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1病例报告患者男,68岁。因右侧胸壁恶性肿瘤切除术后2年,再次发现肿块6个月于2011-01-02入住我科。2年前患者在外院行右侧胸壁肿瘤切除术(具体术式不详),术后病理示右侧胸壁汗腺癌,术后未行进一步治疗。无相关疾病家族史。查体:右侧胸壁可触及一菜花样肿块,约6cm×5cm大小,色黑,表面破溃伴出血,质硬,界欠清,活动度差,触痛明显,伴周围皮肤红肿,皮温不高,浅表淋巴结未及肿大。胸部B超示右侧胸壁低回声肿块,血供丰富。腹部B超示脾稍大,右侧胸壁见53mm
1 case report patient male, 68 years old. Due to the right chest wall malignant tumor 2 years after resection, once again found the mass 6 months in 2011-01-02 admitted to our department. Two years ago, the patient underwent right-sided thoracic tumor resection in the out-patient hospital (the exact procedure was not available). Postoperative pathology showed right chest wall sweat gland carcinoma without any further treatment. No related family history of disease. Check the body: the right chest wall can reach a cauliflower-like mass, about 6cm × 5cm size, color black, surface rupture with bleeding, hard, the world is less clear, poor mobility, tenderness, with peripheral skin irritation, skin temperature is not High, superficial lymph nodes less than enlargement. Chest B ultrasound showed low echo on the right chest wall mass, rich in blood supply. Abdominal B-slightly larger spleen, see the right chest wall 53mm