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在一个人体上,先后发生不同类型的恶性肿瘤,临床上较少见。我们曾遇到4例,现报告如下: 例一:男,38岁。1972年5月因鼻衄行鼻咽粘膜活检,证实为鼻咽癌。转肿瘤医院放射治疗后症状消失。1974年2月复查,鼻咽部光滑无异常。因病人出现咳嗽,胸片见右中肺野有大团块状阴影,5.5×6.5×7.0cm,边界不整齐,侧位片病灶靠后,位于下叶背段,拟右下叶背段肿瘤。5月20日手术,见右下肺背段有6×6×6cm肿块,肺门淋巴结未有肿大,行右下肺叶切除。病理报告:右下肺未分化癌。术后长期行化学治疗,使用环磷酰胺,每次0.2g,每周1次,连用8次后休8周又重复,门诊追踪至今10年余仍健康。例二:男,40岁。1973年因鼻衄头痛就诊,鼻咽粘膜活检证实为鼻咽癌。行放射治疗,1975年复查已
In a human body, different types of malignant tumors occur successively and are clinically rare. We have encountered 4 cases and the report is as follows: Example 1: Male, 38 years old. In May 1972, a nasopharyngeal biopsy was performed for nasal discharge and it was confirmed as nasopharyngeal carcinoma. Symptoms disappeared after radiotherapy at Cancer Hospital. Reviewed in February 1974, the nasopharyngeal smooth without exception. Due to the patient’s cough, the chest radiograph showed a large massive mass shadow in the right middle lung field, 5.5 × 6.5 × 7.0 cm, the border was irregular, the lateral position was located in the posterior segment, and the posterior segment of the lower lobe was located in the back right segment of the tumor. . On May 20th, there was a 6×6×6cm mass in the dorsal segment of the right lower lung. The hilar lymph nodes were not enlarged and the right lower lobe was removed. Pathology report: Undifferentiated carcinoma in the lower right lung. After long-term chemotherapy, cyclophosphamide was used, 0.2g once a week, once a week, 8 times after 8 consecutive sessions, and repeated for 8 weeks. Outpatient tracking is still healthy for more than 10 years. Case 2: Male, 40 years old. In 1973, he was diagnosed as having a nasal episode and a nasopharyngeal biopsy confirmed as nasopharyngeal carcinoma. Radiation therapy, reviewed in 1975