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原发纵隔胚胎性横纹肌肉瘤十分少见,国内很少报道,文献曾报道过9例[2,3,6]。我院7000例尸检仅遇一例,现报道如下。 患者男性,21岁,82年11月底无诱因出现咳嗽、多痰、伴发热及右侧胸痛。约一周后发生咯血,有时咯鲜红色血块,同时憋气。12月24日胸相示“右肺中野可见絮状密度增高影,肺门阴影增大”。83年3月15日转我院,查右侧胸部略饱满,右肺叩浊,呼吸音减弱,心界向左扩大。痰找到可疑瘤细胞一次。纤维支气管镜检查:隆突变钝,气管前后壁外压向腔内突出,右下肺叶开口外侧壁可见菜花状肿物,肿物质
The primary mediastinal embryonal rhabdomyosarcoma is very rare and rarely reported in China. The literature has reported 9 cases [2,3,6]. There are only 7000 cases of autopsy in our hospital. The report is as follows. The patient was male, 21 years old. At the end of November of 82, there was no incentive for cough, excessive paralysis, fever, and right chest pain. Hemoptysis occurred about one week later, sometimes with a red clot, and hernia. On December 24th, the chest showed that “the density of floc density was increased in the middle of the right lung and the shadow of the hilum increased.” March 15, 83, transferred to our hospital, check the right side of the chest slightly full, right lung turbidity, breath sounds weakened, the heart of the community to expand to the left.痰 Find suspicious tumor cells once. Fiberoptic bronchoscopy: Long blunt mutations, external pressure of the anterior and posterior wall of the trachea protruding into the lumen, visible parenchyma-like mass on the lateral wall of the right lower lobe opening, masses