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患者女,66岁。因右上腹疼痛2个月于2010年5月25日入我院普外科。入院查体:双侧胸部、腹部和背部可见片状大小不一的牛奶咖啡斑,最大直径15 mm,皮肤未见明显结节,右上腹压痛,无肌肉紧张及反跳痛。B超示:胆囊结石。普外科诊断为慢性结石性胆囊炎急性发作,拟行胆囊切除术。术前胸部X线片示:左上肺可见边界较清,中等密度的多个结节影;胸部CT示:左胸膜多发结节影,考虑胸膜间皮瘤可能
Female patient, 66 years old. Right upper quadrant pain for 2 months on May 25, 2010 into our hospital general surgery. Admission examination: visible on both sides of the chest, abdomen and back of the flaky milk coffee spots of varying sizes, the maximum diameter of 15 mm, the skin no obvious nodules, right upper quadrant tenderness, no muscle tension and rebound tenderness. B ultrasound shows: gallstones. General Surgery diagnosed as acute episodes of chronic cholecystitis, to be cholecystectomy. Preoperative chest X-ray showed: the left upper lung visible boundary more clear, multiple nodules of medium density; chest CT showed: multiple left nodule nodules, consider the possibility of pleural mesothelioma