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作者报告一例53岁男性患者,30年前曾患肺结核,吸烟30年。患者于1978年9月间断高烧,1980年1月持续发烧,6月入院.X 线胸片见右上肺有5厘米及2.5厘米直径的园形肿物。入院后经抗生素治疗,肿物扩大,支气管镜取病理为鳞癌。术前放疗3000rad,9月中旬行手术切除。术中见肺尖有二个病灶,且浸润胸膜。手术切除右上肺及气管、支气管周围淋巴结。术后病理检查,二个癌病灶均为陈旧
The authors report a case of a 53-year-old male patient who suffered from tuberculosis 30 years ago and smoked for 30 years. The patient had an intermittent high fever in September 1978 and sustained fever in January 1980. He was admitted to hospital in June. The X-ray showed a 5-cm and 2.5-cm diameter round-shaped mass in the upper right lung. After admission, he was treated with antibiotics and the tumor was enlarged. His bronchoscopic pathology was squamous cell carcinoma. Preoperative radiotherapy 3000rad, surgical resection in mid-September. During the operation, there were two lesions on the lung tip and infiltrated the pleura. Surgical removal of the right upper lung and trachea, peribronchial lymph nodes. Postoperative pathological examination, both cancerous lesions are old