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患者龚××,男性、33岁、住院号164480,因右上颌、眶下包块半年余、逐渐增大,伴肿痛、麻木,经当地医院抗炎治疗无效,于1989年6月来院就诊,以上颌骨肿瘤(右)收治入院。全身情况良好。 检查:右面部明显隆起,两侧不对称,右上颌骨可扪及一约6cm×4cm×4cm的骨性包块,质硬,不活动,触压感痛,局部皮肤色泽正常。口内颊侧粘膜隆起,前庭沟消失,65I°松动,6叩痛。牙结石(++),同侧颌下及颈部未扪及肿大的淋巴结。 X线片提示:右侧上颌窦腔扩大,密度增高,可见一约7×6cm的块影,窦腔可见骨质吸收破坏,尚未侵及眼眶。局麻下行上颌窦活检,病理报告:上颌
Patients Gong × ×, male, 33 years old, hospital number 164480, due to the right maxillary, infraorbital mass more than six months, and gradually increased, with swelling, numbness, the local hospital anti-inflammatory treatment ineffective, came to hospital in June 1989 , To the maxillary tumor (right) admitted to hospital. The whole body is in good condition. Check: the right side of the obvious bulge, asymmetrical on both sides of the right maxilla palpable about a 6cm × 4cm × 4cm of the bony mass, hard, inaction, touch the flu, the normal local skin color. Buccal mucosal buccal swelling, vestibular groove disappeared, 65I ° loose, 6 percussion pain. Stones (++), ipsilateral submandibular and neck palpable enlarged lymph nodes. X-ray tips: the right maxillary sinus cavity is enlarged, the density increased, showing a block of about 7 × 6cm, visible loss of bone absorption of the bone, has not invaded the orbit. Local anesthesia maxillary sinus biopsy, pathology report: maxillary