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患者,男性,49岁,因头痛和最近出现个性及行为改变而来诊,无发热。7年前因患鼻窦癌而行右颈廓清术,术后又以~(60)钴照射右颌下淋巴腺,总量为3000拉德,五年前,因肿瘤复发,向右额筛窦、蝶窦和上颌窦浸润,再予以放疗。二年后并发持续性脑脊液漏,再行双额区颅骨切开修补,患区硬脑膜送病检,证实有未分化癌。头颅直立和仰卧位拍片,见左额叶内有一气液平面。经用电子计算机横断层X线摄影扫描仪进一步详查,证实左大脑额叶内有一空洞。
The patient, male, 49 years old, presented with headache and recent personality and behavioral changes and had no fever. Right neck dissection was performed 7 years ago due to sinus cancer, and right submandibular lymph node was irradiated with ~(60) cobalt after surgery. The total amount was 3000 rad. Five years ago, due to tumor recurrence, the right frontal ethmoid sinus was Sphenoid sinus and maxillary sinus infiltration, and then radiotherapy. After two years of continuous cerebrospinal fluid leakage, the bifurcation of the skull was performed and the dura mater was sent to the pathological examination to confirm the presence of undifferentiated carcinoma. Skull erect and supine position film, see a gas-liquid plane in the left frontal lobe. After further detailed investigation with a computer cross-sectional X-ray radiography scanner, it was confirmed that there was a hole in the left brain frontal lobe.