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患者女,55岁。因“胆囊结石半年余”于2012年2月21日入院。既往无胸部不适症状,此次因胆囊结石入院择期手术。入院查体:双侧胸廓对称,皮肤正常,胸壁无压痛,未触及肿块。两肺呼吸音清晰,锁骨下未见肿大淋巴结。腹平软,无压痛,肝脾无肿大。术前检查:X线胸片及胸部CT提示右侧第5后肋可见2.0cm×2.0cm的膨胀性骨质破坏,周边胸膜增厚,双侧肺纹理行走自然,纵隔无肿大淋巴结。考虑:骨巨细胞瘤可能性大。B超示胆囊结石。于2012年2月24日行右第5肋根治性切除及腹腔镜下胆囊切除术,术后病理检
Female patient, 55 years old. Because of “gallbladder stones more than six months” in February 21, 2012 admission. No previous symptoms of chest discomfort, the elective surgery for gallbladder stones admission. Admission examination: bilateral thorax symmetry, normal skin, chest wall without tenderness, no palpable mass. Breath sounds clear two lungs, no swelling under the clavicle lymph nodes. Abdomen soft, no tenderness, no swelling of liver and spleen. Preoperative examination: X-ray and chest CT showed that the right posterior of the fifth posterior ribs can be seen 2.0cm × 2.0cm of distending bone destruction, pleural thickening around the bilateral lung pathology walking naturally, no mediastinal lymph nodes. Consider: Giant cell tumor of bone is very likely. B ultrasound showed gallstones. On February 24, 2012, the first right rib 5 radical resection and laparoscopic cholecystectomy, postoperative pathological examination