [ 53, 54 ], [ 55, 56 ], [ 57, 66 ], [ 67, 74 ], [ 75, 77 ], [ 78, 81 ], [ 82, 89 ], [ 90, 93 ], [ 94, 104 ], [ 105, 107 ], [ 108, 121 ], [ 122, 125 ], [ 126, 128 ], [ 129, 133 ], [ 134, 137 ], [ 138, 144 ], [ 144, 146 ], [ 147, 152 ], [ 152, 153 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 1, 0, 3, 8, 8, 8, 8, 8, 0, 1, 0, 0, 0, 0, 0, 3, 8, 8, 8, 0 ]
Its diameter was fourfold greater than of the adjacent bowel, to which the dilatation was connected abruptly, without any identified obstructive cause.	[ "Its", "diameter", "was", "fourfold", "greater", "than", "of", "the", "adjacent", "bowel", ",", "to", "which", "the", "dilatation", "was", "connected", "abruptly", ",", "without", "any", "identified", "obstructive", "cause", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 16 ], [ 17, 25 ], [ 26, 33 ], [ 34, 38 ], [ 39, 41 ], [ 42, 45 ], [ 46, 54 ], [ 55, 60 ], [ 60, 61 ], [ 62, 64 ], [ 65, 70 ], [ 71, 74 ], [ 75, 85 ], [ 86, 89 ], [ 90, 99 ], [ 100, 108 ], [ 108, 109 ], [ 110, 117 ], [ 118, 121 ], [ 122, 132 ], [ 133, 144 ], [ 145, 150 ], [ 150, 151 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 3, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0 ]
It measured ten cm in length and had prominent serosal vessels.	[ "It", "measured", "ten", "cm", "in", "length", "and", "had", "prominent", "serosal", "vessels", "." ]	[ [ 0, 2 ], [ 3, 11 ], [ 12, 15 ], [ 16, 18 ], [ 19, 21 ], [ 22, 28 ], [ 29, 32 ], [ 33, 36 ], [ 37, 46 ], [ 47, 54 ], [ 55, 62 ], [ 62, 63 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 5, 10, 0, 0, 0, 0, 3, 8, 8, 0 ]
Adjacent mesentery was thickened.	[ "Adjacent", "mesentery", "was", "thickened", "." ]	[ [ 0, 8 ], [ 9, 18 ], [ 19, 22 ], [ 23, 32 ], [ 32, 33 ] ]	[ 0, 1, 0, 0, 0 ]	[ "CUI_LESS", "C0266235", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 3, 0, 1, 0 ]
No further anatomic anomaly was identified.	[ "No", "further", "anatomic", "anomaly", "was", "identified", "." ]	[ [ 0, 2 ], [ 3, 10 ], [ 11, 19 ], [ 20, 27 ], [ 28, 31 ], [ 32, 42 ], [ 42, 43 ] ]	[ 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 1, 0 ]
A resection of the dilatated portion was performed, followed by end-to-end jejunal anastomosis using Vicryl 3/0 in separate stitches.	[ "A", "resection", "of", "the", "dilatated", "portion", "was", "performed", ",", "followed", "by", "end", "to", "end", "jejunal", "anastomosis", "using", "Vicryl", "3/0", "in", "separate", "stitches", "." ]	[ [ 0, 1 ], [ 2, 11 ], [ 12, 14 ], [ 15, 18 ], [ 19, 28 ], [ 29, 36 ], [ 37, 40 ], [ 41, 50 ], [ 50, 51 ], [ 52, 60 ], [ 61, 63 ], [ 64, 67 ], [ 68, 70 ], [ 71, 74 ], [ 75, 82 ], [ 83, 94 ], [ 95, 100 ], [ 101, 107 ], [ 108, 111 ], [ 112, 114 ], [ 115, 123 ], [ 124, 132 ], [ 132, 133 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]
Follow-up and outcomes: microscopic examination revealed a lymphocytic infiltration of both layers of the muscularis propria.	[ "Follow", "up", "and", "outcomes", ":", "microscopic", "examination", "revealed", "a", "lymphocytic", "infiltration", "of", "both", "layers", "of", "the", "muscularis", "propria", "." ]	[ [ 0, 6 ], [ 7, 9 ], [ 10, 13 ], [ 14, 22 ], [ 22, 23 ], [ 24, 35 ], [ 36, 47 ], [ 48, 56 ], [ 57, 58 ], [ 59, 70 ], [ 71, 83 ], [ 84, 86 ], [ 87, 91 ], [ 92, 98 ], [ 99, 101 ], [ 102, 105 ], [ 106, 116 ], [ 117, 124 ], [ 124, 125 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1262091", "C1262091", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 6, 0, 1, 0, 0, 1, 1, 0, 0, 1, 0, 0, 0, 0, 3, 8, 8, 0 ]
The dense lymphocytic infiltration was mainly constituted of T lymphocytes CD3+/8+ (C and D) and some B lymphocytes CD20+.	[ "The", "dense", "lymphocytic", "infiltration", "was", "mainly", "constituted", "of", "T", "lymphocytes", "CD3+/8", "+", "(", "C", "and", "D", ")", "and", "some", "B", "lymphocytes", "CD20", "+", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 21 ], [ 22, 34 ], [ 35, 38 ], [ 39, 45 ], [ 46, 57 ], [ 58, 60 ], [ 61, 62 ], [ 63, 74 ], [ 75, 81 ], [ 81, 82 ], [ 83, 84 ], [ 84, 85 ], [ 86, 89 ], [ 90, 91 ], [ 91, 92 ], [ 93, 96 ], [ 97, 101 ], [ 102, 103 ], [ 104, 115 ], [ 116, 120 ], [ 120, 121 ], [ 121, 122 ] ]	[ 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "C1262091", "C1262091", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 0, 0, 3, 8, 8, 8, 0, 0, 0, 0, 0, 0, 3, 8, 8, 8, 8, 0 ]
Locally diminished actin coloration indicated atrophy of smooth muscle fibers.	[ "Locally", "diminished", "actin", "coloration", "indicated", "atrophy", "of", "smooth", "muscle", "fibers", "." ]	[ [ 0, 7 ], [ 8, 18 ], [ 19, 24 ], [ 25, 35 ], [ 36, 45 ], [ 46, 53 ], [ 54, 56 ], [ 57, 63 ], [ 64, 70 ], [ 71, 77 ], [ 77, 78 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 2, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0333751", "C0333751", "C0333751", "C0333751", "C0333751", "CUI_LESS" ]	[ 0, 0, 0, 1, 1, 1, 0, 3, 8, 8, 0 ]
Nerve fibers and ganglion cells of myenteric and submucosal plexuses were intact with focalized absence of NK CD56+ cells around lymphocytic infiltration.	[ "Nerve", "fibers", "and", "ganglion", "cells", "of", "myenteric", "and", "submucosal", "plexuses", "were", "intact", "with", "focalized", "absence", "of", "NK", "CD56", "+", "cells", "around", "lymphocytic", "infiltration", "." ]	[ [ 0, 5 ], [ 6, 12 ], [ 13, 16 ], [ 17, 25 ], [ 26, 31 ], [ 32, 34 ], [ 35, 44 ], [ 45, 48 ], [ 49, 59 ], [ 60, 68 ], [ 69, 73 ], [ 74, 80 ], [ 81, 85 ], [ 86, 95 ], [ 96, 103 ], [ 104, 106 ], [ 107, 109 ], [ 110, 114 ], [ 114, 115 ], [ 116, 121 ], [ 122, 128 ], [ 129, 140 ], [ 141, 153 ], [ 153, 154 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1262091", "C1262091", "CUI_LESS" ]	[ 3, 8, 0, 3, 8, 0, 0, 0, 3, 8, 0, 1, 0, 0, 0, 0, 3, 8, 8, 8, 0, 0, 0, 0 ]
No ectopic tissue was identified.	[ "No", "ectopic", "tissue", "was", "identified", "." ]	[ [ 0, 2 ], [ 3, 10 ], [ 11, 17 ], [ 18, 21 ], [ 22, 32 ], [ 32, 33 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 1, 0 ]
The postoperative period was uneventful.	[ "The", "postoperative", "period", "was", "uneventful", "." ]	[ [ 0, 3 ], [ 4, 17 ], [ 18, 24 ], [ 25, 28 ], [ 29, 39 ], [ 39, 40 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 4, 0, 0, 1, 0 ]
The patient was on parenteral nutrition until day seven postoperatively.	[ "The", "patient", "was", "on", "parenteral", "nutrition", "until", "day", "seven", "postoperatively", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 18 ], [ 19, 29 ], [ 30, 39 ], [ 40, 45 ], [ 46, 49 ], [ 50, 55 ], [ 56, 71 ], [ 71, 72 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 0, 0, 1, 0, 4, 9, 4, 0 ]
She was discharged on day ten and after three months of monthly follow-up, colicky abdominal pain and chronic constipation had disappeared since the early postoperative days.	[ "She", "was", "discharged", "on", "day", "ten", "and", "after", "three", "months", "of", "monthly", "follow", "up", ",", "colicky", "abdominal", "pain", "and", "chronic", "constipation", "had", "disappeared", "since", "the", "early", "postoperative", "days", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 18 ], [ 19, 21 ], [ 22, 25 ], [ 26, 29 ], [ 30, 33 ], [ 34, 39 ], [ 40, 45 ], [ 46, 52 ], [ 53, 55 ], [ 56, 63 ], [ 64, 70 ], [ 71, 73 ], [ 73, 74 ], [ 75, 82 ], [ 83, 92 ], [ 93, 97 ], [ 98, 101 ], [ 102, 109 ], [ 110, 122 ], [ 123, 126 ], [ 127, 138 ], [ 139, 144 ], [ 145, 148 ], [ 149, 154 ], [ 155, 168 ], [ 169, 173 ], [ 173, 174 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3888418", "C3888418", "C3888418", "CUI_LESS", "C0401149", "C0401149", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 4, 9, 0, 0, 4, 9, 0, 4, 1, 6, 0, 0, 0, 1, 0, 0, 1, 0, 1, 0, 4, 9, 9, 9, 0 ]
For the future, the follow-up will be done on a three months basis for a year and then, twice yearly.	[ "For", "the", "future", ",", "the", "follow", "up", "will", "be", "done", "on", "a", "three", "months", "basis", "for", "a", "year", "and", "then", ",", "twice", "yearly", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 14 ], [ 14, 15 ], [ 16, 19 ], [ 20, 26 ], [ 27, 29 ], [ 30, 34 ], [ 35, 37 ], [ 38, 42 ], [ 43, 45 ], [ 46, 47 ], [ 48, 53 ], [ 54, 60 ], [ 61, 66 ], [ 67, 70 ], [ 71, 72 ], [ 73, 77 ], [ 78, 81 ], [ 82, 86 ], [ 86, 87 ], [ 88, 93 ], [ 94, 100 ], [ 100, 101 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 1, 6, 0, 0, 0, 0, 4, 9, 9, 9, 0, 4, 9, 0, 0, 0, 4, 9, 0 ]
Here we report a case of aggressive metastatic cholangiocarcinoma (MCC) in 72-year-old man, sequentially treated with two targeted chemotherapies.	[ "Here", "we", "report", "a", "case", "of", "aggressive", "metastatic", "cholangiocarcinoma", "(", "MCC", ")", "in", "72", "year", "old", "man", ",", "sequentially", "treated", "with", "two", "targeted", "chemotherapies", "." ]	[ [ 0, 4 ], [ 5, 7 ], [ 8, 14 ], [ 15, 16 ], [ 17, 21 ], [ 22, 24 ], [ 25, 35 ], [ 36, 46 ], [ 47, 65 ], [ 66, 67 ], [ 67, 70 ], [ 70, 71 ], [ 72, 74 ], [ 75, 77 ], [ 78, 82 ], [ 83, 86 ], [ 87, 90 ], [ 90, 91 ], [ 92, 104 ], [ 105, 112 ], [ 113, 117 ], [ 118, 121 ], [ 122, 130 ], [ 131, 145 ], [ 145, 146 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4087471", "C4087471", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 2, 1, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 2, 7, 7, 7, 0, 0, 1, 0, 0, 0, 1, 0 ]
Initially disease quickly progressed during best clinical practice care (gemcitabine in combination with cisplatin or capecitabine), which was accompanied by significant decrease of life quality.	[ "Initially", "disease", "quickly", "progressed", "during", "best", "clinical", "practice", "care", "(", "gemcitabine", "in", "combination", "with", "cisplatin", "or", "capecitabine", ")", ",", "which", "was", "accompanied", "by", "significant", "decrease", "of", "life", "quality", "." ]	[ [ 0, 9 ], [ 10, 17 ], [ 18, 25 ], [ 26, 36 ], [ 37, 43 ], [ 44, 48 ], [ 49, 57 ], [ 58, 66 ], [ 67, 71 ], [ 72, 73 ], [ 73, 84 ], [ 85, 87 ], [ 88, 99 ], [ 100, 104 ], [ 105, 114 ], [ 115, 117 ], [ 118, 130 ], [ 130, 131 ], [ 131, 132 ], [ 133, 138 ], [ 139, 142 ], [ 143, 154 ], [ 155, 157 ], [ 158, 169 ], [ 170, 178 ], [ 179, 181 ], [ 182, 186 ], [ 187, 194 ], [ 194, 195 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0 ]
Monotherapy with TKI sorafenib was prescribed to the patient, which resulted in stabilization of tumor growth and elimination of pain.	[ "Monotherapy", "with", "TKI", "sorafenib", "was", "prescribed", "to", "the", "patient", ",", "which", "resulted", "in", "stabilization", "of", "tumor", "growth", "and", "elimination", "of", "pain", "." ]	[ [ 0, 11 ], [ 12, 16 ], [ 17, 20 ], [ 21, 30 ], [ 31, 34 ], [ 35, 45 ], [ 46, 48 ], [ 49, 52 ], [ 53, 60 ], [ 60, 61 ], [ 62, 67 ], [ 68, 76 ], [ 77, 79 ], [ 80, 93 ], [ 94, 96 ], [ 97, 102 ], [ 103, 109 ], [ 110, 113 ], [ 114, 125 ], [ 126, 128 ], [ 129, 133 ], [ 133, 134 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0030193", "CUI_LESS" ]	[ 1, 0, 0, 0, 0, 1, 0, 2, 7, 0, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0 ]
The choice of the inhibitor was made based on high-throughput screening of gene expression in the patient's tumor biopsy, utilized by Oncobox platform to build a personalized rating of potentially effective target therapies.	[ "The", "choice", "of", "the", "inhibitor", "was", "made", "based", "on", "high", "throughput", "screening", "of", "gene", "expression", "in", "the", "patient", "'s", "tumor", "biopsy", ",", "utilized", "by", "Oncobox", "platform", "to", "build", "a", "personalized", "rating", "of", "potentially", "effective", "target", "therapies", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 13 ], [ 14, 17 ], [ 18, 27 ], [ 28, 31 ], [ 32, 36 ], [ 37, 42 ], [ 43, 45 ], [ 46, 50 ], [ 51, 61 ], [ 62, 71 ], [ 72, 74 ], [ 75, 79 ], [ 80, 90 ], [ 91, 93 ], [ 94, 97 ], [ 98, 105 ], [ 105, 107 ], [ 108, 113 ], [ 114, 120 ], [ 120, 121 ], [ 122, 130 ], [ 131, 133 ], [ 134, 141 ], [ 142, 150 ], [ 151, 153 ], [ 154, 159 ], [ 160, 161 ], [ 162, 174 ], [ 175, 181 ], [ 182, 184 ], [ 185, 196 ], [ 197, 206 ], [ 207, 213 ], [ 214, 223 ], [ 223, 224 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 2, 7, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]
However, time to progression after start of sorafenib administration did not exceed 6 months and the regimen was changed to monotherapy with Pazopanib, another TKI predicted to be effective for this patient according to the same molecular test.	[ "However", ",", "time", "to", "progression", "after", "start", "of", "sorafenib", "administration", "did", "not", "exceed", "6", "months", "and", "the", "regimen", "was", "changed", "to", "monotherapy", "with", "Pazopanib", ",", "another", "TKI", "predicted", "to", "be", "effective", "for", "this", "patient", "according", "to", "the", "same", "molecular", "test", "." ]	[ [ 0, 7 ], [ 7, 8 ], [ 9, 13 ], [ 14, 16 ], [ 17, 28 ], [ 29, 34 ], [ 35, 40 ], [ 41, 43 ], [ 44, 53 ], [ 54, 68 ], [ 69, 72 ], [ 73, 76 ], [ 77, 83 ], [ 84, 85 ], [ 86, 92 ], [ 93, 96 ], [ 97, 100 ], [ 101, 108 ], [ 109, 112 ], [ 113, 120 ], [ 121, 123 ], [ 124, 135 ], [ 136, 140 ], [ 141, 150 ], [ 150, 151 ], [ 152, 159 ], [ 160, 163 ], [ 164, 173 ], [ 174, 176 ], [ 177, 179 ], [ 180, 189 ], [ 190, 193 ], [ 194, 198 ], [ 199, 206 ], [ 207, 216 ], [ 217, 219 ], [ 220, 223 ], [ 224, 228 ], [ 229, 238 ], [ 239, 243 ], [ 243, 244 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 1, 0, 0, 1, 0, 0, 0, 4, 9, 0, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 2, 7, 0, 0, 0, 0, 0, 1, 0 ]
It resulted in disease progression according to RECIST with simultaneous elimination of sorafenib side effects such as rash and hand-foot syndrome.	[ "It", "resulted", "in", "disease", "progression", "according", "to", "RECIST", "with", "simultaneous", "elimination", "of", "sorafenib", "side", "effects", "such", "as", "rash", "and", "hand", "foot", "syndrome", "." ]	[ [ 0, 2 ], [ 3, 11 ], [ 12, 14 ], [ 15, 22 ], [ 23, 34 ], [ 35, 44 ], [ 45, 47 ], [ 48, 54 ], [ 55, 59 ], [ 60, 72 ], [ 73, 84 ], [ 85, 87 ], [ 88, 97 ], [ 98, 102 ], [ 103, 110 ], [ 111, 115 ], [ 116, 118 ], [ 119, 123 ], [ 124, 127 ], [ 128, 132 ], [ 133, 137 ], [ 138, 146 ], [ 146, 147 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0015230", "CUI_LESS", "C0549410", "C0549410", "C0549410", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
After 2 years from the diagnosis of MCC the patient was alive and physically active, which is substantially longer than median survival for standard therapy.	[ "After", "2", "years", "from", "the", "diagnosis", "of", "MCC", "the", "patient", "was", "alive", "and", "physically", "active", ",", "which", "is", "substantially", "longer", "than", "median", "survival", "for", "standard", "therapy", "." ]	[ [ 0, 5 ], [ 6, 7 ], [ 8, 13 ], [ 14, 18 ], [ 19, 22 ], [ 23, 32 ], [ 33, 35 ], [ 36, 39 ], [ 40, 43 ], [ 44, 51 ], [ 52, 55 ], [ 56, 61 ], [ 62, 65 ], [ 66, 76 ], [ 77, 83 ], [ 83, 84 ], [ 85, 90 ], [ 91, 93 ], [ 94, 107 ], [ 108, 114 ], [ 115, 119 ], [ 120, 126 ], [ 127, 135 ], [ 136, 139 ], [ 140, 148 ], [ 149, 156 ], [ 156, 157 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4087471", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 4, 9, 0, 0, 0, 0, 1, 2, 7, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
A 50-years-old woman, hypertensive, hospitalized for a large cervical mass appeared 30 years ago.	[ "A", "50", "years", "old", "woman", ",", "hypertensive", ",", "hospitalized", "for", "a", "large", "cervical", "mass", "appeared", "30", "years", "ago", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 10 ], [ 11, 14 ], [ 15, 20 ], [ 20, 21 ], [ 22, 34 ], [ 34, 35 ], [ 36, 48 ], [ 49, 52 ], [ 53, 54 ], [ 55, 60 ], [ 61, 69 ], [ 70, 74 ], [ 75, 83 ], [ 84, 86 ], [ 87, 92 ], [ 93, 96 ], [ 96, 97 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0020538", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0149736", "C0149736", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 0, 1, 0, 1, 0, 0, 3, 8, 8, 0, 4, 9, 0, 0 ]
In the family history, her mother, sisters and cousins underwent a surgery for MNG.	[ "In", "the", "family", "history", ",", "her", "mother", ",", "sisters", "and", "cousins", "underwent", "a", "surgery", "for", "MNG", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 13 ], [ 14, 21 ], [ 21, 22 ], [ 23, 26 ], [ 27, 33 ], [ 33, 34 ], [ 35, 42 ], [ 43, 46 ], [ 47, 54 ], [ 55, 64 ], [ 65, 66 ], [ 67, 74 ], [ 75, 78 ], [ 79, 82 ], [ 82, 83 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", null, "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 2, 7, 0, 2, 0, 2, 0, 0, 1, 0, 1, 0 ]
Despite of the large volume of the mass, the patient never described signs of cervical compression whatsoever respiratory, digestive, laryngeal, vascular or neurologic signs.	[ "Despite", "of", "the", "large", "volume", "of", "the", "mass", ",", "the", "patient", "never", "described", "signs", "of", "cervical", "compression", "whatsoever", "respiratory", ",", "digestive", ",", "laryngeal", ",", "vascular", "or", "neurologic", "signs", "." ]	[ [ 0, 7 ], [ 8, 10 ], [ 11, 14 ], [ 15, 20 ], [ 21, 27 ], [ 28, 30 ], [ 31, 34 ], [ 35, 39 ], [ 39, 40 ], [ 41, 44 ], [ 45, 52 ], [ 53, 58 ], [ 59, 68 ], [ 69, 74 ], [ 75, 77 ], [ 78, 86 ], [ 87, 98 ], [ 99, 109 ], [ 110, 121 ], [ 121, 122 ], [ 123, 132 ], [ 132, 133 ], [ 134, 143 ], [ 143, 144 ], [ 145, 153 ], [ 154, 156 ], [ 157, 167 ], [ 168, 173 ], [ 173, 174 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 1, 2, 1, 2, 1, 2, 1, 2, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0149736", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0521672", "C0521672", "CUI_LESS", "C0037090", "C0037090", "C0037089", "C0037089", "C0437712", "C0437712", "C0425654", "C0425654", "C0751378", "C0751378", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 3, 8, 0, 2, 7, 0, 1, 0, 0, 0, 1, 0, 0, 0, 1, 0, 1, 0, 1, 0, 0, 1, 0 ]
She never suffered from thyroid dysfunction.	[ "She", "never", "suffered", "from", "thyroid", "dysfunction", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 18 ], [ 19, 23 ], [ 24, 31 ], [ 32, 43 ], [ 43, 44 ] ]	[ 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0348024", "C0348024", "CUI_LESS" ]	[ 2, 0, 1, 0, 0, 1, 0 ]
Her neck was deformed by the voluminous formation classified grade III according to the WHO modified classification.	[ "Her", "neck", "was", "deformed", "by", "the", "voluminous", "formation", "classified", "grade", "III", "according", "to", "the", "WHO", "modified", "classification", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 12 ], [ 13, 21 ], [ 22, 24 ], [ 25, 28 ], [ 29, 39 ], [ 40, 49 ], [ 50, 60 ], [ 61, 66 ], [ 67, 70 ], [ 71, 80 ], [ 81, 83 ], [ 84, 87 ], [ 88, 91 ], [ 92, 100 ], [ 101, 115 ], [ 115, 116 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 3, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
The mass took the front and the two sides of the neck.	[ "The", "mass", "took", "the", "front", "and", "the", "two", "sides", "of", "the", "neck", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 13 ], [ 14, 17 ], [ 18, 23 ], [ 24, 27 ], [ 28, 31 ], [ 32, 35 ], [ 36, 41 ], [ 42, 44 ], [ 45, 48 ], [ 49, 53 ], [ 53, 54 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0149736", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 3, 8, 0, 3, 8, 8, 8, 8, 8, 0 ]
Its surface was embossed and covered by a thin normal skin.	[ "Its", "surface", "was", "embossed", "and", "covered", "by", "a", "thin", "normal", "skin", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 24 ], [ 25, 28 ], [ 29, 36 ], [ 37, 39 ], [ 40, 41 ], [ 42, 46 ], [ 47, 53 ], [ 54, 58 ], [ 58, 59 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 1, 0, 3, 8, 8, 8, 0 ]
There were some veins of the collateral circulation limited to the neck.	[ "There", "were", "some", "veins", "of", "the", "collateral", "circulation", "limited", "to", "the", "neck", "." ]	[ [ 0, 5 ], [ 6, 10 ], [ 11, 15 ], [ 16, 21 ], [ 22, 24 ], [ 25, 28 ], [ 29, 39 ], [ 40, 51 ], [ 52, 59 ], [ 60, 62 ], [ 63, 66 ], [ 67, 71 ], [ 71, 72 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 3, 8, 8, 8, 8, 0, 0, 3, 8, 0 ]
The goiter measured 18 x 11 cm.	[ "The", "goiter", "measured", "18", "x", "11", "cm", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 19 ], [ 20, 22 ], [ 23, 24 ], [ 25, 27 ], [ 28, 30 ], [ 30, 31 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 1, 5, 10, 10, 10, 0 ]
The mass was firm, painless, and mobile with the swallowing movements.	[ "The", "mass", "was", "firm", ",", "painless", ",", "and", "mobile", "with", "the", "swallowing", "movements", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 12 ], [ 13, 17 ], [ 17, 18 ], [ 19, 27 ], [ 27, 28 ], [ 29, 32 ], [ 33, 39 ], [ 40, 44 ], [ 45, 48 ], [ 49, 59 ], [ 60, 69 ], [ 69, 70 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0149736", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Lymphadenopathy research was difficult and found no palpable lymph nodes.	[ "Lymphadenopathy", "research", "was", "difficult", "and", "found", "no", "palpable", "lymph", "nodes", "." ]	[ [ 0, 15 ], [ 16, 24 ], [ 25, 28 ], [ 29, 38 ], [ 39, 42 ], [ 43, 48 ], [ 49, 51 ], [ 52, 60 ], [ 61, 66 ], [ 67, 72 ], [ 72, 73 ] ]	[ 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "C1334458", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
The laboratory tests (T 3, T 4 and TSH) were normal.	[ "The", "laboratory", "tests", "(", "T", "3", ",", "T", "4", "and", "TSH", ")", "were", "normal", "." ]	[ [ 0, 3 ], [ 4, 14 ], [ 15, 20 ], [ 21, 22 ], [ 22, 23 ], [ 24, 25 ], [ 25, 26 ], [ 27, 28 ], [ 29, 30 ], [ 31, 34 ], [ 35, 38 ], [ 38, 39 ], [ 40, 44 ], [ 45, 51 ], [ 51, 52 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Thoracic radiography showed a large cervical opacity roughly round and strewn with microcalcifications associated with a right eccentricity of the trachea.	[ "Thoracic", "radiography", "showed", "a", "large", "cervical", "opacity", "roughly", "round", "and", "strewn", "with", "microcalcifications", "associated", "with", "a", "right", "eccentricity", "of", "the", "trachea", "." ]	[ [ 0, 8 ], [ 9, 20 ], [ 21, 27 ], [ 28, 29 ], [ 30, 35 ], [ 36, 44 ], [ 45, 52 ], [ 53, 60 ], [ 61, 66 ], [ 67, 70 ], [ 71, 77 ], [ 78, 82 ], [ 83, 102 ], [ 103, 113 ], [ 114, 118 ], [ 119, 120 ], [ 121, 126 ], [ 127, 139 ], [ 140, 142 ], [ 143, 146 ], [ 147, 154 ], [ 154, 155 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0521174", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 0, 0, 3, 8, 8, 8, 8, 8, 0, 0, 0, 0, 0, 0, 1, 0, 0, 3, 0 ]
Cervical and chest CT revealed the presence of a partially calcified thyroid mass slightly plunging in the anterior mediastinum.	[ "Cervical", "and", "chest", "CT", "revealed", "the", "presence", "of", "a", "partially", "calcified", "thyroid", "mass", "slightly", "plunging", "in", "the", "anterior", "mediastinum", "." ]	[ [ 0, 8 ], [ 9, 12 ], [ 13, 18 ], [ 19, 21 ], [ 22, 30 ], [ 31, 34 ], [ 35, 43 ], [ 44, 46 ], [ 47, 48 ], [ 49, 58 ], [ 59, 68 ], [ 69, 76 ], [ 77, 81 ], [ 82, 90 ], [ 91, 99 ], [ 100, 102 ], [ 103, 106 ], [ 107, 115 ], [ 116, 127 ], [ 127, 128 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0349453", "C0349453", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 1, 0, 1, 0, 0, 0, 3, 8, 8, 0, 0, 0, 3, 8, 8, 0 ]
It took heterogeneously the contrast and then evocate a large MNG.	[ "It", "took", "heterogeneously", "the", "contrast", "and", "then", "evocate", "a", "large", "MNG", "." ]	[ [ 0, 2 ], [ 3, 7 ], [ 8, 23 ], [ 24, 27 ], [ 28, 36 ], [ 37, 40 ], [ 41, 45 ], [ 46, 53 ], [ 54, 55 ], [ 56, 61 ], [ 62, 65 ], [ 65, 66 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", null, "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
The trachea was surrounded by the goiter, slightly narrowed and right deviated as well as the lower part of the larynx.	[ "The", "trachea", "was", "surrounded", "by", "the", "goiter", ",", "slightly", "narrowed", "and", "right", "deviated", "as", "well", "as", "the", "lower", "part", "of", "the", "larynx", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 26 ], [ 27, 29 ], [ 30, 33 ], [ 34, 40 ], [ 40, 41 ], [ 42, 50 ], [ 51, 59 ], [ 60, 63 ], [ 64, 69 ], [ 70, 78 ], [ 79, 81 ], [ 82, 86 ], [ 87, 89 ], [ 90, 93 ], [ 94, 99 ], [ 100, 104 ], [ 105, 107 ], [ 108, 111 ], [ 112, 118 ], [ 118, 119 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 1, 0, 3, 8, 0, 0, 0, 0, 0, 1, 0, 0, 0, 3, 8, 8, 8, 8, 8, 0 ]
The right and left vascular axes of the neck (carotid artery and jugular vein) were deviated backward.	[ "The", "right", "and", "left", "vascular", "axes", "of", "the", "neck", "(", "carotid", "artery", "and", "jugular", "vein", ")", "were", "deviated", "backward", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 13 ], [ 14, 18 ], [ 19, 27 ], [ 28, 32 ], [ 33, 35 ], [ 36, 39 ], [ 40, 44 ], [ 45, 46 ], [ 46, 53 ], [ 54, 60 ], [ 61, 64 ], [ 65, 72 ], [ 73, 77 ], [ 77, 78 ], [ 79, 83 ], [ 84, 92 ], [ 93, 101 ], [ 101, 102 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 8, 8, 8, 8, 8, 0, 3, 8, 8, 8, 8, 0, 0, 1, 0, 0 ]
The patient underwent a surgery for her enormous MNG slightly plunging in the mediastinum.	[ "The", "patient", "underwent", "a", "surgery", "for", "her", "enormous", "MNG", "slightly", "plunging", "in", "the", "mediastinum", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 21 ], [ 22, 23 ], [ 24, 31 ], [ 32, 35 ], [ 36, 39 ], [ 40, 48 ], [ 49, 52 ], [ 53, 61 ], [ 62, 70 ], [ 71, 73 ], [ 74, 77 ], [ 78, 89 ], [ 89, 90 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", null, "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 3, 8, 0 ]
Endotracheal intubation was relatively easy by the laryngoscope.	[ "Endotracheal", "intubation", "was", "relatively", "easy", "by", "the", "laryngoscope", "." ]	[ [ 0, 12 ], [ 13, 23 ], [ 24, 27 ], [ 28, 38 ], [ 39, 43 ], [ 44, 46 ], [ 47, 50 ], [ 51, 63 ], [ 63, 64 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0 ]
The incision performed was a Kocher cervicotomy.	[ "The", "incision", "performed", "was", "a", "Kocher", "cervicotomy", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 22 ], [ 23, 26 ], [ 27, 28 ], [ 29, 35 ], [ 36, 47 ], [ 47, 48 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 0 ]
There was a multinodular, hypervascularized goiter.	[ "There", "was", "a", "multinodular", ",", "hypervascularized", "goiter", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 11 ], [ 12, 24 ], [ 24, 25 ], [ 26, 43 ], [ 44, 50 ], [ 50, 51 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 3, 0 ]
Its lower end plunges behind the sternal manubrium.	[ "Its", "lower", "end", "plunges", "behind", "the", "sternal", "manubrium", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 13 ], [ 14, 21 ], [ 22, 28 ], [ 29, 32 ], [ 33, 40 ], [ 41, 50 ], [ 50, 51 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
The larynx was deviated towards the right side.	[ "The", "larynx", "was", "deviated", "towards", "the", "right", "side", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 14 ], [ 15, 23 ], [ 24, 31 ], [ 32, 35 ], [ 36, 41 ], [ 42, 46 ], [ 46, 47 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 1, 0, 3, 8, 8, 0 ]
The total thyroidectomy was performed in two steps: initially a right lobo-isthmectomy, then the left lobectomy.	[ "The", "total", "thyroidectomy", "was", "performed", "in", "two", "steps", ":", "initially", "a", "right", "lobo", "isthmectomy", ",", "then", "the", "left", "lobectomy", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 23 ], [ 24, 27 ], [ 28, 37 ], [ 38, 40 ], [ 41, 44 ], [ 45, 50 ], [ 50, 51 ], [ 52, 61 ], [ 62, 63 ], [ 64, 69 ], [ 70, 74 ], [ 75, 86 ], [ 86, 87 ], [ 88, 92 ], [ 93, 96 ], [ 97, 101 ], [ 102, 111 ], [ 111, 112 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 6, 0, 0, 0, 0, 1, 0 ]
The retrosternal part of the goiter was released using the finger by the same incision.	[ "The", "retrosternal", "part", "of", "the", "goiter", "was", "released", "using", "the", "finger", "by", "the", "same", "incision", "." ]	[ [ 0, 3 ], [ 4, 16 ], [ 17, 21 ], [ 22, 24 ], [ 25, 28 ], [ 29, 35 ], [ 36, 39 ], [ 40, 48 ], [ 49, 54 ], [ 55, 58 ], [ 59, 65 ], [ 66, 68 ], [ 69, 72 ], [ 73, 77 ], [ 78, 86 ], [ 86, 87 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 8, 8, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]
Both recurrent laryngeal nerves (RLN) were not identified because of the hemorrhage.	[ "Both", "recurrent", "laryngeal", "nerves", "(", "RLN", ")", "were", "not", "identified", "because", "of", "the", "hemorrhage", "." ]	[ [ 0, 4 ], [ 5, 14 ], [ 15, 24 ], [ 25, 31 ], [ 32, 33 ], [ 33, 36 ], [ 36, 37 ], [ 38, 42 ], [ 43, 46 ], [ 47, 57 ], [ 58, 65 ], [ 66, 68 ], [ 69, 72 ], [ 73, 83 ], [ 83, 84 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0019080", "CUI_LESS" ]	[ 3, 8, 8, 8, 0, 3, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
One parathyroid gland was accidently devascularized and was autotransplanted to the ipsilateral sternocleidomastoid muscle.	[ "One", "parathyroid", "gland", "was", "accidently", "devascularized", "and", "was", "autotransplanted", "to", "the", "ipsilateral", "sternocleidomastoid", "muscle", "." ]	[ [ 0, 3 ], [ 4, 15 ], [ 16, 21 ], [ 22, 25 ], [ 26, 36 ], [ 37, 51 ], [ 52, 55 ], [ 56, 59 ], [ 60, 76 ], [ 77, 79 ], [ 80, 83 ], [ 84, 95 ], [ 96, 115 ], [ 116, 122 ], [ 122, 123 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 3, 8, 0, 0, 1, 0, 0, 1, 0, 3, 8, 8, 8, 0 ]
The operation was finished by double aspiration drainage.	[ "The", "operation", "was", "finished", "by", "double", "aspiration", "drainage", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 17 ], [ 18, 26 ], [ 27, 29 ], [ 30, 36 ], [ 37, 47 ], [ 48, 56 ], [ 56, 57 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 1, 0, 0, 0, 0, 0 ]
In the first hours after surgery, the patient developed a large cervical hematoma.	[ "In", "the", "first", "hours", "after", "surgery", ",", "the", "patient", "developed", "a", "large", "cervical", "hematoma", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 12 ], [ 13, 18 ], [ 19, 24 ], [ 25, 32 ], [ 32, 33 ], [ 34, 37 ], [ 38, 45 ], [ 46, 55 ], [ 56, 57 ], [ 58, 63 ], [ 64, 72 ], [ 73, 81 ], [ 81, 82 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0018944", "CUI_LESS" ]	[ 4, 9, 9, 9, 9, 9, 0, 2, 7, 1, 0, 0, 0, 0, 0 ]
She was readmitted to the operating room, and after evacuation of the hematoma there was no vessels bleeding.	[ "She", "was", "readmitted", "to", "the", "operating", "room", ",", "and", "after", "evacuation", "of", "the", "hematoma", "there", "was", "no", "vessels", "bleeding", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 18 ], [ 19, 21 ], [ 22, 25 ], [ 26, 35 ], [ 36, 40 ], [ 40, 41 ], [ 42, 45 ], [ 46, 51 ], [ 52, 62 ], [ 63, 65 ], [ 66, 69 ], [ 70, 78 ], [ 79, 84 ], [ 85, 88 ], [ 89, 91 ], [ 92, 99 ], [ 100, 108 ], [ 108, 109 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0018944", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]

A 46-year-old man with hypertension and dyslipidemia diagnosed 4-months before, as well as new-onset diabetes mellitus unveiled 1-month earlier, was referred to emergency department for hypokalemia.

[ "A", "46", "year", "old", "man", "with", "hypertension", "and", "dyslipidemia", "diagnosed", "4", "months", "before", ",", "as", "well", "as", "new", "onset", "diabetes", "mellitus", "unveiled", "1", "month", "earlier", ",", "was", "referred", "to", "emergency", "department", "for", "hypokalemia", "." ]

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Hormonal study and dynamic biochemical tests performed indicated ECS.

[ "Hormonal", "study", "and", "dynamic", "biochemical", "tests", "performed", "indicated", "ECS", "." ]

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Imaging and cytological findings pointed toward a likely primary right parotid malignancy with liver metastases.

[ "Imaging", "and", "cytological", "findings", "pointed", "toward", "a", "likely", "primary", "right", "parotid", "malignancy", "with", "liver", "metastases", "." ]

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Somatostatin receptor scintigraphy has shown an increased uptake in the parotid gland and mild expression in liver metastasis.

[ "Somatostatin", "receptor", "scintigraphy", "has", "shown", "an", "increased", "uptake", "in", "the", "parotid", "gland", "and", "mild", "expression", "in", "liver", "metastasis", "." ]

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[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0494165", "C0494165", "CUI_LESS" ]

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The patient underwent right parotidectomy, and histopathologic examination confirmed ACC.

[ "The", "patient", "underwent", "right", "parotidectomy", ",", "and", "histopathologic", "examination", "confirmed", "ACC", "." ]

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Meanwhile, hypercortisolism was managed with metyrapone, ketoconazole, and lanreotide.

[ "Meanwhile", ",", "hypercortisolism", "was", "managed", "with", "metyrapone", ",", "ketoconazole", ",", "and", "lanreotide", "." ]

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Despite chemotherapy onset, a rapid disease progression and clinical course deterioration was observed.

[ "Despite", "chemotherapy", "onset", ",", "a", "rapid", "disease", "progression", "and", "clinical", "course", "deterioration", "was", "observed", "." ]

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We present a case of a 32-year-old woman with a history of gradual enlargement of the anterior neck.

[ "We", "present", "a", "case", "of", "a", "32", "year", "old", "woman", "with", "a", "history", "of", "gradual", "enlargement", "of", "the", "anterior", "neck", "." ]

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The medical history was unremarkable and no comorbidities existed.

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There was no history of radiation exposure.

[ "There", "was", "no", "history", "of", "radiation", "exposure", "." ]

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[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

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Clinical examination revealed a multinodular goiter.

[ "Clinical", "examination", "revealed", "a", "multinodular", "goiter", "." ]

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[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0342208", "C0342208", "CUI_LESS" ]

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Computed tomography showed a thyroid nodule of the left lobe extended to the isthmus and the right lobe with anterior and posterior capsular rupture contracting close contact with the vascular axis left carotid-jugular plunging into the cervicothoracic away from the hole aortic arch.

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There was no evidence of lung lesions.

[ "There", "was", "no", "evidence", "of", "lung", "lesions", "." ]

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The patient underwent a surgical exploration.

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[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

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There was a hard left lobe nodule of 5 cm infiltrating the adjacent muscles and partially infiltrates the trachea.

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The intraoperative consultation pathology diagnosis was: undifferentiated carcinoma.

[ "The", "intraoperative", "consultation", "pathology", "diagnosis", "was", ":", "undifferentiated", "carcinoma", "." ]

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A total thyroidectomy was realized.

[ "A", "total", "thyroidectomy", "was", "realized", "." ]

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[ 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

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Histological examination showed a proliferation of elongated spindle-shaped cells, arranged in interweaving fascicles of varying sizes, intersected at right angles.

[ "Histological", "examination", "showed", "a", "proliferation", "of", "elongated", "spindle", "shaped", "cells", ",", "arranged", "in", "interweaving", "fascicles", "of", "varying", "sizes", ",", "intersected", "at", "right", "angles", "." ]

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Tumor cells are atypical with strange nuclei.

[ "Tumor", "cells", "are", "atypical", "with", "strange", "nuclei", "." ]

[ [ 0, 5 ], [ 6, 11 ], [ 12, 15 ], [ 16, 24 ], [ 25, 29 ], [ 30, 37 ], [ 38, 44 ], [ 44, 45 ] ]

[ 1, 2, 0, 0, 0, 0, 0, 0 ]

[ "C0431085", "C0431085", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 3, 8, 0, 0, 0, 3, 8, 0 ]

Chromatin is distributed inhomogeneously.

[ "Chromatin", "is", "distributed", "inhomogeneously", "." ]

[ [ 0, 9 ], [ 10, 12 ], [ 13, 24 ], [ 25, 40 ], [ 40, 41 ] ]

[ 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 0, 0, 0, 0, 0 ]

The cytoplasmic membrane is irregular and thick.

[ "The", "cytoplasmic", "membrane", "is", "irregular", "and", "thick", "." ]

[ [ 0, 3 ], [ 4, 15 ], [ 16, 24 ], [ 25, 27 ], [ 28, 37 ], [ 38, 41 ], [ 42, 47 ], [ 47, 48 ] ]

[ 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 3, 8, 8, 0, 0, 0, 0, 0 ]

The nucleolus is very large.

[ "The", "nucleolus", "is", "very", "large", "." ]

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[ 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 3, 8, 0, 0, 0, 0 ]

The tumor realize a pushing against thyroid parenchyma which is separated with a fibrous capsule.

[ "The", "tumor", "realize", "a", "pushing", "against", "thyroid", "parenchyma", "which", "is", "separated", "with", "a", "fibrous", "capsule", "." ]

[ [ 0, 3 ], [ 4, 9 ], [ 10, 17 ], [ 18, 19 ], [ 20, 27 ], [ 28, 35 ], [ 36, 43 ], [ 44, 54 ], [ 55, 60 ], [ 61, 63 ], [ 64, 73 ], [ 74, 78 ], [ 79, 80 ], [ 81, 88 ], [ 89, 96 ], [ 96, 97 ] ]

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The mitotic rate was extremely high (19 mitosis/10 high power field), and atypical mitotic figures were also present.

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The neoplasia showed invasion of the peri-glandular fat tissue.

[ "The", "neoplasia", "showed", "invasion", "of", "the", "peri", "glandular", "fat", "tissue", "." ]

[ [ 0, 3 ], [ 4, 13 ], [ 14, 20 ], [ 21, 29 ], [ 30, 32 ], [ 33, 36 ], [ 37, 41 ], [ 42, 51 ], [ 52, 55 ], [ 56, 62 ], [ 62, 63 ] ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

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[ 0, 1, 1, 0, 0, 3, 8, 8, 8, 8, 0 ]

Immuno-histochemical staining of the slides with caldesmon, desmin, PanCK, CK5-6, CK7, myogenin, epithelial membrane antigen (EMA), CEA, thyroid transcription factor (TTF-1), pancytokeratin, smooth muscle actin (SMA), MelanA, S 100 protein, CD 45, CD3, CD30, CD 20, CD 15, CD34, ALK, calcitonin and KI 67 protein was performed.

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The tumour was strongly positive for caldesmon, SMA, desmin, and negative for pancytokeratin and other epithelial, lymphoid and melanocytic markers.

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On the basis of the clinical, radiographic, histopathological and immunohistochemical features, the final diagnosis was primary thyroid leiomyosarcoma, FNCLCC grade 3.

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In multidisciplinary tumour board, it was decided that adjuvant loco regional RT and chemotherapy by ifosfamide and doxorubicin.

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A 17 months girl have been consulted in our service for colicky abdominal pain often associated with constipation and loss of appetite, since she was six months old.

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Parents kept her at home until they remarked visible peristalsis on the abdominal wall, which lead them to consult our service.

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She was born from a full-term and uncomplicated pregnancy during which the mother had no prenatal ultrasound (US).

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Her neonatal period was unremarkable.

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Clinical findings: on physical examination, she was colored and active.

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Her vitals were within normal limits as well as her anthropometric parameters (weight: 10kg).

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Her abdomen had moderate distension and peristaltic waves were visible on the abdominal wall.

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Abdomen was soft on palpation and tympanic on percussion.

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The digital rectal examination was unremarkable.

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Symptomatic treatment was initiated with lactulose (five mL bid) and an antispasmodic, trimebutine (five mL bid).

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Timeline: our patient experienced first symptoms since August 2019.

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Parents brought her at our service only on 27 th July 2020 two days after they remarked visible peristalsis on her abdominal wall.

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The patient has been treated and discharged in August 2020 and pathology results were available 11 days later.

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Diagnostic assessment: blood results were within normal range.

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Abdominal X-ray showed distension of an intestinal loop in the left lumbar region.

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Abdominal US identified a misleading colonic dilatation containing heterogeny echoic substance, with no other additional features.

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Contrast enema was unremarkable.

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Due to financial constraints, upper gastro-intestinal (GI) series and abdominal computed tomography (CT) could not be performed.

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An exploratory laparotomy has been indicated with presumptive diagnosis of intestinal duplication.

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Therapeutic intervention: after the median laparotomy, a dilatated segment of the jejunum was identified at approximately ten cm from the Treitz's angle.

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Its diameter was fourfold greater than of the adjacent bowel, to which the dilatation was connected abruptly, without any identified obstructive cause.

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It measured ten cm in length and had prominent serosal vessels.

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Adjacent mesentery was thickened.

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No further anatomic anomaly was identified.

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A resection of the dilatated portion was performed, followed by end-to-end jejunal anastomosis using Vicryl 3/0 in separate stitches.

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Follow-up and outcomes: microscopic examination revealed a lymphocytic infiltration of both layers of the muscularis propria.

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The dense lymphocytic infiltration was mainly constituted of T lymphocytes CD3+/8+ (C and D) and some B lymphocytes CD20+.

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Locally diminished actin coloration indicated atrophy of smooth muscle fibers.

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Nerve fibers and ganglion cells of myenteric and submucosal plexuses were intact with focalized absence of NK CD56+ cells around lymphocytic infiltration.

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No ectopic tissue was identified.

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The postoperative period was uneventful.

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The patient was on parenteral nutrition until day seven postoperatively.

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She was discharged on day ten and after three months of monthly follow-up, colicky abdominal pain and chronic constipation had disappeared since the early postoperative days.

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For the future, the follow-up will be done on a three months basis for a year and then, twice yearly.

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Here we report a case of aggressive metastatic cholangiocarcinoma (MCC) in 72-year-old man, sequentially treated with two targeted chemotherapies.

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Initially disease quickly progressed during best clinical practice care (gemcitabine in combination with cisplatin or capecitabine), which was accompanied by significant decrease of life quality.

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Monotherapy with TKI sorafenib was prescribed to the patient, which resulted in stabilization of tumor growth and elimination of pain.

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The choice of the inhibitor was made based on high-throughput screening of gene expression in the patient's tumor biopsy, utilized by Oncobox platform to build a personalized rating of potentially effective target therapies.

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However, time to progression after start of sorafenib administration did not exceed 6 months and the regimen was changed to monotherapy with Pazopanib, another TKI predicted to be effective for this patient according to the same molecular test.

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It resulted in disease progression according to RECIST with simultaneous elimination of sorafenib side effects such as rash and hand-foot syndrome.

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After 2 years from the diagnosis of MCC the patient was alive and physically active, which is substantially longer than median survival for standard therapy.

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A 50-years-old woman, hypertensive, hospitalized for a large cervical mass appeared 30 years ago.

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In the family history, her mother, sisters and cousins underwent a surgery for MNG.

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Despite of the large volume of the mass, the patient never described signs of cervical compression whatsoever respiratory, digestive, laryngeal, vascular or neurologic signs.

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She never suffered from thyroid dysfunction.

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[ 2, 0, 1, 0, 0, 1, 0 ]

Her neck was deformed by the voluminous formation classified grade III according to the WHO modified classification.

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The mass took the front and the two sides of the neck.

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Its surface was embossed and covered by a thin normal skin.

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There were some veins of the collateral circulation limited to the neck.

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The goiter measured 18 x 11 cm.

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[ 3, 8, 1, 5, 10, 10, 10, 0 ]

The mass was firm, painless, and mobile with the swallowing movements.

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Lymphadenopathy research was difficult and found no palpable lymph nodes.

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The laboratory tests (T 3, T 4 and TSH) were normal.

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Thoracic radiography showed a large cervical opacity roughly round and strewn with microcalcifications associated with a right eccentricity of the trachea.

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Cervical and chest CT revealed the presence of a partially calcified thyroid mass slightly plunging in the anterior mediastinum.

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It took heterogeneously the contrast and then evocate a large MNG.

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[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

The trachea was surrounded by the goiter, slightly narrowed and right deviated as well as the lower part of the larynx.

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The right and left vascular axes of the neck (carotid artery and jugular vein) were deviated backward.

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[ 3, 8, 8, 8, 8, 8, 8, 8, 8, 0, 3, 8, 8, 8, 8, 0, 0, 1, 0, 0 ]

The patient underwent a surgery for her enormous MNG slightly plunging in the mediastinum.

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Endotracheal intubation was relatively easy by the laryngoscope.

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The incision performed was a Kocher cervicotomy.

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There was a multinodular, hypervascularized goiter.

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[ 0, 0, 0, 0, 0, 0, 3, 0 ]

Its lower end plunges behind the sternal manubrium.

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The larynx was deviated towards the right side.

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[ 3, 8, 0, 1, 0, 3, 8, 8, 0 ]

The total thyroidectomy was performed in two steps: initially a right lobo-isthmectomy, then the left lobectomy.

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The retrosternal part of the goiter was released using the finger by the same incision.

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[ 3, 8, 8, 8, 8, 8, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]

Both recurrent laryngeal nerves (RLN) were not identified because of the hemorrhage.

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[ 3, 8, 8, 8, 0, 3, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]

One parathyroid gland was accidently devascularized and was autotransplanted to the ipsilateral sternocleidomastoid muscle.

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The operation was finished by double aspiration drainage.

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[ 0, 1, 0, 1, 0, 0, 0, 0, 0 ]

In the first hours after surgery, the patient developed a large cervical hematoma.

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She was readmitted to the operating room, and after evacuation of the hematoma there was no vessels bleeding.

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