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患者男,49岁,干部,病历号751703,1975年10月5日入院。主因鼻部红肿10个月,鼻堵、恶臭、分泌物增多,3个月来偶带血性涕,在当地按鼻炎治疗,无效,经省人民医院活检,诊为鼻腔恶性肉芽肿,转我院放疗。查体无阳性症可载。肿瘤所见:鼻外部红肿,鼻腔排出腐臭分泌物,左鼻腔前庭可见索条样肿物,粘膜充血水肿,鼻中隔穿孔,边缘有肉芽组织增生。临床诊断及病理诊断均为鼻腔恶性肉芽肿。鼻前品字形野钻外照射4800γ/42天,鼻梁塌陷,中隔穿孔,恶臭分泌物消失。后用环磷酰胺每日0.2克,强的松每日30毫克,维持一月,因体温波动、乏力、食差,停药二月。左侧口腔粘膜及左下
The patient was a 49-year-old man with a medical record of 751703. He was admitted to hospital on October 5, 1975. Mainly due to redness of the nose for 10 months, nasal congestion, odor, secretions increased, 3 months of bloody sputum, in the local treatment of rhinitis, invalid, biopsy by the Provincial People’s Hospital, diagnosed as nasal malignant granuloma, transferred to our hospital Radiotherapy. Physical examination can be carried without positive symptoms. Tumor findings: nasal external swelling, discharge of rancid nasal secretions, left nasal cavity vestibule visible vestibular mass, mucosal congestion and edema, nasal septum perforation, edge granulation tissue hyperplasia. Both clinical diagnosis and pathological diagnosis are malignant nasal granuloma. In front of the nose, the figure-shaped wild drill was exposed to 4800 γ/42 days, the nose was collapsed, the septum was perforated, and the odor secretions disappeared. After using cyclophosphamide 0.2 g daily, prednisone daily 30 mg, maintained in January, due to body temperature fluctuations, fatigue, poor food, withdrawal in February. Left oral mucosa and lower left