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患者黄某某,女,60岁,农民。主诉右侧面部无痛性肿块一年余,增大至核桃大伴疼痛1周。病史:1年前发现右面部肿块约杏核大小,近1周增大明显,伴疼痛,进食时不肿大。体检发现右侧面部肿块大小约3×4×3cm大小,质软,表面皮肤色泽正常,挤压腮腺导管口无脓液流出。血象正常。诊断:腮腺混合瘤伴感染?手术探查,局麻下翻开皮瓣,钝分离后见颊肌纤维内包有一肿块,肿块与颊肌及面神经颊支、下颊支粘连甚紧,仔细分离并切除,肿物大小约3×2×2cm
Patients Huang Mou, female, 60 years old, farmer. The chief complained to the painless mass on the right side of the face for more than a year, and it increased to a week with pain in the walnuts. History: Approximately 1 year ago, the right facial mass was found to be about the size of the apricot kernel, which increased significantly in the past 1 week with pain and no swelling during eating. The physical examination revealed that the size of the right facial mass was about 3×4×3 cm, soft, and the skin had a normal color. No pus was drained from the parotid duct. Blood is normal. Diagnosis: mixed parotid gland tumor with infection? Surgical exploration, under local anesthesia flap open, blunt separation after seeing buccal muscle fiber contains a lump, mass and buccal muscles and facial nerve buccal branch, lower buccal branch adhesion is tight, careful separation and removal, The size of the mass is about 3 x 2 x 2 cm