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女,63岁。间断性咳嗽,痰带血,右侧胸痛。半月后胸片发现右肺上叶肿物而入院。体检,一般状况良好。右肺上部语颤稍弱,叩之略浊,呼吸音减弱。X线胸片示右肺上叶类圆形致密块影6×5.5cm,边缘整齐。1990年1月17日开胸探查,肿物位于右上肺尖段,表面光滑,中等硬。肺门淋巴结无肿大。距肿物边缘2cm行右肺上叶楔状切除。病理检查类圆形肿物6×5.5×5.4cm,稍隆起于肺表面,实性分叶鱼肉样,未见出血及坏死,与肺组织分界清楚,无包膜。镜检,肿瘤由非角化型
Female, 63 years old. Intermittent cough, sputum blood, right chest pain. Half a month later, a chest tumor was found in the right upper lobe and admitted to the hospital. Physical examination is generally in good condition. The upper right phrenic quiver was slightly weaker, the phlegm slightly turbid, and the breath sounds weakened. The chest X-ray film showed that the right upper lobe had a round, dense block shadow of 6 × 5.5 cm with neat edges. On January 17, 1990, he opened his chest for exploration. The tumor was located at the tip of the right upper lung. The surface was smooth and medium hard. Hilar lymph nodes are not swollen. 2cm from the edge of the tumor, wedge-shaped resection of the right upper lobe. The pathological examination of a round mass of 6 x 5.5 x 5.4 cm, slightly raised on the lung surface, solid leaf-like fish-like, no hemorrhage and necrosis, clear boundary with the lung tissue, no capsule. Microscopic examination, tumors by non-keratinized