Downloads: 1
413 lines (412 with data), 14.7 kB
T1 Age 2 13 61-year-old T2 Sex 14 18 male T3 Clinical_event 23 31 referred E1 Clinical_event:T3 T4 Nonbiological_location 39 59 emergency department R1 MODIFY Arg1:T4 Arg2:E1 T5 Date 91 101 April 2010 E2 Date:T5 T6 Sign_symptom 161 172 black stool E3 Sign_symptom:T6 T7 Sign_symptom 123 142 loose bowel motions E4 Sign_symptom:T7 T8 History 203 246 insulin-dependent type II diabetes mellitus T9 History 248 260 hypertension T10 History 262 320 ischaemic heart disease with two previous ischaemic events T11 History 322 346 obstructive sleep apnoea T12 History 348 358 depression T13 History 360 373 schizophrenia T14 History 380 413 previous incisional hernia repair T15 Diagnostic_procedure 454 457 BMI E5 Diagnostic_procedure:T15 T16 Lab_value 458 460 45 R2 MODIFY Arg1:T16 Arg2:E5 T17 Disease_disorder 438 452 morbidly obese E6 Disease_disorder:T17 T18 Disease_disorder 491 503 hepatomegaly E7 Disease_disorder:T18 T19 Sign_symptom 545 556 weight loss E8 Sign_symptom:T19 A1 POLARITY E8 NEG T20 Sign_symptom 558 570 haematemesis E9 Sign_symptom:T20 A2 POLARITY E9 NEG T21 Sign_symptom 572 580 jaundice E10 Sign_symptom:T21 A3 POLARITY E10 NEG T22 Sign_symptom 594 598 pain E11 Sign_symptom:T22 A4 POLARITY E11 NEG T23 Biological_structure 584 593 abdominal R3 MODIFY Arg1:T23 Arg2:E11 T24 History 612 700 denied previous blood transfusions, usage of intravenous drugs and did not drink alcohol T25 Diagnostic_procedure 704 728 faecal occult blood test E12 Diagnostic_procedure:T25 T26 Lab_value 733 741 negative R4 MODIFY Arg1:T26 Arg2:E12 T27 Diagnostic_procedure 766 777 colonoscopy E13 Diagnostic_procedure:T27 T28 Date 778 791 2 years prior E14 Date:T28 T29 Lab_value 796 808 unremarkable R5 MODIFY Arg1:T29 Arg2:E13 T30 Clinical_event 817 825 referred E15 Clinical_event:T30 T31 Nonbiological_location 833 848 tertiary centre R6 MODIFY Arg1:T31 Arg2:E15 T32 Diagnostic_procedure 881 896 ultrasound scan E16 Diagnostic_procedure:T32 T33 Diagnostic_procedure 898 901 USS E17 Diagnostic_procedure:T33 R7 IDENTICAL Arg1:E17 Arg2:E16 T34 Sign_symptom 922 926 mass E18 Sign_symptom:T34 T35 Shape 916 921 ovoid R8 MODIFY Arg1:T35 Arg2:E18 T36 Biological_structure 966 971 liver R9 MODIFY Arg1:T36 Arg2:E18 T37 Detailed_description 930 948 mixed echogenicity R10 MODIFY Arg1:T37 Arg2:E18 T38 Area 983 992 12 × 9 cm R11 MODIFY Arg1:T38 Arg2:E18 T39 Diagnostic_procedure 996 1015 computed tomography E19 Diagnostic_procedure:T39 T40 Diagnostic_procedure 1017 1019 CT E20 Diagnostic_procedure:T40 R12 IDENTICAL Arg1:E20 Arg2:E19 T41 Sign_symptom 1072 1078 lesion E21 Sign_symptom:T41 T42 Biological_structure 1091 1101 segment IV R13 MODIFY Arg1:T42 Arg2:E21 T43 Detailed_description 1059 1071 pedunculated T44 Detailed_description 1038 1057 malignant appearing R14 MODIFY Arg1:T43 Arg2:E21 R15 MODIFY Arg1:T44 Arg2:E21 T45 Diagnostic_procedure 1124 1150 magnetic resonance imaging E22 Diagnostic_procedure:T45 T46 Diagnostic_procedure 1152 1155 MRI E23 Diagnostic_procedure:T46 R16 IDENTICAL Arg1:E23 Arg2:E22 T47 Diagnostic_procedure 1178 1194 weighted imaging E24 Diagnostic_procedure:T47 T48 Diagnostic_procedure 1196 1198 WI E25 Diagnostic_procedure:T48 T49 Detailed_description 1175 1177 T2 R17 MODIFY Arg1:T49 Arg2:E24 R18 IDENTICAL Arg1:E25 Arg2:E24 T50 Sign_symptom 1205 1211 lesion E26 Sign_symptom:T50 R19 SUB_PROCEDURE Arg1:E24 Arg2:E22 T51 Detailed_description 1216 1226 isointense R20 MODIFY Arg1:T51 Arg2:E26 T52 Biological_structure 1234 1239 liver R21 MODIFY Arg1:T52 Arg2:E26 T53 Detailed_description 1258 1292 central branching hyperintensities R22 MODIFY Arg1:T53 Arg2:E26 T54 Diagnostic_procedure 1352 1356 T1WI E27 Diagnostic_procedure:T54 T55 Sign_symptom 1328 1343 hypointensities E28 Sign_symptom:T55 R23 MODIFY Arg1:E28 Arg2:E27 T56 Sign_symptom 1386 1392 lesion E29 Sign_symptom:T56 T57 Detailed_description 1367 1378 Enhancement R24 MODIFY Arg1:T57 Arg2:E29 T58 Detailed_description 1406 1420 arterial phase T59 Detailed_description 1438 1457 portal venous phase T60 Detailed_description 1471 1479 at 2 min T61 Detailed_description 1500 1532 central areas of non-enhancement R25 MODIFY Arg1:T58 Arg2:E29 R26 MODIFY Arg1:T59 Arg2:E29 R27 MODIFY Arg1:T60 Arg2:E29 R28 MODIFY Arg1:T61 Arg2:E29 T62 Sign_symptom 1538 1544 lesion E30 Sign_symptom:T62 T63 Detailed_description 1553 1573 slightly hypointense T64 Detailed_description 1577 1591 delayed images T65 Biological_structure 1646 1651 liver R29 MODIFY Arg1:T65 Arg2:E30 R30 MODIFY Arg1:T63 Arg2:E30 R31 MODIFY Arg1:T64 Arg2:E30 T66 Detailed_description 1595 1597 10 T67 Detailed_description 1611 1617 20 min R32 MODIFY Arg1:T66 Arg2:T63 R33 MODIFY Arg1:T67 Arg2:T63 T68 Diagnostic_procedure 1653 1678 Laboratory investigations E31 Diagnostic_procedure:T68 T69 Diagnostic_procedure 1706 1735 gamma-glutamyl transpeptidase E32 Diagnostic_procedure:T69 T70 Lab_value 1690 1705 mildly elevated R34 MODIFY Arg1:T70 Arg2:E32 T71 Lab_value 1739 1747 137 IU/L R35 MODIFY Arg1:T71 Arg2:E32 T72 Diagnostic_procedure 1768 1784 Hepatitis screen E33 Diagnostic_procedure:T72 T73 Diagnostic_procedure 1786 1803 alpha-fetoprotein E34 Diagnostic_procedure:T73 T74 Diagnostic_procedure 1805 1829 carcinoembryonic antigen E35 Diagnostic_procedure:T74 T75 Diagnostic_procedure 1834 1853 cancer antigen 19–9 E36 Diagnostic_procedure:T75 T76 Lab_value 1863 1875 unremarkable R36 MODIFY Arg1:T76 Arg2:E36 R37 MODIFY Arg1:T76 Arg2:E35 R38 MODIFY Arg1:T76 Arg2:E34 R39 MODIFY Arg1:T76 Arg2:E33 T77 Therapeutic_procedure 1914 1923 resection E37 Therapeutic_procedure:T77 T78 Detailed_description 1901 1913 subsegmental R40 MODIFY Arg1:T78 Arg2:E37 T79 Sign_symptom 1949 1953 mass E38 Sign_symptom:T79 T80 Biological_structure 1937 1948 segment IVb T81 Distance 1931 1936 15 cm R41 MODIFY Arg1:T80 Arg2:E38 R42 MODIFY Arg1:T81 Arg2:E38 T82 Date 1957 1966 June 2010 E39 Date:T82 T83 Disease_disorder 1985 2002 hepatic steatosis E40 Disease_disorder:T83 T84 Disease_disorder 2011 2020 cirrhosis E41 Disease_disorder:T84 A5 POLARITY E41 NEG T85 Severity 1978 1984 severe R43 MODIFY Arg1:T85 Arg2:E40 T86 Clinical_event 2038 2048 discharged E42 Clinical_event:T86 T87 Date 2063 2072 day seven E43 Date:T87 T88 Sign_symptom 2081 2094 complications E44 Sign_symptom:T88 A6 POLARITY E44 NEG T89 Diagnostic_procedure 2096 2105 Pathology E45 Diagnostic_procedure:T89 T90 Biological_structure 2113 2131 resection specimen R44 MODIFY Arg1:T90 Arg2:E45 T91 Disease_disorder 2142 2146 SFTL E46 Disease_disorder:T91 #1 AnnotatorNotes E46 Solitary fibrous tumors of the liver T92 Color 2173 2181 pale tan R45 MODIFY Arg1:T92 Arg2:E45 T93 Shape 2182 2200 nodular appearance T94 Texture 2208 2236 firm and rubbery cut surface R46 MODIFY Arg1:T93 Arg2:E45 R47 MODIFY Arg1:T94 Arg2:E45 T95 Diagnostic_procedure 2238 2262 Histological examination E47 Diagnostic_procedure:T95 T96 Lab_value 2272 2298 fascicles of spindle cells T97 Detailed_description 2302 2323 storiform arrangement T98 Detailed_description 2331 2345 pushing margin R48 MODIFY Arg1:T97 Arg2:T96 R49 MODIFY Arg1:T98 Arg2:T96 R50 MODIFY Arg1:T96 Arg2:E47 T99 Lab_value 2357 2402 evidence of extracellular collagen deposition T100 Lab_value 2404 2426 areas of myxoid stroma T101 Lab_value 2431 2467 branching vessels with hyalinisation R51 MODIFY Arg1:T99 Arg2:E47 R52 MODIFY Arg1:T100 Arg2:E47 R53 MODIFY Arg1:T101 Arg2:E47 T102 Biological_structure 2473 2481 specimen T103 Diagnostic_procedure 2499 2511 mitotic rate E48 Diagnostic_procedure:T103 T104 Lab_value 2494 2498 high R54 MODIFY Arg1:T104 Arg2:E48 R55 MODIFY Arg1:T102 Arg2:E48 T105 Lab_value 2521 2547 9 per 10 high-power fields R56 MODIFY Arg1:T105 Arg2:E48 T106 Lab_value 2559 2595 no necrotic or haemorrhagic features R57 MODIFY Arg1:T106 Arg2:E48 T107 Diagnostic_procedure 2597 2617 Immunohistochemistry E49 Diagnostic_procedure:T107 T108 Lab_value 2625 2633 positive T109 Diagnostic_procedure 2647 2651 CD34 E50 Diagnostic_procedure:T109 T110 Diagnostic_procedure 2653 2657 CD99 E51 Diagnostic_procedure:T110 T111 Diagnostic_procedure 2662 2667 BCL-2 E52 Diagnostic_procedure:T111 R58 SUB_PROCEDURE Arg1:E50 Arg2:E49 R59 SUB_PROCEDURE Arg1:E51 Arg2:E49 R60 SUB_PROCEDURE Arg1:E52 Arg2:E49 R61 MODIFY Arg1:T108 Arg2:E50 R62 MODIFY Arg1:T108 Arg2:E51 R63 MODIFY Arg1:T108 Arg2:E52 T112 Diagnostic_procedure 2697 2702 c-Kit E53 Diagnostic_procedure:T112 T113 Diagnostic_procedure 2704 2708 CD31 E54 Diagnostic_procedure:T113 T114 Diagnostic_procedure 2710 2713 SMA E55 Diagnostic_procedure:T114 T115 Diagnostic_procedure 2715 2721 desmin E56 Diagnostic_procedure:T115 T116 Diagnostic_procedure 2723 2735 cytokeratins E57 Diagnostic_procedure:T116 T117 Detailed_description 2737 2764 AE1/AE3, MNF116 and Cam 5.2 R64 MODIFY Arg1:T117 Arg2:E57 T118 Diagnostic_procedure 2767 2770 EMA E58 Diagnostic_procedure:T118 T119 Diagnostic_procedure 2775 2779 S100 E59 Diagnostic_procedure:T119 T120 Lab_value 2684 2692 negative R65 MODIFY Arg1:T120 Arg2:E53 R66 MODIFY Arg1:T120 Arg2:E54 R67 MODIFY Arg1:T120 Arg2:E55 R68 MODIFY Arg1:T120 Arg2:E56 R69 MODIFY Arg1:T120 Arg2:E57 R70 MODIFY Arg1:T120 Arg2:E58 R71 MODIFY Arg1:T120 Arg2:E59 R72 SUB_PROCEDURE Arg1:E53 Arg2:E49 R73 SUB_PROCEDURE Arg1:E54 Arg2:E49 R74 SUB_PROCEDURE Arg1:E55 Arg2:E49 R75 SUB_PROCEDURE Arg1:E56 Arg2:E49 R76 SUB_PROCEDURE Arg1:E57 Arg2:E49 R77 SUB_PROCEDURE Arg1:E58 Arg2:E49 R78 SUB_PROCEDURE Arg1:E59 Arg2:E49 T121 Disease_disorder 2893 2908 steatohepatitis E60 Disease_disorder:T121 T122 Sign_symptom 2870 2878 fibrosis E61 Sign_symptom:T122 T123 Detailed_description 2857 2869 pericellular R79 MODIFY Arg1:T123 Arg2:E61 T124 Biological_structure 2824 2846 remainder of the liver R80 MODIFY Arg1:T124 Arg2:E61 T125 Diagnostic_procedure 2785 2792 margins E62 Diagnostic_procedure:T125 T126 Lab_value 2798 2803 clear R81 MODIFY Arg1:T126 Arg2:E62 T127 Clinical_event 2926 2937 followed-up E63 Clinical_event:T127 T128 Frequency 2948 2967 every 4 to 6 months R82 MODIFY Arg1:T128 Arg2:E63 T129 Diagnostic_procedure 2973 2975 CT E64 Diagnostic_procedure:T129 T130 Nonbiological_location 2989 3015 local general practitioner T131 Nonbiological_location 3037 3055 consultant surgeon R83 MODIFY Arg1:T130 Arg2:E64 R84 MODIFY Arg1:T131 Arg2:E64 T132 Clinical_event 3084 3097 re-admissions E65 Clinical_event:T132 T133 Lab_value 3068 3071 two R85 MODIFY Arg1:T133 Arg2:E65 T134 Sign_symptom 3158 3162 pain E66 Sign_symptom:T134 T135 Biological_structure 3137 3157 right upper quadrant R86 MODIFY Arg1:T135 Arg2:E66 T136 Detailed_description 3127 3136 recurrent R87 MODIFY Arg1:T136 Arg2:E66 T137 Date 3163 3184 between 2011 and 2013 E67 Date:T137 T138 Diagnostic_procedure 3195 3198 MRI E68 Diagnostic_procedure:T138 T139 Detailed_description 3186 3194 Multiple R88 MODIFY Arg1:T139 Arg2:E68 T140 Sign_symptom 3243 3272 expected postsurgical changes E69 Sign_symptom:T140 T141 Sign_symptom 3281 3298 tumour recurrence E70 Sign_symptom:T141 A7 POLARITY E70 NEG T142 Date 3312 3320 May 2016 E71 Date:T142 T143 Clinical_event 3334 3343 presented E72 Clinical_event:T143 T144 Nonbiological_location 3351 3377 local emergency department R89 MODIFY Arg1:T144 Arg2:E72 T145 Sign_symptom 3428 3432 pain E73 Sign_symptom:T145 T146 Biological_structure 3407 3427 right upper quadrant R90 MODIFY Arg1:T146 Arg2:E73 A8 TREND E73 INC T147 Sign_symptom 3448 3456 dyspnoea E74 Sign_symptom:T147 A9 TREND E74 INC T148 Therapeutic_procedure 3465 3478 oxygen demand E75 Therapeutic_procedure:T148 T149 Diagnostic_procedure 3480 3482 CT E76 Diagnostic_procedure:T149 T150 Biological_structure 3490 3495 chest T151 Biological_structure 3497 3504 abdomen T152 Biological_structure 3509 3515 pelvis R91 MODIFY Arg1:T150 Arg2:E76 R92 MODIFY Arg1:T151 Arg2:E76 R93 MODIFY Arg1:T152 Arg2:E76 T153 Sign_symptom 3535 3552 tumour recurrence E77 Sign_symptom:T153 T154 Detailed_description 3525 3534 extensive R94 MODIFY Arg1:T154 Arg2:E77 T155 Biological_structure 3553 3592 adjacent to the previous resection site R95 MODIFY Arg1:T155 Arg2:E77 T156 Disease_disorder 3662 3678 pleural effusion E78 Disease_disorder:T156 T157 Detailed_description 3650 3661 right-sided R96 MODIFY Arg1:T157 Arg2:E78 T158 Sign_symptom 3693 3697 mass E79 Sign_symptom:T158 T159 Biological_structure 3685 3692 pleural R97 MODIFY Arg1:T159 Arg2:E79 T160 Biological_structure 3705 3720 right lung base R98 MODIFY Arg1:T160 Arg2:E79 T161 Date 3731 3737 3.8 cm E80 Date:T161 R99 BEFORE Arg1:E80 Arg2:E79 T162 Therapeutic_procedure 3747 3761 Pleurocentesis E81 Therapeutic_procedure:T162 T163 Volume 3786 3793 1400 ml T164 Biological_structure 3797 3818 serosanguineous fluid R100 MODIFY Arg1:T163 Arg2:T164 R101 MODIFY Arg1:T164 Arg2:E81 T165 Diagnostic_procedure 3820 3828 Cytology E82 Diagnostic_procedure:T165 T166 Diagnostic_procedure 3846 3861 malignant cells E83 Diagnostic_procedure:T166 R102 SUB_PROCEDURE Arg1:E83 Arg2:E82 T167 Lab_value 3833 3841 negative R103 MODIFY Arg1:T167 Arg2:E83 T168 Clinical_event 3876 3885 discussed E84 Clinical_event:T168 T169 Nonbiological_location 3903 3929 multi-disciplinary setting R104 MODIFY Arg1:T169 Arg2:E84 T170 Therapeutic_procedure 4066 4077 reoperation E85 Therapeutic_procedure:T170 A10 POLARITY E85 NEG T171 Medication 4107 4112 chemo E86 Medication:T171 A11 POLARITY E86 NEG T172 Therapeutic_procedure 4117 4143 radiotherapeutic therapies E87 Therapeutic_procedure:T172 A12 POLARITY E87 NEG T173 Clinical_event 4184 4192 referred E88 Clinical_event:T173 T174 Nonbiological_location 4200 4215 palliative team R105 MODIFY Arg1:T174 Arg2:E88 T175 Clinical_event 4251 4261 discharged E89 Clinical_event:T175 T176 Nonbiological_location 4274 4283 community R106 MODIFY Arg1:T176 Arg2:E89 T177 Sign_symptom 4298 4303 alive E90 Sign_symptom:T177 T178 Date 4304 4317 1 month after E91 Date:T178 * OVERLAP E1 E2 E4 E3 R108 BEFORE Arg1:E3 Arg2:E6 * OVERLAP E6 E5 E7 E8 E9 E10 E11 E12 R109 AFTER Arg1:E12 Arg2:E13 * OVERLAP E13 E14 R110 BEFORE Arg1:E14 Arg2:E15 * OVERLAP E15 E16 E18 E19 E21 E22 E26 E28 E29 E30 E31 E32 E33 E34 E35 E36 R111 SUB_PROCEDURE Arg1:E27 Arg2:E22 R112 BEFORE Arg1:E36 Arg2:E37 * OVERLAP E37 E38 E39 E40 E41 R113 BEFORE Arg1:E41 Arg2:E42 * OVERLAP E42 E43 E44 E45 E46 E47 E48 E49 E62 E61 E60 R114 BEFORE Arg1:E60 Arg2:E63 * OVERLAP E63 E64 R115 BEFORE Arg1:E64 Arg2:E65 * OVERLAP E65 E66 E67 E68 E69 E70 R116 BEFORE Arg1:E70 Arg2:E71 * OVERLAP E71 E72 E73 E74 E75 E76 E77 E78 E79 E81 E82 R117 BEFORE Arg1:E82 Arg2:E84 * OVERLAP E84 E85 E86 E87 R118 BEFORE Arg1:E87 Arg2:E88 * OVERLAP E88 E89 R119 BEFORE Arg1:E89 Arg2:E90 * OVERLAP E90 E91