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患者女,64岁。因发现双侧腮腺肿物5年就诊,肿块呈缓慢渐进性增大,质实,可稍移动,无疼痛、红肿、发热,无局部皮温升高,无面部感觉障碍,有口干,未行任何检查及治疗。20年前有子宫全切手术史,有癫痫病史30年。体检:双侧腮腺部位外观稍饱满,皮肤无破溃或红肿,均可触及类圆形肿物,右侧肿物大小约4.0 cm×3.0 cm,左侧约4.0 cm×5.0 cm,肿物质地稍硬,表面光滑,边界清晰,无压痛,无黏连。全身未触及肿大浅表淋巴结,无关节肿痛、无眼干、眼涩等症状。实验室检查:血、尿常规,肝肾功能,胸片,血沉,心电图均无异常发现。
Female patient, 64 years old. Due to the discovery of bilateral parotid gland five years of treatment, the tumor showed a gradual increase in quality, can be slightly mobile, no pain, swelling, fever, no local skin temperature increase, no facial sensory disturbances, dry mouth, no mouth Line any inspection and treatment. 20 years ago, the history of uterine total surgery, history of epilepsy 30 years. Physical examination: bilateral parotid gland appearance slightly fuller, no ulceration or swelling of the skin, are accessible round-like tumor, the right tumor size of about 4.0 cm × 3.0 cm, left about 4.0 cm × 5.0 cm, mass of material Slightly hard, smooth surface, clear boundaries, no tenderness, no adhesions. The body has not touched the swollen superficial lymph nodes, no joint swelling and pain, no dry eyes, eyes astringent and other symptoms. Laboratory tests: blood, urine, liver and kidney function, chest X-ray, ESR, no abnormal findings.