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蒋某某,男性,63岁。因咳嗽、血痰、右胸胀痛、心累、气急一月余,于1982年10月14日再次入院,胸透发现右胸大量积液。1980年患者不慎将右拇趾上生长多年但无变化的一个黑痣刺破,伤口经久不愈。1981年9月发现右腹股沟处有一约1cm 大的结节,未予重视。1982年3月15日,结节增大至3×4cm,在本院外科门诊作局部淋巴结穿刺,抽出少许黑色液体,并作局部淋巴结活检,证实为右拇趾黑色素瘤伴右腹股沟淋巴结转移。于1982年3月20日住我院外科,因患者不同意截肢,3月
Jiang Moumou, male, 63 years old. Due to cough, blood stasis, right chest pain, heart tiredness, shortness of breath more than a month, was admitted again on October 14, 1982, chest thorax found a large amount of fluid in the right chest. In 1980, the patient inadvertently pierced a black mole that had been growing on the right thumb for many years but had not changed, and the wound was unrecoverable. In September 1981, a large nodule about 1 cm in size was found in the right groin, which was not taken seriously. On March 15, 1982, the nodule increased to 3 × 4cm. Local lymph node puncture was performed in the outpatient department of the hospital. A little black fluid was removed and a local lymph node biopsy was performed. The metastasis of the right hallux melanoma with right inguinal lymph nodes was confirmed. I was admitted to our hospital on March 20, 1982, because the patient did not agree to amputation, in March