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患者,男,51岁,于1997年1月14日入院。3个月前,咳嗽,低热。胸部X线显示左肺门占位病变,纵隔淋巴结肿大。纤维支气管镜活检,病理诊断鳞癌。同时发现右锁骨上肿大淋巴结,1.5cm×1cm,针吸找到低分化鳞癌细胞。给予放疗,左肺病灶放疗总量6100cGy,双锁骨上5000cGy,右锁骨上补加2000cGy。放疗后,肺门肿块缩小2/3,右锁骨上肿大淋巴结消失,但亦发现右侧面颊部皮肤有一微隆起的肿物,直径1cm,质硬,固定,针吸活检病理报告为鳞癌。肿物生长较快,住院时直径为2.5cm。住院后,应用PDD40mg静脉推注,第1～3天,VP_(16～213)100mg静脉滴注,第1～5天,ADM30mg静脉推注,第1、8天,三药联合化疗。一个疗程后,面
The patient, male, 51 years old, was admitted to hospital on January 14, 1997. 3 months ago, cough, low fever. Chest X-ray showed left hilar lesions and mediastinal lymph nodes. Fiberoptic bronchoscopy biopsy, pathological diagnosis of squamous cell carcinoma. At the same time, it was found that the right supraclavicular lymph nodes, 1.5cm × 1cm, needles to find poorly differentiated squamous cell carcinoma. With radiotherapy, the total amount of radiotherapy for left lung lesions was 6100 cGy, 5000 cGy for double clavicle, and 2000 cGy for right clavicle. After radiotherapy, the hilar mass was reduced by 2/3, and the right supraclavicular enlarged lymph node disappeared. However, it was also found that the right cheek had a slightly raised mass on the skin of the right cheek, 1 cm in diameter, hard and fixed, and the needle biopsy pathology report was squamous cell carcinoma. . The tumor grew faster and was 2.5 cm in diameter when hospitalized. After hospitalization, PDD 40mg intravenous injection was applied. On the first to third days, VP_(16~213) 100mg was intravenously infused, on the 1st to 5th day, ADM was intravenously injected with 30mg, on the 1st and 8th days, three drugs were combined with chemotherapy. After a course of treatment,