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患者男性,57岁,农民,于1989年8月15日入院。患者于1989年7月初发现左腋下有一鸽蛋大之肿块,40余天增大至核桃大,无痛痒感。8月4日在某县医院行手术切除术,病理诊断为左腋下转移性低分化癌。入我院再次检查。体检:体温37℃,脉搏78次/分,血压17.3/7.33kPa,浅表淋巴结不肿大,双侧乳房平坦,无触痛,左腋下有一长约4cm的手术疤痕。腹部体征均阴性。血沉20mm/lh,CT检查:血吸虫性肝硬化。右肾盏结石。病理切片会诊意
The male patient, aged 57, was admitted to hospital on August 15, 1989. In early July 1989, the patient discovered that there was a large lump in the left side of the left eyelid, which increased to more than 40 days to a large walnut without itchiness. On August 4th, surgical resection was performed in a county hospital. The pathological diagnosis was metastatic poorly differentiated carcinoma of the left subaxilla. Into our hospital again. Physical examination: body temperature 37 °C, pulse 78 beats / min, blood pressure 17.3/7.33kPa, superficial lymph nodes are not swollen, bilateral breasts flat, no tenderness, left underarm has a long surgical scar about 4cm. Abdominal signs were negative. ESR 20mm/lh, CT examination: schistosomiasis cirrhosis. Right renal pelvis stones. Pathological section consultation