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患者男,63岁,1988年确诊为右鼻腔恶性黑色素瘤入院。右鼻有间隙性涕中带血及黑褐色涕十个月,今年在外院检查发现右鼻腔底部有黄豆大小黑色肿物,活检证实原诊断。曾在外院进行全身化疗二次,因局部肿块增大而来我院门诊。检查:体温、脉搏、血压均正常,浅表淋巴结不肿大。右鼻通气不良、鼻底、下甲前端及鼻中隔前下部为均可见黑褐色新生物,约2.0xl.5xlcm“,表面粗糙有糜烂面。实验室检查结果均在正常范围。鼻窦片示右上领窦,筛窦正常。入院后采用局部YAG激光汽化及全身化疗的综合治疗。全身化疗为4周一次,采
The patient, male, 63 years old, was diagnosed with right nasal malignant melanoma in 1988. Right nasal clearance with tears in the blood and brown TNT ten months later this year at the bottom of the right nosocomial check found that the bottom of the size of soybeans black tumor, biopsy confirmed the original diagnosis. In the outer hospital for systemic chemotherapy twice, due to local mass increase from our clinic. Check: body temperature, pulse, blood pressure were normal, superficial lymph nodes did not enlarge. Right nasal ventilation, nasal floor, inferior frontal and nasal septum before the lower part are visible dark brown new creatures, about 2.0xl.5xlcm ", rough surface erosion surface. Laboratory results are in the normal range. Sinus, ethmoid sinus normal. Admission using local YAG laser vaporization and systemic chemotherapy combined treatment. Systemic chemotherapy for 4 weeks time, mining