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患者,女,40岁。因左侧渐进性鼻塞1年余,伴头痛、左面部麻木、肿胀2月,于1989年10月16日入院。病初无涕血,曾在当地医院以“鼻炎”治疗无效。近2月来出现头痛、左面部隆起、麻木。体检:全身未见异常,浅表淋巴结无肿大。专科检查:左颌面部隆起,质中等硬,无压痛、表皮无异常。鼻粘膜慢性充血,左鼻腔外侧壁内移,嗅区少量分泌物未见新生物。硬腭隆起,超越中线约1.5cm。X线片示左上颌窦区密度增高,窦壁边界不清。左上颌窦穿刺涂片检查见少量癌细胞。初诊:左上颌窦癌。10月21日在全麻下行左上颌骨截除术。术中
Patient, female, 40 years old. Due to the left gradual nasal congestion more than 1 year, with headache, left facial numbness, swelling in February, was admitted on October 16, 1989. At the beginning of the disease, there was no blood flow and was treated with rhinitis at a local hospital. Nearly two months to headache, left facial bulge, numbness. Physical examination: no abnormalities in the body, superficial lymph nodes without swelling. Specialist examination: left maxillofacial bulge, medium hard, no tenderness, no abnormal epidermis. Chronic congestion of nasal mucosa, the left lateral wall of the nasal cavity shift, a small amount of secretions no new creatures. Hard palate uplift, beyond the midline of about 1.5cm. X-ray film showed increased density of the left maxillary sinus, sinus wall unclear. Left upper sinus puncture smear see a small amount of cancer cells. New diagnosis: left maxillary sinus cancer. On October 21 underwent maxillary maxillary resection under general anesthesia. Intraoperative