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患者,女,69岁。右耳下肿块14年,于1987年12月9日入院。14年前无明显诱因发现右耳前一指头大肿物,不痛,生长缓慢,未曾治疗。近2月来肿块明显增大,至成人头大小。4天前不慎摔倒撞伤后流血不止,伴有剧烈,鸡啄样疼痛及渗液,食欲及精神欠佳。入院检查:T38.4℃,五官端正,右侧颈部一排球大肿物(直径约28cm),结节状,质中等,部分区域有囊性感。肿瘤表面皮肤粗糙,有3处约铜币大溃烂面,见脓性渗出物。心肺无异常。实验室检查:WBC11200,N80%,
Patient, female, 69 years old. The inferior mass under the right ear was 14 years old and was admitted on December 9, 1987. 14 years ago there was no obvious incentive to find a large mass in front of the right ear. It was painless, slow-growing, and untreated. In the past two months, the size of the mass has significantly increased to the size of an adult’s head. Four days ago, he accidentally fell and bruised. He had bleeding, accompanied by severe, chicken-like pain and exudate, poor appetite and spirit. Admission examination: T38.4 °C, facial features, a large volleyball mass on the right neck (diameter of about 28cm), nodular, medium quality, in some areas with bladder sexy. The surface of the tumor was rough skin, and there were 3 copper coins on the surface. See purulent exudates. No abnormalities in heart and lungs. Laboratory inspection: WBC11200, N80%,