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1 临床资料 患者女,51岁,左腋下鸡蛋大小包块1年余,近1月来左颈部后方又有多个大小不等结节状肿块,不痛,无发热。经穿刺细胞学检查诊断为团状腺癌。追问病史,停经2年,既往在月经前后无任何感觉,也未发现包块。检查:体温36.7℃,脉搏80 beat/min,血压18/13kPa。一般情况可,心肺无异常,左腋下可触技7cm、5cm大小包块,质地坚硬,与皮肤粘连,活动度差。左腋窝及左颈部后三角区、锁骨上均可触及肿大淋巴结多枚,个别融合成块状。同侧乳腺未扪及包块。胸部X线片、心
1 clinical data of patients female, 51 years old, left squatting egg size for more than 1 year, near the end of the left neck in the past month there are multiple nodular masses of varying sizes, no pain, no fever. The cystic adenocarcinoma was diagnosed by puncture cytology. Inquiring about the medical history, menopause for 2 years, no feeling before or after menstruation, no mass was found. Check: body temperature 36.7 °C, pulse 80 beat/min, blood pressure 18/13kPa. The general situation can be, there is no abnormal heart and lung, left axilla can touch the technology 7cm, 5cm size block, texture hard, and skin adhesion, poor activity. In the left axillary fossa and the left posterior triangle of the neck and the clavicle, enlarged lymph nodes can be touched, and individual fusions become massive. Ipsilateral mammary glands and masses. Chest X-ray, heart