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1 病例资料患者女,60岁,因发现右腋下肿块1年余,右乳肿块20天,于1990年10月15日拟诊为右侧乳腺癌入我院外科.患者于1年前在洗澡时发现右腋下有数颗蚕豆大皮下结节,表现暗红,不适,未引起重视.1990年7月在无明显诱因下渐感发热,体温高达39℃,但无寒战,热型不规则,未曾诊治.同年9月下旬,发现右乳房有3×3cm大小皮下结节,当地医院拟诊为右侧乳腺癌,转来我院外科.体检:体温38.5℃,脉搏86次/分,无奇脉.血压14/7kPa,慢性病容,右腋下可触及数枚蚕豆大的皮下结节,右乳房可触及3×3cm大皮下结节,质硬,无压痛,与皮肤粘连,表面暗红,有少量鳞屑.心界扩大,心率86次/分,律齐.两肺未见异常.腹平软,肝肋下5cm,脾肋下未触及,无腹水征,双下肢无水肿.实验室
Case data A female patient, aged 60, was diagnosed with right breast cancer for more than one year because of a right underarm tumor and a right breast mass for 20 days and was diagnosed with right breast cancer on October 15, 1990. One year ago, Bathing found that there are several sub-nodules under the right armpit broad subcutaneous nodules, dark red, uncomfortable, did not pay attention .In July 1990 in the absence of obvious incentive to gradually feel fever, body temperature up to 39 ℃, but no chills, fever-type irregular In the same year in late September, the right breast was found 3 × 3cm size subcutaneous nodules, the local hospital to be diagnosed as right breast cancer, transferred to our hospital surgery. Physical examination: body temperature 38.5 ℃, pulse 86 beats / min, no Qi pulse.Hydrogram 14 / 7kPa, chronic disease, the right axilla can reach a few large subcutaneous nodules of broad beans, the right breast can reach 3 × 3cm large subcutaneous nodules, hard, no tenderness, adhesion with the skin, dark red surface , A small amount of scales. Heart expansion, heart rate 86 beats / min, law Qi. No abnormalities in both lungs. Abdomen soft, liver ribs 5cm, spleen ribs did not touch, no signs of ascites, both lower extremities without edema.