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患者男,35岁。因“右侧胸痛不适6日”入院。体检:浅表淋巴结未扪及肿大,皮肤巩膜无黄染,心肺听诊无异常。腹平软,无反跳痛,无明显肿块。双下肢无水肿,无病理反射。实验室检查:血常规、肾功能、电解质及凝血功能正常;肝功能GGT 136 U/L;肿瘤标志物CA125、CA199为正常均值。CT表现:后纵隔胸部CT平扫(T5~7椎体右侧旁)可见一大小4.3 cm×2.8 cm类椭圆形软组织密度影,边界尚清,CT值约35HU,邻近椎体骨质未见破坏、邻近椎间孔无明显扩大(图1、2),双肺正常。半年后复查病灶较前稍,,
Patient male, 35 years old. Because of “right chest pain discomfort on the 6th” admission. Physical examination: superficial lymph nodes palpable enlargement, sclera no yellow dye, no abnormal heart and lung auscultation. Abdomen soft, no rebound pain, no obvious mass. No lower extremity edema, no pathological reflex. Laboratory tests: blood, renal function, electrolyte and coagulation is normal; liver function GGT 136 U / L; tumor markers CA125, CA199 for the normal mean. CT manifestations: posterior mediastinum CT scan (T5 ~ 7 right side of the right side of the vertebral body) can be seen a size of 4.3 cm × 2.8 cm oval soft tissue density, border clear, CT value of about 35HU, adjacent to the vertebral bone did not see Destruction, no significant expansion of adjacent foramen (Figure 1,2), normal lungs. Six months after the review of lesion slightly before ,,