以腮腺肿块为首发症状的艾滋病合并腮腺非霍奇金淋巴瘤一例

• 作 者: 孙培龙 杨昌明 胡静波 卢洪洲
• 机 构: 复旦大学附属上海市公共卫生中心普外科,上海市闸北区市北医院,复旦大学附属上海市公共卫生中心感染科,
• 出 处: 中华内科杂志
• 发表日期: 2007年04期
• 关键词: 肿块 腮腺 非霍奇金淋巴瘤 耳前 艾滋病 黄豆 生命体征 淋巴结肿大 涎腺 食欲

患者男,50岁。两个半月前开始自觉疲乏无力,持续约10余天后好转。两个月前开始左侧耳前面部发现一个约黄豆大小(0.5cm×0.5cm)肿块,两个月来,肿块增长迅速,达鸡蛋大小(5cm×6cm),伴随疼痛逐渐加重,经抗炎治疗无效,来我院就诊,门诊考虑腮腺肿瘤收入院。患者发病以来无发热、消瘦、盗汗,无体重减轻,食欲、大小便正常。入院体检:生命体征平稳,无发热,左颜面耳前可以触及大小约5cm×6cm 肿块,质地中等,有橡皮感,边界欠清楚,

Male patient, 50 years old. Two and a half months ago began to feel tired and weak, lasted about 10 days later improved. Two months ago, a lump of soybean (0.5 cm × 0.5 cm) was found in the frontal area of ​​the left ear. In two months, the lumps grew rapidly to reach the size of an egg (5 cm × 6 cm) Treatment is invalid, come to our hospital, outpatient consider parotid gland tumor hospital. No fever since the onset of the disease, weight loss, night sweats, weight loss, loss of appetite, normal urine. Admission medical examination: stable vital signs, no fever, the left face can reach the size of the ear about 5cm × 6cm mass, medium texture, a sense of rubber, the border is not clear,