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支气管类癌临床上少见,而在术后出现横纹肌转移者更属罕见,我院收治1例,报告如下; 患者,女、54岁,以“发现右背部肿块3月余”为主诉于1987年7月入院。1983年7月在外院行“左肺下叶切除术”术后病理报告:支气管类癌。入院体检:一般情况良好,无皮肤潮红,全身浅表淋巴结无肿大;两肺呼吸音清晰;心率84次/分,律齐,未闻及心脏瓣膜杂音。右背部可触及约2×1cm大小肿块,质中等,光滑、活动,边界清晰。胸部X线为术后改变。于1987年7月7日在局麻下行右背部肿物切除术。术中见肿物位于右侧背阔肌内,与肌纤维无粘连;肿物1.5×1.5×1.0cm大小,表面光滑,完整。术后病理报告(与1983年7月外院病理切片对照)为类癌转移。给予
Bronchiocarcinoma is rare in clinical practice, but it is rare to show striated muscle metastasis after surgery. One case was treated in our hospital and the report was as follows. The patient, female, 54 years old, complained of “3 months of finding a right back mass” as the main complaint in 1987. Admitted to hospital in July. In July 1983, he performed a pathological report of “left lower lobe lobectomy” at an external hospital: bronchial carcinoid. Admission physical examination: generally good condition, no skin flushing, no enlargement of superficial lymph nodes; breath sounds clear in both lungs; heart rate 84 beats/minute, regularity, no heart valve murmur. The right back can touch about 2 × 1cm size mass, medium quality, smooth, active, clear boundary. Chest X-ray changes after surgery. On July 7, 1987, he underwent right heel mass resection under local anesthesia. The tumor was located in the right latissimus dorsi with no adhesion to the muscle fibers during the operation. The tumor was 1.5 × 1.5 × 1.0 cm in size, and the surface was smooth and complete. The postoperative pathology report (compared with the pathological section of the external hospital in July 1983) was a carcinoid metastasis. give