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患者,女,65岁.左胸壁肿块4个月,迅速增大15天.4月前自觉左胸壁可以触及一肿物,如拇指甲大,光滑无触痛,无活动度.4个月来虚弱,易疲倦,但无低热及盗汗.无其它不适,近15天肿物增长较快。体检:颈前部可见凸起之肿块,触之光滑,面积4×3×3cm,界限清楚,无触痛及波动,可以随吞咽运动而上下移动,颈部淋巴结无肿大。(追问病史,该肿块已20余年,曾诊断为甲状腺癌)左胸壁锁中线外2cm第6、7肋间可见4×4cm
Patient, female, 65 years old. Left thoracic wall mass 4 months, rapid increase of 15 days. 4 months before consciously left chest wall can touch a tumor, such as a large thumb, smooth and tender, no activity. 4 months Weakness, fatigue, but no fever and night sweats. No other discomfort, rapid growth in the past 15 days. Physical examination: The convex mass is visible in the front of the neck, and the touch is smooth. The area is 4×3×3cm, the boundary is clear, there is no tenderness and fluctuation, and it can move up and down with swallowing movement. There is no swelling of the cervical lymph nodes. (Ask the patient’s history, the tumor has been more than 20 years, had been diagnosed as thyroid cancer) 2cm above the midline of the left chest wall, visible between the 6th and 7th intercostal space 4×4cm