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患者男,46岁,因“左侧口底颌下区肿胀1个月余”于2012年1月28日入院。患者1个月前出现左侧口底颌下区弥漫性肿胀,自诉有疼痛感,在当地医院行静脉输液治疗,肿胀部分消退。在我院行超声检查示,左颈部多发淋巴结肿大、大者可见液化。查体:左侧口底舌下区隆起,口底下颌下区双合诊可触及4.0 cm×3.0 cm×3.0 cm大小的结节状肿物,呈弥漫性结节状,边界不清,活动度较差,质较硬,压痛阳性,与皮肤无粘连。在全麻下行左侧口底颌下区肿物切除术。先行口底切口,术中见肿物表面呈灰黄色,质较硬,钝锐分离过程中肿物破碎,有乳白色液体流出,左侧舌下腺增生,质硬,与肿物界线不清,完整摘
Male patient, 46 years old, was admitted to hospital on January 28, 2012 due to “left mouth submandibular swelling more than 1 month ”. Patients with diffuse swelling of the left oral submandibular area one month ago complained of pain in the private prosecutor’s hospital. The swelling was partially resolved in the local hospital. Ultrasound examination showed in our hospital, multiple left cervical lymph nodes, the larger visible liquefaction. Physical examination: the left sublingual area uplift, submandibular area under the mouth of the double joint can reach 4.0 cm × 3.0 cm × 3.0 cm size of nodular tumor was diffuse nodules, the boundary is unclear, activity Degree is poor, hard quality, tenderness positive, no adhesion with the skin. Under general anesthesia left mouth submandibular tumor resection. First mouth incision, the surgery see the tumor surface was grayish yellow, hard, blunt sharp separation of the tumor during the broken, milky white liquid outflow, the left sublingual gland hyperplasia, hard, and the tumor boundary is not clear, Complete abstract