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男患,54岁。1985年4月无明显诱因开始咳嗽,伴少量白色痰,偶而痰中带血,伴右胸痛,无发热,盗汗,于5月3日入院。体检:T36.5℃,P80次,Bp13.3/9.33kPa(100/70mmHg)。左锁骨上淋巴结1×1Cm,右肺呼吸音低.胸部X线示右侧肺门呈蜂窝状大片阴影,右肺中叶不张。肺功能示限制性通气障碍。支纤镜检查:右肺中下叶支气管狭窄,粘膜出血。淋巴结活检以肉瘤组织为主,为多形性瘤细胞组成,瘤细胞浆红染,胞浆内有横纹,有的细胞浆透亮或呈带状。临床诊断:肺原发性横纹肌肉瘤并淋巴转移。住院后经用化疗
Male is 54 years old. In April 1985, there was no obvious incentive to start coughing, with a small amount of white sputum, occasionally bloody sputum, with right chest pain, no fever, night sweats, admitted to hospital on May 3. Physical examination: T36.5°C, P80 times, Bp13.3/9.33kPa (100/70mmHg). The left supraclavicular lymph node 1 × 1Cm, right lung breath sounds low. Chest X-ray shows the right hilar showed a large honeycomb shadow, right middle lobe atelectasis. Pulmonary function shows restrictive ventilation disorders. Fiberoptic examination: bronchial stenosis in the right lower lobe and mucosal bleeding. Lymph node biopsy was mainly composed of sarcoma tissue, consisting of pleomorphic tumor cells. The tumor cells stained red with cytoplasm, and there were transverse stripes in the cytoplasm, and some cells were translucent or banded. Clinical diagnosis: Primary lung rhabdomyosarcoma with lymph node metastasis. Chemotherapy after hospitalization