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临床资料患者,女,71岁。因发热、咳嗽1周、有糖尿病史入院住内分泌科。入院后胸部CT检查示:右肺下叶密度增高块影,毛刺征及支气管充气征不明显,边界清楚,见图1。术前临床诊断为肺癌,有手术指征转我科行右肺下叶切除术。肺门、隆突下无明显肿大淋巴结。病理报告:(右肺下叶)浆细胞瘤,CD138+,CD38+,细胞角蛋白(CK,―),上皮膜抗原(EMA,+),MuM-1(+),S-100蛋白(S-100,―),核蛋白(Ki)-67+(<25%)。术后骨扫描、骨髓穿刺、脊髓磁共振成像(MRI)检查未发现异常。术后病理诊断为原发性
Clinical data, female, 71 years old. Due to fever, cough for 1 week, a history of diabetes hospital admission endocrine Department. Chest CT examination after admission showed: lower right lobe density increased blockage, burr sign and bronchial airway sign is not obvious, the boundary is clear, see Figure 1. Preoperative clinical diagnosis of lung cancer, surgical indications go to my line of right lower lobe resection. Hilar, under the bulge no significant enlarged lymph nodes. Pathology Report: Plasmacytoma, CD138 +, CD38 +, Cytokeratin (CK, -), Epithelium Membrane Antigen (EMA, +), MuM- 1 (+), S-100 Protein , -), nucleoprotein (Ki) -67 + (<25%). Postoperative bone scan, bone marrow puncture, spinal cord magnetic resonance imaging (MRI) examination found no abnormalities. Postoperative pathological diagnosis of primary