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患者男,52岁。咳嗽、咯血痰一周,伴有胸部闷痛。胸透发现右肺占位性病变,于1985年4月1日入院。既往有吸烟史,父死于白血病,兄死于肺癌。体检无阳性体征,胸部X线片示,右肺中叶下方见一大小约2.5×2.5cm球形病灶,界限清楚,密度均匀。断层X线摄片13、14cm两张片中病灶较清楚,周围边缘光滑,并有小毛刺。初诊右肺球形病灶,肺癌可能性大。1985年4月12日全麻下手术探查,胸膜无粘连,右肺中叶横裂处有一2.5×2.5cm肿块,表面暗红
Male patient, 52 years old. Cough, hemoptysis for a week, accompanied by chest tightness. The thorax found right lung occupying lesions and was admitted on April 1, 1985. There was a history of smoking, the father died of leukemia, and the brother died of lung cancer. Physical examination showed no positive signs. Chest X-ray showed a spherical lesion with a size of 2.5 x 2.5 cm below the right middle lobe. The boundary was clear and the density was uniform. The lesions were clearly visible in the 13- and 14-cm slices of the tomography X-ray film, with smooth peripheral edges and small burrs. The newly diagnosed right lung spherical lesions have a high possibility of lung cancer. In April 12, 1985 under general anesthesia exploration, pleural no adhesion, the right middle lobe of the lung with a 2.5 × 2.5cm mass, the surface dark red