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一、病历摘要:宁××,男性,8岁。8个月前感左鼻孔阻塞不适,鼻腔内发现玉米粒大小粉红色肿物,且生长迅速。3个月后左下颌出现枣大之肿物。5个月后左阴囊内又发现一核桃大肿块,亦生长迅速。查体于左鼻腔见大块纷红色不规则新生物堵塞,表面附有脓性分泌物。肿瘤穿透硬腭向口腔内呈结节状突起,表面粘膜糜烂,消失。左颌下肿物大小为2×2cm,质稍硬,活动,无压痛,余浅表淋巴结无明显肿大;左胸正中,左背部及左前臂皮下可触及多个大小不等的结节,最大者位于左前臂,大小为3×4cm。左阴囊肿块大小为5×5×5cm,表面呈结节状。腹部未触及肿块,神经系统检查无异常发现。左前
First, the medical record summary: Ning × ×, male, 8 years old. The left nostril was obstructed and uncomfortable 8 months ago. A pink mass of corn kernels was found in the nasal cavity and grew rapidly. After 3 months, large jujube masses appeared in the left lower jaw. Five months later, a large lump of walnut was found in the left scrotum, which also grew rapidly. Examination of the body in the left nasal cavity sees a block of red, irregular, and new biological blockage with purulent secretions on the surface. The tumor penetrated the hard palate and showed nodular projections in the mouth, and the surface mucosa was eroded and disappeared. The size of the left submandibular mass was 2 x 2 cm, and it was slightly harder, with more activity and no tenderness. There was no significant enlargement of the superficial superficial lymph nodes; nodules of various sizes could be touched subcutaneously in the middle of the left chest, left back, and left forearm. The largest one is located in the left forearm and is 3 x 4cm in size. The size of the left scrotal mass was 5 x 5 x 5 cm and the surface was nodular. There was no mass in the abdomen and no neurological findings were found. Left front