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患者,男,38岁.外伤后发现左鼻背肿物1年入院.1年前左鼻背皮肤被秤杆碰伤,5d后伤口自行愈合.30d后发现局部皮肤隆起,缓慢增大,不痛.无低热盗汗,无咳嗽、咯血痰.既往无结核病史.体检:全身浅表淋巴结无肿大,双肺听诊无干、湿性罗音.腹部无压痛,未扪及包块.脊柱四肢无异常.专科检查:左鼻背隆起2.0×cm1.5cm×1.0cm.皮肤完整无瘢痕.色泽正常.皮下触及肿物,质硬.与皮肤粘连,基底可移动,无压痛.双鼻腔无异常.血沉8mm/h.X线检查:胸片和鼻额位、鼻额位片均正常.心、肺、肝、脾无异常.局麻下行肿物切除术,见肿物位于皮下.与皮肤粘连,呈灰白色,实质性,不易出血,周边
The patient, male, 38 years old, was found to have been left for 1 year after traumatic left-sided mass loss.1 One year ago, the left nasal dorsum of the skin was bruised by scales and the wound healed 5 days later. No low fever night sweat, no cough, hemoptysis sputum .No history of tuberculosis .Physiological examination: no superficial lymph nodes, no lungs auscultation, wet rales .No tenderness in the abdomen, palpable mass. Expert examination: Left nasal back up 2.0 × cm1.5cm × 1.0cm. The skin is complete without scars. Normal color. Subcutaneous touch of the tumor, hard and skin adhesion, the base can be moved without tenderness. / hX line examination: chest and nasal quotas, nasal quotas are normal. Heart, lung, liver and spleen without exception. Local anesthesia underwent resection of the tumor, the tumor is located in the subcutaneous. With the skin adhesion, Substantial, not easy to bleed, the surrounding