女,33岁,右前胸后背痛十多年,近半年自觉午后发热,手脚明显,肌注青链霉素及中药治疗不见好转。胸透发现右胸占位病变。入院后示体温、脉搏、血压均正常。查体无阳性发现。胸片正位见右第七后肋下缘至第十后肋上缘纵隔有4×9.5cm大小肿物,侧位见肿物位于胸骨角下,紧贴胸壁, Female, 33 years old, suffered back pain in the right anterior chest for more than 10 years. He felt fever in the afternoon and his hands and feet were obvious in the past half year. The treatment with intramuscular injection of streptomycin and Chinese medicine was not improved. Chest thorax found lesions in the right chest. After admission, body temperature, pulse, and blood pressure were normal. No positive findings were found. The chest radiograph seen from right to the seventh posterior rib inferior edge to the tenth posterior rib superior margin mediastinum with a size of 4 x 9.5cm tumor, the lateral position seen with the tumor located below the sternal angle, close to the chest wall,