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王××,女,44岁。自诉前胸不适2年余,无咯血、气急和发热。胸部正位平片示右上纵隔增宽,可见一块影(图1,见封三);分层片示密度增高、边缘整齐的阴影。诊断为右上肺肿瘤,于1980年10月9口入院手术。体检:营养一般,面色稍苍白,皮肤粘膜无出血点,全身表浅淋巴结无肿大,心肺阴性,腹平软,肝脾未肿大,四肢关节及神经系统检查正常。实验室检查:血红蛋白10克%,白细胞4,700/立方毫米,中性78%,淋巴22%。病理检查:切除标本为圆形肿块,包膜完整,大小为6×4×4厘米,表面部分光滑,切面呈黄褐色及灰白色(图2,见封三)。镜检:淋巴滤泡之间毛细血管增生,并有多个血管从四周穿入淋巴滤泡
Wang × ×, female, 44 years old. She complained of discomfort in her chest for more than two years without hemoptysis, shortness of breath and fever. The plain radiograph of the chest shows that the right upper mediastinum is widened and a shadow is visible (Figure 1, see the cover 3); the stratified slices show the increased density and neatly-shadowed shadows. The diagnosis of right upper lung tumors was performed on October 9th, 1980. Physical examination: nutrition, pale appearance, skin and mucous membranes without bleeding, systemic superficial lymph nodes without enlargement, heart-lung negative, abdomen soft, liver and spleen not swollen, limb joints and nervous system examination is normal. Laboratory tests: Hemoglobin 10g%, WBC 4,700/mm3, Neutral 78%, Lymph 22%. Pathological examination: The resection specimen was a round mass with a complete capsule size of 6×4×4 cm. The surface was partially smooth and the cut surface was yellowish-brown and grayish white (Figure 2, see Closure 3). Microscopic examination: Capillary hyperplasia between lymphoid follicles, with multiple blood vessels penetrating lymphoid follicles from the periphery