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患者女,65岁.住院号:83年1467.左颌下颈部肿块25年,迅速增大2年,1983年3月17日入院。患者左颌下颈部长一肿物,开始如鸡蛋大,不痛不痒,逐渐增大,近两年来迅速长大,现已如成人头大,身体急剧消瘦,半年前被小孩抓破了皮,溃烂渗液。因肿块巨大,站起走路活动时都要用手扶抬辅助固定,影响生活工作而来求诊。余无特殊病史。21岁结婚,爱人健在。月经史无异常。孕3产3,2男1女均健在。检查:T36℃,P100次/分,R20次/分,Bp110/70mmHg。发育正常,营养欠佳,皮肤巩膜无黄染,面色苍白,重度贫血外貌。左颌下
Female patient, age 65. Hospitalization number: 83 years 1467. The left submandibular neck mass 25 years, increasing rapidly for 2 years, March 17, 1983 admission. Patients with a long tumor of the lower left neck, beginning as big eggs, itching, and gradually increased in the past two years, the rapid growth has now grown like a big adult, body weight loss, six months ago by children scratched Skin, ulceration exudate. Due to the huge mass, stand up and walk activities should be assisted with a fixed lift, affecting life and work from the consultation. I have no special history. 21-year-old married, lover alive. No abnormal menstruation. Pregnancy 3 3,2 male and 1 female are alive. Check: T36 ℃, P100 beats / min, R20 beats / min, Bp110 / 70mmHg. Normal development, poor nutrition, skin sclera no yellow dye, pale, severe anemia appearance. Under the left jaw