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患者男,71岁。于1987年1月14日入院。3个月前在进食、说话时稍感舌部不适,并发现舌上有一肿物,近1个月来进食时舌部疼痛剧烈。其父死于胃癌。体检:发育正常,营养中等,浅表淋巴结不肿大,舌左侧缘中1/3处有一菜花样肿块,直径0.5cm,呈灰白色,质较硬,表面有溃疡形成。X 线胸片(-)。化验检查:WBC11000,N70％,L30％,Hb13g％。行肿瘤切除术,病理诊断:舌鳞状细胞癌。第1次患胃腺癌,于1974年6月23日入院。上腹部肿块半年余,无不适。
Male patient, 71 years old. He was admitted to hospital on January 14, 1987. Three months ago, when I was eating or talking, I felt a slight discomfort in my tongue and found a mass on my tongue. When I had eaten in the past month, I had a severe pain in my tongue. His father died of stomach cancer. Physical examination: normal development, moderate nutrition, superficial lymph nodes are not swollen, there is a cauliflower-like mass in the middle 1/3 of the left edge of the tongue, 0.5 cm in diameter, grayish white, harder, and ulceration on the surface. X-ray chest (-). Laboratory tests: WBC11000, N70%, L30%, Hb13g%. Tumor resection, pathological diagnosis: Tongue squamous cell carcinoma. The first time he developed gastric adenocarcinoma, he was admitted to hospital on June 23, 1974. Upper abdominal mass more than six months, no discomfort.