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患者女,27岁,因刺激性咳嗽、痰血5天,摄胸片发现右肺阴影,于1997年3月5日入院。入院体检:体温正常,KPS80分,右锁骨上可扪及一1.5 cm×1.5cm淋巴结,质硬、固定、无压痛。淋巴结穿刺报告:镜下找到少量恶性肿瘤细胞,腺癌可能。胸正侧位片:右上叶前段一巨大块影约9.0cm×5.5cm大小。胸部CT示肿块紧贴胸前壁和纵隔内侧,与大血管难以分离。肿块中央密度
The patient, 27 years old, was admitted to hospital on March 5, 1997 because of irritating cough and blood stasis for 5 days. Admission examination: body temperature is normal, KPS80 points, right clavicle can be palpable and a 1.5 cm x 1.5 cm lymph nodes, hard, fixed, no tenderness. Lymph node biopsy report: A small number of malignant tumor cells were found under the microscope. Adenocarcinoma may be present. Chest and lateral view: A large block of the anterior segment of the right upper lobe is about 9.0cm x 5.5cm in size. Chest CT showed that the mass was tightly attached to the anterior wall of the chest and the mediastinum and was difficult to separate from the large vessels. Central mass density