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患者男,53岁。因左侧胸部疼痛,放射至后背部2~+月,抗炎、对症治疗无缓解入院。查体无特殊。X线胸片示左下肺9、10后肋间隙心缘旁见斑片状密度增高影,密度均匀,边缘模糊不清。CT胸片考虑左下肺叶肺癌。于1997年11月行左侧剖胸术。术中见肿块大部位于左肺舌叶,部分跨下叶,约5cm×4cm大小,质硬。叶间裂发育不完全。另见近肺总动脉根部背段约1.5cm×1cm大小质硬肿块,肺门无淋巴结肿大。行左肺舌叶、背段肿块契形切除。术中、术后化疗。术后恢复顺利。病理诊断
Male patient, 53 years old. Due to the left chest pain, radiation to the back 2 ~ + months, anti-inflammatory, symptomatic treatment without remission. No special examination. X-ray showed the left lower lung 9,10 after the intercostal space along the edge of the edge of the patchy density increased shadow, uniform density, blurred edges. CT chest consider the lower left lung lung cancer. In November 1997 left thoracotomy. See intraoperative mass in most of the left lung lobes, part of the lower leaf, about 5cm × 4cm size, hard. Interstitial development is not complete. See also the proximal pulmonary artery proximal dorsal segment of about 1.5cm × 1cm size hard mass, hilar no lymphadenopathy. Line of the left lung tongue, the back section of the lesion resection. Intraoperative and postoperative chemotherapy. Postoperative recovery was successful. Pathological diagnosis