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患者女,55岁,农民。30年前现发颈左前长一拇指头大包块,无其它不适未治疗。5年前长至鸡蛋大,在当地区医院做肿块部分切除(未送病理检查);近半年来迅速长大,伴有颈部活动受限,呼吸迫促及吞咽不畅,于1988年4月8日入院。体检:一般情况较好,平卧时感呼吸困难。颈脚部静脉怒张,颈前偏左被一巨大肿物占据,上抵下颌,向脚骨切迹及锁骨后下伸延们不到肿块下缘;形状不规则,表面光滑,质硬,边界不清,不随吞咽活动,
Female patient, 55 years old, farmer. Thirty years ago, there was a large mass of thumb in front of the neck, which was untreated and untreated. Five years ago, she grew to an egg size and was partially resected in a local hospital (not sent for pathological examination); she grew up quickly in the past six months, with limited neck activity, poor breathing, and poor swallowing. In 1988 4 Admitted to the hospital on the 8th. Physical examination: The general situation is better, and it is difficult to feel breathing during supine. The veins of the neck and feet are swelled, and the left side of the neck is occupied by a huge mass. The upper jaw reaches the lower jaw, and the lower limb of the footbone and the clavicle do not extend to the lower edge of the mass. The shape is irregular, the surface is smooth, and the texture is hard. Unclear, not swallowing activities,