临床资料患者男性 ,６９岁 ,３月前鼻尖出现约米粒大小的包块 ,逐渐长大 ;入院前半月原包块迅速增长至鸡蛋大小 ,进而溃破流血和疼痛 ,伴轻度咳嗽、咯痰 ;于１９９８年３月１８日以“鼻尖部包块待诊”入院。入院时查体 ,Ｔ３７℃ ,浅表淋巴结不肿大 ,气管居中 ,鼻尖部出现３． Clinical data Patient Male, 69 years old, about three months before the nose appeared about the size of the rice mass, gradually grew up; before the admission of the original mass quickly grew to the size of the egg, and then collapsed bleeding and pain, with mild cough, expectoration On March 18, 1998, he was admitted to the hospital with a “tip apical mass.” Physical examination on admission, T37 °C, superficial lymph nodes are not swollen, the trachea is centered, and the tip of the nose appears 3.