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1病例报告患者,男,59岁,因“口咽异物感伴咯血3年,症状加重伴发现左颈部包块4个月余”于2012年5月1日于我科就诊。入院时无发热、吞咽疼痛、吞咽梗阻、呼吸困难等,体检见:左侧扁桃体肿大,表面暗红溃烂,有血痂附着(图1);颈部左侧下颌角后方触及约6.0cm×4.5cm大小包块,质硬,活动度差,无压痛,表面皮肤红肿。颈部增强CT扫描示(图2):左侧咽壁增厚,形态不规则,咽旁间隙消失;左侧颈动脉鞘周围及颌下、颏下见多发肿大淋巴结影,部分融合呈软组织肿块,并包埋血管结
A case report of patients, male, 59 years old, because of “oropharyngeal foreign body sensation with hemoptysis for 3 years, the symptoms aggravated with the left neck mass more than 4 months ” on May 1, 2012 in our department. Admission without fever, swallowing pain, swallowing obstruction, breathing difficulties, physical examination see: the left tonsil enlargement, the surface dark red ulceration, blood scab attached (Figure 1); left neck after touching the mandibular angle of about 6.0cm × 4.5cm size mass, hard, poor activity, no tenderness, surface skin irritation. Neck enhanced CT scan (Figure 2): the left pharyngeal wall thickening, irregular shape, disappearance of the parapharyngeal space; left carotid sheath around the submandibular and submental see multiple swollen lymph nodes, part of the fusion was soft tissue Mass, and embedded vascular nodes