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患者男,61岁,因“食管癌术后10个月,进食后呛咳1个月余”入院。1个月来体重减轻约5kg。患者10个月前因“食管癌”在本院胸外科行“三切口食管癌根治,食管胃左颈吻合术”,术后病理报告示“鳞状上皮细胞癌”,未行化疗。体格检查:消瘦,左侧锁骨上触及一肿大淋巴结,约2cm×2cm,质硬,活动度差,无触痛,胸骨上窝触及一肿大淋巴结,约4cm×3cm,质硬,活动度差,无触痛。入院查生化常规示乳酸脱氢酶255U/L,余正常,血沉28.8mm/h。腹部超声提
Male patient, 61 years old, due to “esophageal cancer after 10 months, cough after eating more than 1 month” admission. 1 month weight loss of about 5kg. Patients 10 months ago due to “esophageal cancer” in our hospital thoracic surgery, “three incision esophageal cancer radical esophageal left anastomosis,” postoperative pathology report showed “squamous cell carcinoma,” no chemotherapy. Physical examination: weight loss, left supraclavicular touch and a swollen lymph nodes, about 2cm × 2cm, hard, poor mobility, no tenderness, sternal fossa touched a swollen lymph nodes, about 4cm × 3cm, hard, activity Poor, no tenderness. Admission biochemical routine showed lactate dehydrogenase 255U / L, more than normal, erythrocyte sedimentation rate 28.8mm / h. Abdominal ultrasound mention