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原发性肺纤维肉瘤甚罕见,现报告1例如下:患者,女60岁,因咳嗽、气喘、胸闷1个月,咯血2天,来院就诊。体检发育中等。浅表淋巴结未扪及,气管居中。呼吸急促。胸部叩诊:右前下叩实音。听诊:右肺呼吸音弱。实验室检查:Hb 100g/L、RBC 3.5 ×10~(12)/L、WBC 8.0×10~9/L、ESR 65mm/h。痰脱落细胞学检查:阴性。X线所见右肺中叶有约8×9×10cm类圆形巨大肿块影,密度高而均匀,边缘清楚,有分叶。斜裂向后下移位,右心缘模糊。右上肺叶有片条状影,模
Primary pulmonary fibrosarcoma is very rare and is reported as follows: The patient, female is 60 years old, came to the hospital for cough, asthma, chest tightness for 1 month, hemoptysis for 2 days. Physical examination is moderate. Superficial lymph nodes were not involved and the trachea was centered. Shortness of breath. Chest percussion: right front chin real sound. Auscultation: The right lung breath sounds weak. Laboratory tests: Hb 100g/L, RBC 3.5 x 10~12/L, WBC 8.0 x 10~9/L, ESR 65mm/h.痰 Exfoliated cytology: negative. The X-ray seen in the right middle lobe of the right lung has a round mass of about 8 × 9 × 10 cm, with high density and evenness, clear edges, and lobed leaves. The oblique fissure shifts backward and the right heart margin is blurred. The upper right lobe has a strip of shadows.