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患者男,62岁。咳嗽胸痛,左锁骨上淋巴结肿大10天入院。查体:双侧锁骨上淋巴结肿大,右肺呼吸音低,心率102ｂｐｍ。胸片:右下肺巨大肿块影,可见分叶、毛刺且与胸膜粘连。纤支镜检查仅见右肺上叶及舌叶支气管分嵴增宽。心脏彩超示心包积液。左锁骨上淋巴结活检的病理诊断:转移性低
Male patient, 62 years old. Cough chest pain, left supraclavicular lymph node enlargement 10 days admitted. Physical examination: bilateral supraclavicular lymph nodes, right lung breath sounds low, heart rate 102bpm. X-ray: a huge right lower lung mass shadow, visible lobulation, burr and pleural adhesions. Bronchoscopy only see the right upper lobe and bronchial branch of the tongue widened. Echocardiography showed pericardial effusion. Left subclavian lymph node biopsy pathological diagnosis: low metastasis