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患者,女22岁。3个月来右上腹部及右腰部皮肤阵发性针刺样疼痛。伴纳差,进行性加重,于1987年4月26日入我院内科。检查:右侧腰部叩击痛,右上腹皮肤痛温觉正常.X 线胸片显示:右后纵隔第9胸椎以下可见直径10×10cm~2圆形肿块。于5月6日全麻下经右胸第六肋间开胸,探查可见后纵隔9、10肋椎关节处有一10×10cm~2圆形包块,有包膜,表面呈暗红色;质硬;基底深达脊椎,切除肿
The patient is 22 years old. Paroxysmal acupuncture-like pain in the upper right abdomen and right lumbar skin for 3 months. Accompanied by asymmetry, progressively worsened, entered our department of internal medicine on April 26, 1987. Check: Right side of the lumbar percussion pain, right upper abdominal skin temperature normal pain. X-ray shows: right posterior mediastinum below the 9th thoracic vertebrae visible diameter 10 × 10cm ~ 2 round mass. On May 6th, under general anesthesia, the right intercostal space was opened on the sixth intercostal space. The posterior septum of the posterior septum 9, 10 showed a 10×10cm~2 round mass at the rib joint. The capsule was coated with a dark red surface. Hard; basal deep to the spine, resected swollen