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患者，男，７３岁。刺激性咳嗽１年，右侧肩背部疼痛２个月。胸部 ＣＴ：右上肺可见巨大实性占位性病变约 ８ｃｍ×６．５ｃｍ×８ｃｍ，边缘分叶，肿瘤侵及右胸壁；气管前、腔静脉后见肿大淋巴结；肺气肿。既往有脑梗塞史。轮椅推入病房。全身残表淋巴结未触及肿大。右侧肩背
Patient, male, 73 years old. Irritation cough 1 year, right shoulder and back pain for 2 months. Chest CT: a large solid mass lesion of about 8cm x 6.5cm x 8cm can be seen in the right upper lung. The edge of the lesion is located on the margin and the tumor invades the right chest wall; anterior trachea and vena cava show enlarged lymph nodes; emphysema. Past history of cerebral infarction. Wheelchairs pushed into the ward. The residual lymph nodes in the whole body remained untouched. Right shoulder and back