巨大肺癌空洞较为少见,同时伴有胸壁癌性溃疡者则更属罕见。现报告1例如下。 男,70岁。咳嗽,痰中带血伴胸痛2年余。右背部发现肿块4个月,逐渐增大。后形成溃疡经久不愈。近来咯出鱼肉样物质。有烟酒嗜好。检查:消瘦,右肺呼吸音低,叩呈浊音。右背部软组织肿胀,中央有一溃疡,凹凸不平,伴脓性分泌物,恶臭。浅表淋巴结不肿大。白细胞11.6×10~9/L,中性0.80,淋巴0. Large lung cancer cavities are rare, while those with chest wall cancerous ulcers are even rarer. The report 1 is for example below. Male, 70 years old. Cough, bloody sputum with chest pain for more than two years. The mass was found in the right back for 4 months and gradually increased. After the formation of ulcers unrecoverable. Recently, fish-like substances have been found. There are tobacco and alcohol addiction. Check: Loss of weight, low breath sounds in the right lung and dull voice. The right back soft tissue is swollen. There is an ulcer in the center, uneven, with purulent secretions, odor. Superficial lymph nodes are not swollen. White blood cells 11.6 × 10 ~ 9 / L, neutral 0.80, lymph 0.