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患者女,24岁。因右侧胸部隐痛10个月,加重4个月入院,患者10个月前无明显诱因出现右侧胸部隐痛,以右侧季肋区较明显。就诊外院提示右侧胸腔积液,以右侧结核性胸膜炎治疗半年后症状无好转,复查胸部CT示右侧胸腔占位性病变,穿刺病理示梭形细胞瘤,未予以特殊处理。体检:右肺呼吸运动减弱,右侧胸壁轻压痛,右肺叩诊实音,心相对浊音界左移。实验室检查:癌胚抗原<0.20 ng/ml(<5.0),
Female patient, 24 years old. Because of the right chest pain for 10 months, increased 4 months admission, the patient 10 months ago no obvious incentive to appear on the right chest pain, to the right quarter rib area more obvious. The hospital showed that the right lateral pleural effusion to the right side of the tuberculous pleurisy six months after treatment, the symptoms did not improve, chest CT examination showed chest space-occupying lesions, puncture pathology showed spindle cell tumor, no special treatment. Physical examination: right lung respiratory motion weakened, the right chest wall tenderness, right lung percussion real sound, the heart relative to the voiced sector left. Laboratory tests: Carcinoembryonic antigen <0.20 ng / ml (<5.0),