许××,女,41岁,农民,住院号42340。1974年8月,患者因左面颈部肿块20年、最近2年增长较快而来就医。以前除曾用“针挑”外,从未检查和治疗过。既往身体健康,无咳嗽、咯血、潮热或口咽溃烂等病史。22岁结婚,有三个小孩。爱人亦无慢性疾患。结核接触史不详。体检:左腮腺、颌下区可摸到鸡蛋大小肿块三个,核桃大小肿块一个,颈部可触及约2 Xu X, female, 41 years old, farmer, hospital number 42340. In August 1974, the patient sought medical treatment because of a rapid increase in the left neck mass for 20 years and the most recent two years. In the past, he had never been examined and treated except using “needle picking.” Previous physical health, no history of coughing, hemoptysis, hot flashes or oropharyngeal ulceration. Married at 22, there are three children. Lovers also have no chronic diseases. The history of tuberculosis exposure is unknown. Physical examination: The left parotid gland, submandibular area can touch the size of the egg mass three, a size of the walnut mass, neck can reach about 2