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恶性淋巴瘤是起源于淋巴结和结外淋巴组织的恶性肿瘤,原发于肺者罕见,我院收治一例,报告如下: 患者女性,45岁。1987年10月一次感冒后出现持续性咳嗽咳痰,伴间歇性痰血一年余。当地胸片提示左肺块影,于1989年3月13日收住我院。体检:体温36.8℃,全身浅表淋巴结无肿大。左中肺闻有散在湿罗音,心脏正常,肝脾未及。痰找癌细胞三次阴性。胸片见左肺心膈角处5.0×5.5cm块影,轮廓清楚,轻度分叶,密度均匀。侧位片肿块位于左肺舌叶。纵隔、肺门淋巴结无肿大。电透下肿块不随呼吸改变形态,无搏动。X线诊断:左肺(舌叶)周围型肺癌。
Malignant lymphomas are malignant tumors originating in lymph nodes and extranodal lymphoid tissues. Primarily occurring in the lungs are rare cases. One case in our hospital was treated as follows: The patient was female, 45 years old. After a cold in October 1987, there was a persistent cough and sputum with intermittent bleeding for more than a year. The local chest radiograph showed a left lung block shadow and was admitted to our hospital on March 13, 1989. Physical examination: body temperature 36.8 °C, no enlarged lymph nodes throughout the body. The left middle lungs had scattered wet rales, the heart was normal, and the liver and spleen were not. He found cancer cells three times negative. The chest radiograph showed a 5.0×5.5 cm patch at the left ventral heart palpebrae, with clear outlines, mild leafing, and uniform density. Lateral lenticular masses are located in the left pulmonary lingual lobe. Mediastinal and hilar lymph nodes were not swollen. The electroosmotic mass does not change shape with breathing, no pulse. X-ray diagnosis: Left lung (tongue) peripheral lung cancer.