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患者,女性,44岁,工人。1990年4月体检发现左上结节灶。在结防所诊断肺结核,给予INH,RFP,EMB抗结核治疗3个月复查胸片示:左上结节灶有增大,拟诊“左上肺癌可能”收入院鉴别诊断。入院后体检正常,全身体表淋巴结未触及。心率88次/分,律齐,两肺呼吸音正常,血常规,生化各项指标正常。痰浓缩找结核菌6次阴性,痰找癌细胞6次阴性,纤支镜检阴性,OT(1:2000)72小时10mm×10mm。胸部CT报告:左上肺尖后段一致密阴影,1.9cm×1.2cm,密度不均,边缘不光整。CT值为48HU,气管旁淋巴结肿大,诊断:左上肺癌可能。1990年10月11日行左上肺叶切除,病理诊断;左上叶后段硬化性血
Patient, female, 44 years old, worker. April 1990 physical examination found the left upper nodule. Diagnosis and treatment of tuberculosis in the tuberculosis, given INH, RFP, EMB anti-TB treatment for 3 months to review the chest X-ray showed: the upper left nodule has increased, the proposed diagnosis of “left upper lung cancer” income hospital differential diagnosis. Physical examination after admission, the body surface lymph nodes not touched. Heart rate 88 beats / min, Law Qi, normal lung breath sounds, blood, biochemical indicators of normal. Mycobacterium tuberculosis sputum concentrated 6 times negative, sputum looking for cancer cells 6 negative, bronchoscopy negative, OT (1: 2000) 72 hours 10mm × 10mm. Chest CT report: apex shadow of the upper left apex acute shadow, 1.9cm × 1.2cm, uneven density, not the whole edge of the whole. CT value of 48HU, paralytic lymph nodes, diagnosis: left upper lung cancer may be. October 11, 1990 line left upper lobectomy, pathological diagnosis; upper left posterior cirrhosis of the blood