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原发性肺肉瘤非常少见,我院收治3例,均经手术病理证实,在我院诊治的468例肺部恶性肿瘤中占0.6%,现报告于下。例1,女,15岁。因咳嗽咯血、胸闷、胸痛1月于1979年12月21日入院。体检:两肺闻及哮鸣音,双手杵状指。x 线检查:左上肺有一5×6cm 之圆形块影,密度均匀,边缘光滑。侧位片见瘤体位于左肺舌叶段,境界清楚。x 线印象:左上肺囊肿?手术探查:左肺舌叶有5×7cm 之圆形肿块,质软,无包膜、肿块与前胸壁粘连,肺门淋巴结肿大,左上叶前段肺组织部分不张,肿块剖面呈淡黄色,触之呈豆腐渣样。
Primary pulmonary sarcoma is very rare, in our hospital 3 cases were confirmed by pathology, in our hospital diagnosis and treatment of 468 cases of malignant lung tumors accounted for 0.6%, now reported in the next. Example 1, female, 15 years old. He was admitted to hospital on December 21, 1979 because of coughing up hemoptysis, chest tightness, and chest pain. Physical examination: The two lungs heard wheezing, fingers in both hands. X-ray examination: The left upper lung has a 5×6 cm round block shadow, with uniform density and smooth edges. The lateral view shows that the tumor is located in the left pulmonary tongue segment and the boundary is clear. X-ray impression: left upper lung cyst? Surgical exploration: left lung tongue with 5 × 7cm round mass, soft, no capsule, lump adhesion with the anterior chest wall, hilar lymph node enlargement, lung tissue in the left upper lobe Zhang, with a pale yellow color of the tumor, touched a bean curd residue.