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患者男性,23岁,1975年7月25日入院。主诉:右耳前部肿痛8个月。现病史:8个月以前发现右耳前部肿胀,经按一般炎症治疗无效。体检:发育及营养状态良好,颅骨无畸形,胸腹四肢未见异常,右眼球较左眼球突出1毫米,在右耳前部可摸到右颞颌关节小头膨大,轻压痛,开闭口运动不受限。x线摄影(x线片号67343);右侧下颌骨髁状突骨质膨大,髁状突及升支部有明显的骨质破坏。x线所见,应考虑造釉细胞瘤或巨细胞瘤。化验:血红蛋白13.2克％,白细胞10200,中性:杆状核1％,分叶核71％,淋巴19％,单核9％。嗜酸性粒细胞计数80/毫米~3。血钙
Male patient, 23 years old, admitted to hospital on July 25, 1975. Chief Complaint: Right anterior ear swelling and pain for 8 months. Current medical history: 8 months ago found that the right ear swelling, according to the general inflammation treatment is invalid. Physical examination: good developmental and nutritional status, no skull deformity, no abnormalities in the thoracic and abdominal limbs, the right eye protrudes 1 mm more than the left eyeball, and the right temporomandibular joint can be swollen, mild tenderness, opening and closing mouth movements in the front part of the right ear Not limited. x-ray photography (x-ray film number 67343); the right mandibular condylar bone enlargement, condylar and ascending branch of significant bone destruction. X-ray findings, should consider ameloblastoma or giant cell tumor. Assay: Hemoglobin 13.2%, white blood cells 10200, neutral: 1% of rod nucleus, 71% of leaf lobes, 19% lymphatic, 9% mononuclear. Eosinophil count 80 / mm ~ 3. Calcium