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患者,男,68岁。因进行性长大的肺部包块2年,于1997年11月17日入院。病程中除咯少许白色泡沫痰外无其它症状。院外曾反复抗感染及正规抗结核治疗半年无效。随访观察病变由最初2年前CT提示“左下肺斑片状影”逐渐扩展至入院前1月CT见“左肺下叶及右肺上、中、下均出现形态不规则的结节状及团块状影”。院外曾三次X线或CT监视下经皮肺穿刺活检,均提示“上皮细胞成团增生”。纤支镜检查未见异常,既往无吸烟史。入院查体:体温正常,一般情况好。神清合作,全身浅表淋巴结未扪及。气管居中。胸廓无畸形,双肺语颤对等,叩诊呈清音,双肺呼吸音清晰,未闻及干湿罗音。心脏查体无异常,腹部查体无异常。脊柱、四肢和神经系统检查无异常。实验室检
Patient, male, 68 years old. The progressive lung mass was admitted to hospital on November 17, 1997 for 2 years. During the course of the disease, there were no other symptoms except slightly white foam. Outside the hospital had repeated anti-infection and regular anti-tuberculosis treatment for six months. Follow-up observation of lesions from the first 2 years ago, CT prompted “the left lower lung patchy film” gradually expanded to the hospital in January before the CT see “left lower lobe and right lung, upper and middle, there are irregular shape of the nodule and Mass block shadow.” Three cases of percutaneous lung biopsy under x-ray or CT surveillance outside the hospital all indicated that “the epithelial cells became agglomerated.” Fibrobronchoscopy showed no abnormalities and no previous history of smoking. Admission examination: normal body temperature, generally good. Shen Qing cooperation, the whole body of superficial lymph nodes is not palpable. Trachea centered. The thorax was not deformed, and the two-language speech tremble was equal. The percussion was unvoiced. The breath sounds of the lungs were clear, and dry and wet rales were not heard. There was no abnormality in the heart examination and there was no abnormality in the abdominal examination. There were no abnormalities in the spine, limbs, and nervous system. Laboratory inspection