diff --git a/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs b/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs
index 6c6a4acae..5c740d0a5 100644
--- a/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs
+++ b/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs
@@ -18,6 +18,7 @@ using NPOI.HSSF.UserModel;
 using NPOI.SS.Formula.Functions;
 using NPOI.SS.UserModel;
 using NPOI.XSSF.UserModel;
+using SharpCompress.Common;
 using System.Collections;
 using System.Globalization;
 using Xceed.Document.NET;
@@ -870,17 +871,16 @@ public static class ExcelExportHelper
         //模板路径
         var tplPath = physicalPath;
 
-        #region 根据中英文  删除模板sheet
-
-        // 打开模板文件
-        var templateFile = new FileStream(tplPath, FileMode.Open, FileAccess.Read);
 
         // 获取文件流
         var templateStream = new MemoryStream();
-        templateFile.CopyTo(templateStream);
-        templateStream.Seek(0, SeekOrigin.Begin);
 
-        var workbook = new XSSFWorkbook(templateStream);
+        #region 根据中英文  删除模板sheet
+
+        // 打开模板文件
+        var templateFileStream = new FileStream(tplPath, FileMode.Open, FileAccess.Read);
+
+        var workbook = new XSSFWorkbook(templateFileStream);
 
         int sheetCount = workbook.NumberOfSheets;
 
@@ -985,14 +985,8 @@ public static class ExcelExportHelper
                 }
             }
 
-            using (var memoryStream2 = new MemoryStream())
-            {
-                workbook.Write(memoryStream2, true);
-
-                memoryStream2.Seek(0, SeekOrigin.Begin);
-
-                templateStream = memoryStream2;
-            }
+            workbook.Write(templateStream, leaveOpen: true);
+            templateStream.Position = 0;
 
         }
 
@@ -1099,6 +1093,63 @@ public static class ExcelExportHelper
         //模板路径
         var tplPath = physicalPath;
 
+        var templateStream = new MemoryStream();
+
+
+        #region npoi 移除某一行
+        var isEn_US = CultureInfo.CurrentCulture.Name == StaticData.CultureInfo.en_US;
+
+        if (isEn_US)
+        {
+            // 打开模板文件
+            using var templateFileStream = new FileStream(tplPath, FileMode.Open, FileAccess.Read);
+
+            using var workbook = new XSSFWorkbook(templateFileStream);
+
+            int sheetCount = workbook.NumberOfSheets;
+
+            int removeRowIndex = 1; // 要删除的行（0-based）
+
+            for (int i = 0; i < sheetCount; i++)
+            {
+                var sheet = workbook.GetSheetAt(i);
+
+                // 2️ 删除行
+                var row = sheet.GetRow(removeRowIndex);
+                if (row != null)
+                {
+                    sheet.RemoveRow(row);
+                }
+
+                // 3️ 上移后续行
+                if (removeRowIndex < sheet.LastRowNum)
+                {
+                    sheet.ShiftRows(
+                        removeRowIndex + 1,
+                        sheet.LastRowNum,
+                        -1,
+                        true,   // copyRowHeight
+                        false   // resetOriginalRowHeight
+                    );
+                }
+            }
+
+            workbook.Write(templateStream, leaveOpen: true);
+            templateStream.Position = 0;
+        }
+        else
+        {
+            using (var fs = new FileStream(tplPath, FileMode.Open, FileAccess.Read))
+            {
+                fs.CopyTo(templateStream);
+            }
+
+            templateStream.Position = 0;
+        }
+
+
+        #endregion
+
 
         var memoryStream = new MemoryStream();
 
@@ -1107,7 +1158,7 @@ public static class ExcelExportHelper
             IgnoreTemplateParameterMissing = true,
         };
 
-        await MiniExcel.SaveAsByTemplateAsync(memoryStream, tplPath, data, config);
+        await MiniExcel.SaveAsByTemplateAsync(memoryStream, templateStream.ToArray(), data, config);
 
         memoryStream.Seek(0, SeekOrigin.Begin);
 
diff --git a/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs b/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
index dd8ce3cd5..f08d03e6c 100644
--- a/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
@@ -601,18 +601,21 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
 
                 #region tu 表处理部分
 
-                var tu = CreatNewTUExport(task, lesion, visitIndexNoDic, translateDataList, isEn_Us);
-
-                if (lesion.OrganInfoId.HasValue)
+                if (!tuList.Any(t => t.SubjectCode == task.SubjectCode && t.ARM_TumorNo == $"{task.ArmEnumStr}_{lesion.LessionCode}"))
                 {
-                    tu.BodyPart = _userInfo.IsEn_Us ? trialOrganDic[lesion.OrganInfoId.Value].PartEN : trialOrganDic[lesion.OrganInfoId.Value].Part;
+                    var tu = CreatNewTUExport(task, lesion, visitIndexNoDic, translateDataList, isEn_Us);
+
+                    if (lesion.OrganInfoId.HasValue)
+                    {
+                        tu.BodyPart = _userInfo.IsEn_Us ? trialOrganDic[lesion.OrganInfoId.Value].PartEN : trialOrganDic[lesion.OrganInfoId.Value].Part;
+                    }
+
+
+                    Fill_Resisit_Lugano_TUExport(tu, lesion);
+
+                    tuList.Add(tu);
                 }
 
-
-                Fill_Resisit_Lugano_TUExport(tu, lesion);
-
-                tuList.Add(tu);
-
                 #endregion