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患者林某,女,75岁,右侧腮腺区发现肿块7年～8年,开始约蚕豆大小,近一年来增大明显,伴有抽搐疼痛感,于1987年11月11日入院。体格检查无异常发现。专科检查:于右腮腺区扪及约6×5×4cm大小之肿块,活动度小,质硬,表面凹凸不平,边界不清。临床初诊为:腮腺区肿瘤(混合瘤恶变)。1周后在局麻下行保留面神经腮腺浅叶及肿瘤切除术。术中见肿块与胸锁乳突肌明显粘连,周围有较多肿大之淋巴结。病理检查:巨检见不规正之软组织。大小4.8×4
The patient Lin, female, 75 years old, found a mass in the right parotid gland for 7 years to 8 years, began to be about the size of broad beans, increased significantly in the past year, accompanied by painful convulsions, and was admitted to hospital on November 11, 1987. Physical examination found no abnormalities. Specialist examination: In the right parotid gland area and about 6 × 5 × 4cm size of the mass, the activity is small, hard, uneven surface, the border is unclear. The initial clinical diagnosis was: parotid gland tumor (malignant mixed tumor). After 1 week, the facial nerve parotid superficial lobe and tumor resection were preserved under local anesthesia. During the operation, the masses and the sternocleidomastoid muscles were clearly adherent, and there were many enlarged lymph nodes around. Pathological examination: Giant inspection see irregular soft tissue. Size 4.8×4