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患者,男,54岁,退休工人。因右舌缘长一肿块、疼痛3月于1997年4月5日来我院门诊。 患者1975年3月曾因右舌前缘溃疡在南京市口腔医院活检为“鳞状细胞癌(Ⅰ级)”而行右舌部分切除术联合右颈部淋巴结清扫术。术后给予争光霉素60mg静注三次。后因白细胞减少而未继续治疗。 检查:舌右侧前缘轻度缺损畸形,舌右侧中后1/3交界处可见一2.0×1.5cm大小菜花状隆起,基底部浸润硬结,边界尚清,上界未及中线,下界为舌腹部的1/2,质脆。右颈部可见一“<”型切口疤痕。颈部及颌下未扪及肿大的淋巴结。
Patient, male, 54 years old, retired worker. Due to the right tongue edge of a lump, pain in March 5, 1997 to our hospital clinic. In March 1975, the patient was diagnosed as “squamous cell carcinoma (grade Ⅰ)” by right anterior tongue ulcer in Nanjing Stomatological Hospital. The right tongue partial resection combined with right neck lymph node dissection was performed in March 1975. After giving bleomycin 60mg intravenously three times. After the leukopenia did not continue treatment. Check: tongue mild front defect on the right anterior deformity, the right tongue at the junction of the middle and rear 1/3 of a cauliflower-like 2.0 × 1.5cm uplift, basal infiltration induration, the boundary is clear, the upper bound and the median line, the lower bound Tongue 1/2, crisp. The right neck visible a “<” incision scar. Neck and submandibular palpable enlarged lymph nodes.