患者,男,64岁.因反复咳嗽、咳痰10年,加重伴左胸痛2周于1998年1月5日入院.查体:左上肺呼吸音减低.X线胸片示左上肺有一约6.5cm×6.0cm球形阴影,密度均匀,部分边缘呈分叶状.CT扫描见左肺上叶有一5.0cm×4.0cm密度均匀的实性肿块,边缘呈分叶状,周围可见血管、支气管集束征,病变外侧与胸膜有粘连.腹部B超肾脏未见异常.于1998年1月22日在全麻下行左侧剖胸探查,发现肿块位于 Patient, male, 64 years old. Repeatedly coughing, coughing for 10 years, aggravated with 2 weeks left chest pain admitted to hospital on January 5, 1998. Examination: lower left lung breath sounds reduced. X-ray shows a left upper lung about 6.5 Cm×6.0cm spherical shadow, uniform density, part of the edge was lobulated. CT scan see left upper lobe of a 5.0cm × 4.0cm uniform solid mass, the edge was lobulated, visible around the blood vessels, bronchial bundle sign There was adhesion between the lesion and the pleura. There was no abnormality in the abdominal B ultrasound kidney. On January 22, 1998, under the general anesthesia, a left thoracic exploration was performed and it was found that the lumps were located.