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患者男,63岁。因右侧面部皮肤肿物9年,局部破溃3年,于2012年2月就诊于我科。患者9年前于右侧面部近鼻翼处出现一黄豆大隆起性皮肤损害,无自觉症状,肿物逐渐增大至鸡蛋大,3年前肿物无明显诱因出现破溃,破溃处逐渐扩大形成深在性溃疡,结痂。曾用碘液、抗生素药膏、中药膏(具体不详)等外治,无好转。患者既往有原发性高血压病史30余年,糖尿病史20年,脑梗死病史18年。体格检查:一般情况可,全身浅表淋巴结未触及。皮肤科检查:右侧面部及鼻翼处
Male patient, 63 years old. Due to the right side of the skin of the skin for 9 years, partial rupture 3 years, in February 2012 treatment in our department. Patients 9 years ago in the right side of the face near the alar nose appeared a large rash of soybean skin damage, no symptoms, the tumor gradually increased to large eggs, 3 years ago, there was no obvious incentive tumor rupture, ulceration gradually expanded Deep in the formation of ulcers, scab. I used iodine, antibiotic ointment, traditional Chinese medicine cream (specific unknown) and other external governance, no improvement. Patients with previous history of essential hypertension more than 30 years, 20-year history of diabetes, a history of 18 years of cerebral infarction. Physical examination: the general situation can be, systemic superficial lymph nodes not touched. Dermatological examination: the right side of the face and nose Department