左肺原发性平滑肌肉瘤一例

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患者男性,64岁,因心慌、头晕1O余天,无咳嗽、咳痰、发热及其他不适。体检:全身浅表淋巴结无肿大,两肺呼吸音尚清晰,胸骨无压痛;X线胸部摄片示左下肺有一10cm×10cm阴影,边界清楚。手术见肿物位于左肺下叶,与周围组织无粘连,肺门淋巴结无肿大,行左肺下叶切除术,并摘除一枚肺门淋巴结一并送病理检查。病理检查,肿物呈灰白色,11cm×10cm×10cm大小,位于肺实质内,与肺组织分界清,切面多 The patient was male, 64 years old, with flustered, dizzy 1O more days, no cough, sputum, fever, and other discomfort. Physical examination: There was no enlargement of the superficial lymph nodes. The breath sounds of the two lungs were still clear, and there was no tenderness in the sternum. The X-ray chest radiograph showed a left-sided lower lung with a 10 cm×10 cm shadow with clear boundaries. The operation showed that the tumor was located in the left lower lobe of the lung, and there was no adhesion with the surrounding tissue. There was no enlargement of the hilar lymph nodes. A left lung lobe resection was performed and a hilar lymph node was removed and sent for pathological examination. Pathological examination, the tumor was grayish white, 11cm × 10cm × 10cm in size, located in the lung parenchyma, with a clear boundary of lung tissue, cut surface and more
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