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患者男性,90岁。发现右侧乳腺肿物3天。查体:右侧乳腺增大,于外上象限触及一质硬肿物,有触痛,无乳头溢液、皮肤橘皮样改变等表现。CT示右侧乳腺区可见2.2 cm×3 cm大小结节,边界不清(图1);右肺上叶近肺门区可见大小6.3 cm×5.7 cm肿块,内密度不均,右肺上叶支气管闭塞,肿块周围可见斑片状及点片状实性病变,与胸膜粘连(图2),双肺内见多发小结节,以近胸膜下分布为著。纵隔及右侧肺门区可见多发明显淋巴结影,部分融合。CT诊断为“右肺上叶中心型癌;双肺多发结节;右侧乳腺转移瘤?”
Male patient, 90 years old. Right breast tumor was found for 3 days. Physical examination: the right breast increases, in the upper quadrant touches a hard tumor, tenderness, nipple discharge, skin orange peel-like changes in performance. CT showed the right breast area can be seen 2.2 cm × 3 cm size nodules, the border is unclear (Figure 1); right upper lobe near the hilar area size 6.3 cm × 5.7 cm mass, uneven density, the right upper lobe Bronchial occlusion, mass visible patchy and patchy solid lesions around, and pleural adhesions (Figure 2), multiple pulmonary nodules seen to subpleural distribution. Mediastinal and right hilar area can be seen multiple significant lymph node shadow, partial fusion. CT diagnosis of “right upper lung center cancer; multiple lung nodules; right breast metastases?” "