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例1,张××,男,29岁,已婚,有两个男孩。因突然下腹部疼痛,伴有恶心,在当地医院诊断“急性阑尾炎”,行剖腹检查手术,术中发现腹膜后肿瘤,转入我院。入院体检:T:36.6℃,P:80次/分,Bp:120/80mmHg。心肺正常。全身浅表淋巴结不大。右侧睾丸鸭卵大,表面有结节,触痛((?))。入院后诊断为“绒癌”,行剖腹探查术;术后病理报告:“原胚胎转移癌”。经抗癌对症治疗病情日趋恶化,很快出现剧烈头痛,意识丧失,偏瘫,经抢救无效死亡。尸检病理诊断:1.右侧睾丸原发性绒毛膜上皮癌切除术后,2.绒毛膜上皮癌,肺、肝、脑、胃、结肠、大网膜后转移,3.心肌肥大,主动脉粥样硬
Example 1, Zhang × ×, male, 29 years old, married, with two boys. Due to sudden lower abdominal pain, accompanied by nausea, the diagnosis of “acute appendicitis” in the local hospital, laparotomy surgery, intraoperative findings of retroperitoneal tumor, transferred to our hospital. Admission examination: T: 36.6 ℃, P: 80 beats / min, Bp: 120 / 80mmHg. Cardiopulmonary normal. Systemic superficial lymph nodes is not large. The right testicular duck eggs, the surface nodules, tenderness ((?)). After admission diagnosed as “choriocarcinoma,” laparotomy; postoperative pathology report: “the original embryo transfer cancer.” The anti-cancer symptomatic treatment of deteriorating condition, and soon severe headache, loss of consciousness, hemiplegia, died of ineffective rescue. Autopsy pathological diagnosis: 1. Right testis primary choriocarcinoma resection, 2. choriocarcinoma, lung, liver, brain, stomach, colon, omentum after the transfer, 3. Myocardial hypertrophy, aortic Intimacy