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例1 张某;男,45岁,厨师。因低热、咳嗽、咯血半个月于1985年9月24日就诊。体检:一般情况好,全身浅表淋巴结不大,气管居中,心肺无异常。腹软、肝脾不大。肝肾功能正常。正侧位胸片示右中叶肺不张。纤支镜见中叶内侧段支气管开口处有一菜花样肿物将管口阻塞。肿瘤组织活检、病理报告为肺透明细胞癌。剖胸探查,见肿瘤位于右中叶内侧段支气管内,约3×4cm,质地较硬。界线清楚,无包膜,未见肺门淋巴结转移。病理检查:肿块3×3.5cm,灰黄色、境界清楚。肿瘤多呈大圆形或椭圆形细胞组成,胞浆染色较为透明,部分细胞含有细小颗粒,胞体较大、细胞核中等大小,圆形,核仁清楚。PAS染色阴性,Alcian blue染色阴性。病理诊断:右肺透明细胞癌。
Example 1 Zhang; male, 45 years old, cook. He was diagnosed with low fever, cough, and hemoptysis on September 24, 1985. Physical examination: The general situation is good, the superficial lymph nodes are not large, the trachea is in the middle, and the heart and lungs are not abnormal. Soft abdomen, small liver and spleen. Liver and kidney functions are normal. The right lateral chest radiograph shows right middle lobe atelectasis. In the bronchoscope, there is a cauliflower-like mass at the opening of the bronchus in the middle segment of the bronchoscope to obstruct the orifice. The tumor tissue biopsy and pathology report were clear cell carcinoma of the lung. Thoracic exploration, see the tumor is located in the inner bronchus of the right middle lobe, about 3 × 4cm, hard texture. The borderline is clear, no capsule, no hilar lymph node metastasis. Pathological examination: mass 3 × 3.5cm, grayish yellow, clear boundary. Tumors mostly consist of large round or elliptical cells. The cytoplasm is stained more transparently. Some cells contain fine particles, the cell body is large, the cell nucleus is of medium size, round, and the nucleolus are clear. PAS staining was negative and Alcian blue staining was negative. Pathological diagnosis: right lung clear cell carcinoma.