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我们收治了一例小细胞肺癌并有全身157个皮下转移结节患者,报告如下。患者,男,70岁,煤矿工人,因多发性皮下结节2个月于1991年8月20日入院。2个月前不明原因地出现皮下结节,初见于右前胸壁,仅有一个结节,直径约1cm,不痛,逐渐增大。继而结节数量逐渐增多,遍布于多部位的皮下,部分结节逐渐增大。脐周有几个结节,持续性钝痛。发病以来患者食欲下降,不发热,无咳嗽及气急。患者从事煤矿井下工作十余年,1983年诊断“I期尘肺”。吸烟指数400。体检:营养差,颈部、躯干、双上臂上1/3及双大腿上1/3处散在分布大小不等的皮下结节,共157个,直径0.4cm～2.0cm,质硬,颗粒状,活动度差,表面皮肤正常,
We treated a case of small cell lung cancer and had 157 subcutaneous metastatic nodules. The report is as follows. The patient, male, 70 years old, a coal miner, was admitted to hospital on August 20, 1991 for 2 months of multiple subcutaneous nodules. A subcutaneous nodule appeared unexplained 2 months ago. It was first seen in the right anterior chest wall. There was only one nodule with a diameter of about 1 cm, which was painless and gradually increased. Then the number of nodules gradually increased, spread over multiple parts of the skin, and some of the nodules gradually increased. There are several nodules around the umbilicus and persistent dullness. Since the onset of the disease, the patient has decreased appetite, no fever, no cough and shortness of breath. The patient worked in coal mines for more than ten years, and in 1983 diagnosed “phase I pneumoconiosis.” Smoking index 400. Physical examination: poor nutrition, neck, trunk, upper 1/3 of both upper arms and upper 1/3 of both upper thighs scattered subcutaneous nodules of different sizes, a total of 157, diameter 0.4cm ~ 2.0cm, hard, granular , poor activity, normal skin,