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患者女性,82岁,1981年初发现右面部肿胀,范围为4cm×3cm×2cm,质韧,不痛不红,无波动,穿刺出淡红色液体,结核菌培养(一),腮腺造影示充盈缺损,经抗结核治疗数日后,颈部两侧出现肿块且有压迫感,遂至外院会诊,诊断为“腮腺肿瘤颈部转移”,在本院行放射治疗后肿块缩小,此后每年行放射治疗1疗程(3～5周),治程中颈部肿块液化破溃,久治不愈形成窦道,同时出现右膝关节肿胀且有波动,切开后排出豆渣样物,经
Female patient, 82 years old, early 1981 found swelling of the right side, the range of 4cm × 3cm × 2cm, tough, painless red, no fluctuations, piercing the light red liquid, TB culture (a), parotid gland showed filling defect , A few days after the anti-TB treatment, there are lumps on both sides of the neck and a sense of oppression, then to the outpatient consultation, diagnosed as “parotid tumor neck metastasis” in our hospital radiotherapy after the tumor shrinks, annual radiotherapy 1 Course of treatment (3 to 5 weeks), the neck during the liquefaction of the ulceration rupture, a long time to form the sinus unhealed, while the right knee joint swelling and there is volatility, cut after the discharge of residue samples, the