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陈某,男,60岁,舌尖下肿物七个月,疼痛四个月入院。检查舌尖下偏右侧有0.2×2cm之溃疡,边缘不整,底深不平;触诊舌尖肿物4×3厘米,位于舌尖正中占舌体前三分之一,肿物质硬,边界欠清,轻度触痛,舌尖活动受限,两侧颌下,颈部及颏下均未扪及肿大淋巴结,口腔卫生差。术前取肿物活检报告为舌鳞状细胞癌1级。化验:白细胞5800个/mm~3,中性76%,淋巴20%。胸部x线片:两肺纹理增强,心主动脉型。
Chen, male, 60 years old, the tongue under the tumor for seven months, four months hospitalization. Check the tongue below the right side of the ulcer 0.2 × 2cm, the edge is not the whole, the bottom of the deep uneven; palpable tongue tumor 4 × 3 cm, located in the middle of the tongue one third of the top of the tongue, swollen material hard, the border is not clear, Mild tenderness, limited tongue activity, both sides of the submandibular, neck and submental were palpable enlarged lymph nodes, poor oral hygiene. Tumor biopsy before surgery for the tongue squamous cell carcinoma grade 1. Laboratory tests: white blood cells 5800 / mm ~ 3, 76% neutral, lymphatic 20%. Chest x-ray film: enhanced lung tissue, aortic heart.