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患者,男,8岁。主因舌体部右侧长有一蚕豆大小的肿块3个月而来诊收入院。肿块生长缓慢,无疼痛,有异物感。查体:一般情况良好,心、肺及腹部检查无异常发现。肿块情况同上,初步诊断为舌体囊肿。于局麻下行舌体部肿块切除术,切开舌体后见有一蚕豆大的肿块、质硬,钝性分离摘除肿物,缝合舌体,1周后痊愈出院。术后病理报告为:舌体部肿物,中心为变性的寄生虫蛔虫体,周围为大量淋巴细胞、浆细胞、嗜酸性细胞及类上皮细胞浸润。病理诊断:舌体蛔虫性寄生虫包块。
Patient, male, 8 years old. Mainly due to the tongue on the right side of a large bean-sized tumors for 3 months came to the hospital. The lump grows slowly, without pain, and has a foreign body sensation. Physical examination: The patient was generally in good condition and no abnormalities were found in heart, lung and abdominal examinations. The same as above, the initial diagnosis of tongue cysts. The tongue body was removed under local anesthesia. After the tongue was incised, there was a large mass of faba bean, and the mass was hard. The blunt dissected mass was removed and the tongue was closed. After 1 week, the patient was cured and discharged. The postoperative pathology report was: a tongue body mass with a degenerated parasite maggot body in the center, surrounded by a large number of lymphocytes, plasma cells, eosinophils, and epithelial cells. Pathological diagnosis: tongue aphid parasite mass.