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1临床资料患者男,60岁。后枕部肿物1个月,手术切除后复发10d。1个月前无明显诱因后枕部出现一肿物,呈进行性增长,无破溃、疼痛;3周前于当地行手术切除,10d前于原手术部位肿物复发,渐增大至核桃大小。自发病以来,精神逐渐萎靡不振,无发热及其他不适。既往体健,否认有呼吸道及肺部疾病。吸烟40年余,家族史无特殊。查体:精神欠佳,系统检查未见明显异常。皮肤科情况:后枕部可见1个直径约4cm紫红色肿物,表
1 clinical data patient male, 60 years old. After occipital tumor 1 month, recurrence after surgery 10d. One month ago there was no obvious incentive occiput after a tumor, showing a progressive growth, no ulceration, pain; 3 weeks ago in the local surgical resection, 10d before the original surgical site of tumor recurrence, increasing to walnut size. Since onset, the spirit has been drowsiness, fever and other discomfort. Past physical health, denied respiratory and pulmonary diseases. More than 40 years of smoking, family history no special. Physical examination: poor health, no obvious abnormalities in the system check. Dermatology: After the occipital seen a diameter of about 4cm purple tumor, the table