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患者王某,女,48岁。1978年因右乳腺癌行根治术,术后病理报告为“乳腺单纯癌,腋下淋巴结转移为0/9”,同时将双侧卵巢及子宫摘除。1985年又因左乳腺癌行改良根治术,术后病理报告为“乳腺单纯癌,腋下淋巴转移为0/11,”术后定期复查未见肿瘤复发或转移。1989年5月11日开始感觉右下唇及右下牙麻木,疑(?)残根所致,在外院拔除(?),约拔牙后一周出现右下唇剧烈疼痛,并向右侧耳颞部放散,服止痛药无效而到我院就诊。检查胸部可见双乳腺根治术后瘢痕,拍胸片未见肺部有转移灶。面部对称,触诊右下颌骨相当于(?)舌侧稍膨隆,无压痛,粘膜正常,余未见异常,曲面断层X线片示(?)后下方骨密度减
Patient Wang, female, 48 years old. In 1978, because of radical mastectomy in the right breast, the postoperative pathology report was “breast cancer alone, and the axillary lymph node metastasis was 0/9”. At the same time, the bilateral ovaries and the uterus were removed. In 1985, a modified radical mastectomy was performed for left breast cancer. The postoperative pathology report was “Breast cancer alone; infrapatellar lymph node metastasis was 0/11,” and there was no recurrence or metastasis of the tumor after a periodic review. May 11, 1989 began to feel right lower lip and right lower teeth numbness, suspected (?) residual roots, removed in the outer court (?), about a week after tooth extraction about the right lower lip severe pain, to the right ear deafness The department was released and the pain medication was invalid and went to our hospital. Check the chest after double mastectomy can see the scar, no chest radiographs have metastases. Facial symmetry, palpation of the right mandible is equivalent to (?) The lingual side is slightly bulging, no tenderness, normal mucous membranes, and no abnormalities are found. X-ray films of the curved surface indicate (?) the lower BMD of the posterior lower part.