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患者王××,男,15岁,学生。主诉:右颌下长一肿物半年多。病史:患者半年来右侧颌下逐渐长一肿物,开始有胀痛感并且在进食时尤为明显。肿物时有大小,但慢慢变硬。近几天胸闷咳嗽。曾应用过四环素和链霉素等效果不理想。全身检查:除胸透发现右肺上叶有炎症外无其它异常。局部检查见右颌下肿物约4×3×2cm,质较硬,界限尚清,压痛明显,皮肤稍红。肿物附近可触及肿大之淋巴结约黄豆大小2个,有压痛。
Patient Wang × ×, male, 15 years old, student. Chief complaint: a long right mandibular tumor more than six months. History: In the past six months, the patient gradually grew a tumor in the submandibular area, started to have pain and was particularly noticeable when eating. When the size of the tumor, but slowly hardened. Chest tightness and cough in recent days. Had used tetracycline and streptomycin and other effects are not ideal. Whole body examination: In addition to chest through the right lung inflammation found no other abnormalities. Local examination to see the right mandibular tumor about 4 × 3 × 2cm, hard quality, clear boundary, tenderness, reddish skin. Near the tumor can reach the enlarged lymph nodes about the size of soybeans 2, tenderness.