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病例摘要 张××:男、29岁、东莞县人、未婚、住院号:29769。患者于1976年9月起觉胸闷痛、咳嗽、头面部浮肿,X线照片发现纵隔巨块肿物,临床诊断纵隔恶性淋巴瘤。曾在当地用“COP”方案(总量CTX1.8g,VCR 5mg,及泼尼松)化疗后,纵隔肿物明显缩小。于1976年12月——1977年3月在我院加用纵隔野~(60)Co放疗(TD4650r/103天)后,纵隔肿瘤基本消失。以后在门诊用“COP”方案作巩固化疗5个月余。于1977年8月发现右肺门处有结节状增大阴影
Case summary Zhang X: male, 29 years old, Dongguan County, unmarried, hospital number: 29769. The patient developed chest pain, cough, swelling of the head and face in September 1976, and a mass of mediastinal mass was found on X-ray photographs. Malignant mediastinal lymphoma was diagnosed clinically. After chemotherapy in the local “COP” protocol (total CTX 1.8g, VCR 5 mg, and prednisone), mediastinal tumors were significantly reduced. In December 1976 - March 1977 in our hospital plus mediastinal 60 Co irradiation (TD4650r/103 days), the mediastinal tumor disappeared. Later in the outpatient department used “COP” program for consolidation chemotherapy for more than five months. In August 1977, it was found that there was nodular shadow at the right hilum.