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患者虞某,男,60岁,因声音嘶哑4月余,于1990年11月20日入院。4个多月来,声音嘶哑日益加重,无咳嗽、痰中带血和呛咳。无吞咽困难。吸烟史20余年。曾在外院作过2次病理切片检查,均为“右声带不典型增生”。入院体检无明显异常。本科检查:耳、鼻、咽无特殊。间接喉镜:会厌呈(?)型,声带未能窥见,梨状窝无积液,颈淋巴结无肿大。1990年11月24日在局麻下作直接喉镜检查,见右声带为灰白色新生物所遮盖、表面不平。左声带
He was admitted to hospital on November 20, 1990. He was 60 years old. He was deaf because of hoarseness for more than four months. For more than four months, hoarseness has become worse, with no coughing, bloody sputum, and coughing. No difficulty in swallowing. Smoking history for more than 20 years. He had performed two pathological biopsies in the outer hospital. They were all “dysplasia of right vocal cords.” Physical examination was not significantly abnormal. Undergraduate examination: no special ear, nose, pharynx. Indirect laryngoscopy: The epiglottis was of a (?) type, the vocal cords could not be seen, the pelvic cavity had no effusion, and the cervical lymph nodes were not swollen. Direct laryngoscopy was performed under local anesthesia on November 24, 1990. The right vocal cord was covered by gray-white new creatures and the surface was uneven. Left vocal cord