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患者男性,60岁,因右髂部肿块进行性增大3月余,而于1989年2月19日在黄岩市第一人民医院住院.肿块初起时米粒大小,3月后增大至鸽蛋大小,高出皮肤,色淡白,无压痛,邻近浅表淋巴结未扪及,行局部肿块切除术,术后病理报告为右髂部汗腺癌.5天后入本院外科.体检、胸部及骨盆拍片、B超检查均无异常发现,复查病理切片,亦诊断为右髂部汗腺癌.遂于1989年3月3日再次行右髂部汗腺癌局部扩大切除术.术后病理报告:(右髂部)皮肤疤痕组织小区化脓性炎,未见肿瘤.住院3周.出院后仅8天,主诉胸痛、咯血、胸前部肿块而再次入本院外科.体检:心、肺、腹部无阳性体征,全身浅表淋巴结未扪及,原切口愈合良好.胸骨中部可扪及肿块,核桃大小,质硬固定,边界尚清,无压痛.X线提示:(1)左肺不张;(2)第五右后肋、胸骨、左肩胛骨有转移性肿瘤,自动出院后12天死亡.
The patient was male, 60 years old, with a progressive enlargement of the mass of the right heel over more than three months. He was hospitalized at the First People’s Hospital of Huangyan City on February 19, 1989. The size of the rice began at the beginning of the mass and increased to the pigeon after March. Egg size, height above skin, pale white, no tenderness, proximal to superficial lymph nodes, local mass resection, postoperative pathology reports sweat gland cancer of the right ankle. 5 days later into the hospital surgery. Physical examination, chest and pelvis No abnormalities were found in the radiographs and B-ultrasound examinations. Re-examination of the pathological sections was also diagnosed as sweat gland cancer of the right diaphragm. On March 3, 1989, the resection of sweat gland cancer in the right diaphragm was performed again. Postoperative pathology report: (right Sputum) Scar tissue area purulent inflammation, no tumors. Hospitalized for 3 weeks. Only 8 days after discharge, complained of chest pain, hemoptysis, chest lumps and re-enter the hospital surgery. Physical examination: no positive heart, lung, abdomen Signs, superficial lymph node is not palpable, the original incision healed well. The middle of the sternum can be palpable and lump, the size of the walnut is hard and firm, the boundary is still clear, no tenderness. X-rays suggest: (1) left lung atelectasis; (2 ) The fifth right posterior rib, sternum, and left scapula had metastatic tumors and died 12 days after discharge.