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患者,男性,66岁。半年前发现左侧下颌骨体部有一拇指甲大小不移动硬块,无痛性渐进增大。检查:全身一般状况良好。胸片可见右肺上部有4.0×5.0cm大小透射阴影区。口腔所见左侧下颌骨体可扪及5.O×4.5×3.0cm大小呈球形肿物。质硬、边界滑晰,无压痛,无移动性,同侧颌下可能及淋巴结。口内:+_3远中至+_7近中颊侧膨隆肿胀,龈颊沟消失。+34I°松动,+5678舌侧无肿胀、开口正常。X线片:曲面体层X片示、左侧下颌骨体见边缘清楚如钻凿状骨缺损阴影。半径2.0cm左右。四肢骨及骨盆拍片未见异常变化。病理诊断:浆细胞骨髓瘤。
Patient, male, 66 years old. Six months ago found that the left mandibular body has a thumbnail size does not move lumps, painless progressive increase. Check: The general condition of the body is good. Chest radiograph visible in the upper part of the right lung 4.0 × 5.0cm size transmission shadow area. Oral see the left jaw body palpable 5.O × 4.5 × 3.0cm size was spherical tumor. Hard, clear border, no tenderness, no mobility, ipsilateral submandibular may lymph nodes. Oral: + _3 far to +7 near the buccal swelling, gingival cheek groove disappeared. + 34I ° loose, + 5678 no swelling of the tongue, the opening is normal. X-ray: the surface of the body X-ray film, the left side of the mandible see the edge of the clear as the bone-shaped bone defects shadows. About 2.0cm radius. Extremity bones and pelvis film no abnormal changes. Pathological diagnosis: plasma cell myeloma.