病历摘要患者女,41岁,因右胸背痛2个月,胸部X线透视示右中肺野有一边缘尚清晰、略有分叶状的圆形肿块阴影,于1985年5月23日入院。检查。全身情况良好,浅表淋巴结不肿大。纤维支气管镜检查及痰找癌细胞均阴性。既往身体健康,未患有其他恶性肿瘤。临床诊断:右肺癌。9月5日开胸探查见右肺中叶外侧段有一肿块,约8×6cm大小,与前胸壁胸膜有粘连,但其境界仍清楚,未侵犯胸壁。肺门淋巴结不肿大。作右肺中叶切除。术后恢复良好出院。随访半年余未见肿瘤复发。病理改变:大体形态观察,切除之右肺叶,大小11×3×5cm,肺表面粗糙,一处见丘状隆起,其表面脏层胸膜增厚,切面该处肺实质内有一圆 Medical records Abstract Female patient, 41 years old, with right chest and back pain for 2 months, chest X-ray revealed a clear, slightly lobulated round mass in the right middle lung field and was admitted to hospital on May 23, 1985. an examination. The whole body is in good condition and the superficial lymph nodes are not swollen. Fiberoptic bronchoscopy and sputum find cancer cells were negative. Previously healthy and not suffering from other malignancies. Clinical diagnosis: Right lung cancer. On September 5th, he had a lump on the outside of the right middle lobe, about 8×6cm in size, and had adhesion to the thoracic wall of the anterior chest wall. However, his realm was still clear and he did not invade the chest wall. Hilar lymph nodes are not swollen. Right middle lobe resection. Postoperative recovery was good. There was no recurrence of tumor after more than half a year of follow-up Pathological changes: gross morphology observed, the right lung lobe removed, size 11x3x5cm, the lung surface was rough, there was a mound-like uplift at the top, and the surface visceral pleura thickened. There was a circle in the lung parenchyma at the cut surface.