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患者女,42岁。于2013年9月10日至我院门诊就诊,患者于入院前半月因咳嗽至上海某医院就诊,当时无痰,无发热,无胸痛,无盗汗。查体:浅表淋巴结未扪及肿大,胸廓正常,叩诊清音,双肺呼吸音粗,未及干湿性啰音。予头孢类抗生素等治疗,效果不佳,1周后行胸部CT检查发现右肺肿块,边界不清,未见卫星灶,遂进一步查PET-CT见右肺糖代谢异常增高灶,占位性病变(3.0cm×2.6cm),考虑恶性病变可能性大,即
Female patient, 42 years old. From September 10, 2013 to our outpatient clinic, patients were coughd to a hospital in Shanghai in the first half of admission. At that time, they had no sputum, no fever, no chest pain and no night sweats. Physical examination: superficial lymph nodes palpable enlargement, normal thoracic, percussion voiceless, breath sounds thick lungs, and wet and dry rales. Cephalosporin antibiotics and other treatment, the effect is not good, 1 week after the chest CT examination of the right lung mass, the boundary is unclear, no satellite lesions, then further investigation of PET-CT right upper lung glucose metabolism abnormalities lesions, space-occupying lesions 3.0cm × 2.6cm), consider the possibility of malignant lesions, that is