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张某,男,62岁,因周身皮疹19年,左小腿破溃9个月来我科行放射治疗。患者周身皮肤起斑丘疹伴轻度搔痒19年,经多个医院取病理确诊为蕈样霉菌病,多次化疗,皮疹进行性增多。9个月前左小腿屈面开始破溃、疼痛,行走困难。入院时查体右腹股沟触及花生和米粒大小的淋巴结3个,左侧1个。全身皮肤从头到足散在密集斑丘疹,有脱屑。左小腿屈面有一直径9cm的盘状隆起,与周围界线清楚,表面如草梅样,暗红色,有渗液,诊断蕈样霉菌病。局部行~(60)Co放射治疗。垂直加左右对穿,总靶吸收量49Gy(26
Zhang, male, 62 years old, suffered from a full body rash for 19 years, and suffered a 9-month outbreak of her left calf. The patient’s whole body had spotted papules with mild pruritus for 19 years. Histopathology was diagnosed as mycosis fungoidosis in multiple hospitals. Repeated chemotherapy resulted in progressive rashes. 9 months ago, the flexion of the left leg began to burst, pain, and difficulty walking. At the time of admission, the right groin of the examination revealed three lymph nodes, one on the left, and one on the left. Body skin spreads from head to foot in dense rashes with scaling. The left calf flexion surface has a discoidal ridge with a diameter of 9cm, and the boundary line is clear. The surface is grass-like, dark red, with exudate, and diagnosis of mycosis fungoides. Local line ~ (60) Co radiation therapy. Appropriate vertical and horizontal wear, total target absorption 49Gy (26