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肺胚胎型癌肉瘤是罕见的恶性混合瘤,至今国内仅有少数病例报告,现将我院经手术病理证实的2例报告如下:例1,男,46岁。咳嗽,痰中带血伴胸痛3个月于85年11月25日入院。检查:T37.5～38℃,白细胞总数9500～12000/mm~3,中性72～80℃,血沉85mm/h。2个月前胸片见右上肺纵隔旁有3×4cm边缘欠光整之肿块。入院时胸片见右上肺8×10cm类圆形肿块阴影,边缘光整锐利,密度均匀。术中见右上胸腔被12×11cm大小边缘光整的巨大肿块所占据,右肺上叶实变,气管旁隆突下见2个肿大淋巴结,分为1.5×0.8、1.2×0.9cm。巨检:
Lung embryonal carcinosarcoma is a rare malignant mixed tumor, so far only a few cases have been reported in China. Two cases confirmed by pathology in our hospital are reported as follows: Case 1, male, 46 years old. Cough, bloody sputum with chest pain for 3 months was admitted to hospital on November 25, 85. Check: T37.5 ~ 38 °C, the total number of white blood cells 9500 ~ 12000/mm ~ 3, neutral 72 ~ 80 °C, ESR 85mm/h. In the chest radiograph 2 months ago, there was a lumpy mass of 3×4 cm marginal margin near the right upper lung. When he was admitted to the hospital, his chest radiograph showed a round shape of an 8×10 cm round mass in the upper right lung, with sharp and sharp edges and a uniform density. During the operation, the right upper chest was occupied by a huge mass with a margin of 12×11 cm, and the right upper lobe was changed. Two enlarged lymph nodes were seen under the paratracheal carina and divided into 1.5×0.8 and 1.2×0.9 cm. Giant inspection: