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病例1:患者女性,61岁,因反复咳嗽、咳痰4+年、间断咯血2+年、消瘦半年入院。既往无特殊遗传病史。体查:慢性消耗病容,形体消瘦。左背部第八肋以下叩浊,左下肺呼吸动度减弱,语颤减弱。辅查胸片示左下肺感染,左侧胸膜增厚。纤支镜检查左下肺基底段见一实性团块,表面有坏死物覆盖并取该处组织病检,结果示鳞状上皮细胞癌(分化差)。胸部CT提示:左下肺中央型肺癌并肺门淋巴结转移,左下肺不张。超
Case 1: Female patient, 61 years old, admitted to hospital because of repeated coughing, coughing for 4 years, intermittent hemoptysis for 2+ years, and weight loss for half a year. No previous history of special genetic diseases. Physical examination: chronic consumption of disease, body weight loss. The turbidity below the eighth rib in the left back was decreased, and the left lower lung’s respiratory motion was weakened and the speech trembling weakened. Auxiliary chest radiographs showed left lower lung infection and left pleural thickening. Fibrobronchoscopy revealed a solid mass on the basement of the left lower lung, covered with necrotic material on the surface, and histological examination of the tissue. The results showed squamous cell carcinoma (differentiated). Chest CT showed a central lung cancer of the left lower lobe with hilar lymph node metastasis and left lower lung atelectasis. ultra