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患者男性,76岁。发现左耳下拇指大小肿物1年,无红肿热痛,触之可动,抗炎治疗效果欠佳;2个月前肿块增大迅速,无疼痛及其他不适。查体:面部不对称,左侧腮腺区耳垂下可见明显隆起,肿块大小9 cm×7 cm,质地中等,表面光滑,活动度一般,边界清,无触压痛,表面皮肤无发红、破溃。双侧腮腺导管口未见特殊。血清Ig G和Ig A正常;血沉17nm/h(正常0~15 nm/h);尿本周氏蛋白(-)。CT示左侧颜
Male patient, 76 years old. Found that the left ear, the size of the thumb tumor 1 year, no swelling and heat pain, touch the move, poor anti-inflammatory treatment; 2 months ago, the tumor increased rapidly, no pain and other discomfort. Physical examination: facial asymmetry, the left parotid area ear lobe eyelid obvious swelling, mass size 9 cm × 7 cm, medium texture, smooth surface, mobility in general, the border clear, no tenderness, the surface of the skin without redness, ulceration . Bilateral parotid duct mouth no special. Serum Ig G and Ig A normal; ESR 17nm / h (normal 0 ~ 15 nm / h); Urine week protein (-). CT shows the left side of the color