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患者男,67岁,于一个月前因鼻前部皮肤瘙痒,轻抓即破,继而隆起,表面不平,无痛。查体:全身情况可,体温、血压正常,颌下淋巴结未触及,全身检查无特殊。五官检查:左鼻腔底部皮肤粘膜交界处可见一皮肤破溃区,表面不平如菜花,0.6cm×0.6cm大小,质脆、易出血,鼻腔内有脓性分泌物。血常规、肝肾功能、胸透、心电图均正常。肿块病理检查为鳞状上皮癌,患者拒绝放疗。择期行肿瘤切除术,包括切除肿瘤边缘正常组织0.5cm,
Male, 67 years old, had pruritus on the anterior nasal area one month ago. Physical examination: general condition can be, body temperature, normal blood pressure, submandibular lymph nodes not touched, systemic examination no special. Facial examination: the left nasal mucosa at the junction of the skin can be seen at the bottom of a skin ulceration area, uneven surface cauliflower, 0.6cm × 0.6cm size, crisp, easy bleeding, purulent nasal secretions. Blood, liver and kidney function, chest X-ray, ECG are normal. Pathological examination for squamous cell carcinoma, patients refused to radiotherapy. Elective tumor resection, including resection of tumor edge normal tissue 0.5cm,